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Jiarui Xing

Jiarui Xing contributes to research discovery and scholarly infrastructure.

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Published work

4 published item(s)

preprint2026arXiv

Assessment of Clonal Hematopoiesis of Indeterminate Potential and Future Cardiomyopathy from Cardiac Magnetic Resonance Imaging using Deep Learning in a Cardio-oncology Population

We propose a novel deep learning framework to identify clonal hematopoiesis of indeterminate potential (CHIP), a somatic mutation condition associated with adverse cardiovascular outcomes, using routine cardiac magnetic resonance (CMR) imaging. Utilizing 152 multi-view late gadolinium enhancement (LGE) scans from 136 cardio-oncology patients, we developed a convolutional neural network to (1) detect CHIP status and (2) stratify the risk of future cardiomyopathy specifically within the CHIP-positive cohort. To ensure robustness, we performed rigorous feature importance analysis to rule out reliance on demographic confounders such as age and immune checkpoint inhibitor usage. The model achieved an AUC of 0.71 for CHIP detection and, notably, an AUC of 0.87 for predicting future cardiomyopathy in CHIP-positive patients, significantly outperforming demographic-only baselines. These results demonstrate the feasibility of using LGE-CMR signatures as a non-invasive "radiogenomic" screening tool, potentially enabling accessible risk stratification and precision medicine for high-risk cardiovascular populations.

preprint2026arXiv

Divergence is Uncertainty: A Closed-Form Posterior Covariance for Flow Matching

Flow matching has become a leading framework for generative modeling, but quantifying the uncertainty of its samples remains an open problem. Existing approaches retrain the model with auxiliary variance heads, maintain costly ensembles, or propagate approximate covariance through many integration steps, trading off training cost, inference cost, or accuracy. We show that none of these trade-offs is necessary. We prove that, for any pre-trained flow matching velocity field, the trace of the posterior covariance over the clean data given the current state equals, in closed form, the divergence of the velocity field, up to a known time-dependent prefactor and an additive constant. We call this the \emph{divergence-uncertainty identity} for flow matching. The matrix-level form of the identity is similarly closed-form, depending solely on the velocity Jacobian. Because the identity is exact and post-hoc, it is computable on any pre-trained flow matching model, with no retraining and no architectural modification. For one-step generators such as MeanFlow, the same identity yields the exact end-to-end generation uncertainty in a single forward pass, eliminating the multi-step variance propagation required by all prior methods. Experiments on MNIST confirm that the resulting per-pixel uncertainty maps are semantically meaningful, concentrating on digit boundaries where inter-sample variation is highest, and that the scalar uncertainty score tracks actual prediction error, all at roughly 10,000$\times$ less total compute than ensembling or Monte Carlo dropout.

preprint2026arXiv

PathoSyn: Imaging-Pathology MRI Synthesis via Disentangled Deviation Diffusion

We present PathoSyn, a unified generative framework for Magnetic Resonance Imaging (MRI) image synthesis that reformulates imaging-pathology as a disentangled additive deviation on a stable anatomical manifold. Current generative models typically operate in the global pixel domain or rely on binary masks, these paradigms often suffer from feature entanglement, leading to corrupted anatomical substrates or structural discontinuities. PathoSyn addresses these limitations by decomposing the synthesis task into deterministic anatomical reconstruction and stochastic deviation modeling. Central to our framework is a Deviation-Space Diffusion Model designed to learn the conditional distribution of pathological residuals, thereby capturing localized intensity variations while preserving global structural integrity by construction. To ensure spatial coherence, the diffusion process is coupled with a seam-aware fusion strategy and an inference-time stabilization module, which collectively suppress boundary artifacts and produce high-fidelity internal lesion heterogeneity. PathoSyn provides a mathematically principled pipeline for generating high-fidelity patient-specific synthetic datasets, facilitating the development of robust diagnostic algorithms in low-data regimes. By allowing interpretable counterfactual disease progression modeling, the framework supports precision intervention planning and provides a controlled environment for benchmarking clinical decision-support systems. Quantitative and qualitative evaluations on tumor imaging benchmarks demonstrate that PathoSyn significantly outperforms holistic diffusion and mask-conditioned baselines in both perceptual realism and anatomical fidelity. The source code of this work will be made publicly available.

preprint2026arXiv

TLRN: Temporal Latent Residual Networks For Large Deformation Image Registration

This paper presents a novel approach, termed {\em Temporal Latent Residual Network (TLRN)}, to predict a sequence of deformation fields in time-series image registration. The challenge of registering time-series images often lies in the occurrence of large motions, especially when images differ significantly from a reference (e.g., the start of a cardiac cycle compared to the peak stretching phase). To achieve accurate and robust registration results, we leverage the nature of motion continuity and exploit the temporal smoothness in consecutive image frames. Our proposed TLRN highlights a temporal residual network with residual blocks carefully designed in latent deformation spaces, which are parameterized by time-sequential initial velocity fields. We treat a sequence of residual blocks over time as a dynamic training system, where each block is designed to learn the residual function between desired deformation features and current input accumulated from previous time frames. We validate the effectivenss of TLRN on both synthetic data and real-world cine cardiac magnetic resonance (CMR) image videos. Our experimental results shows that TLRN is able to achieve substantially improved registration accuracy compared to the state-of-the-art. Our code is publicly available at https://github.com/nellie689/TLRN.