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Free, publicly-accessible full text available August 1, 2026
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Free, publicly-accessible full text available April 24, 2026
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Abstract Purpose. To investigate the relationship between spatial parotid dose and the risk of xerostomia in patients undergoing head-and-neck cancer radiotherapy, using machine learning (ML) methods.Methods. Prior to conducting voxel-based ML analysis of the spatial dose, two steps were taken: (1) The parotid dose was standardized through deformable image registration to a reference patient; (2) Bilateral parotid doses were regrouped into contralateral and ipsilateral portions depending on their proximity to the gross tumor target. Individual dose voxels were input into six commonly used ML models, which were tuned with ten-fold cross validation: random forest (RF), ridge regression (RR), support vector machine (SVM), extra trees (ET), k-nearest neighbor (kNN), and naïve Bayes (NB). Binary endpoints from 240 patients were used for model training and validation: 0 (N = 119) for xerostomia grades 0 or 1, and 1 (N = 121) for grades 2 or higher. Model performance was evaluated using multiple metrics, including accuracy, F1score, areas under the receiver operating characteristics curves (auROC), and area under the precision–recall curves (auPRC). Dose voxel importance was assessed to identify local dose patterns associated with xerostomia risk.Results. Four models, including RF, SVM, ET, and NB, yielded average auROCs and auPRCs greater than 0.60 from ten-fold cross-validation on the training data, except for a lower auROC from NB. The first three models, along with kNN, demonstrated higher accuracy and F1scores. A bootstrapping analysis confirmed test uncertainty. Voxel importance analysis from kNN indicated that the posterior portion of the ipsilateral gland was more predictive of xerostomia, but no clear patterns were identified from the other models.Conclusion. Voxel doses as predictors of xerostomia were confirmed with some ML classifiers, but no clear regional patterns could be established among these classifiers, except kNN. Further research with a larger patient dataset is needed to identify conclusive patterns.more » « lessFree, publicly-accessible full text available February 11, 2026
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Electrochemical conversion of carbon dioxide (CO 2 ) to chemicals or fuels can effectively promote carbon capture and utilization, and reduce greenhouse gas emission but a serious impediment to the process is to find highly active electrocatalysts that can selectively produce desired products. Herein, we have established the design principles based on the density functional theory calculations to screen the most promising catalysts from the family of coordinately unsaturated/saturated transition metal (TM) embedded into covalent organic frameworks (TM-COFs). An intrinsic descriptor has been discovered to correlate the molecular structures of the active centers with both the activity and selectivity of the catalysts. Among all the catalysts, the coordinately unsaturated Ni-doped covalent triazine framework (Ni-CTF) is identified as one of the best electrocatalysts with the lowest overpotential (0.34 V) for CO 2 reduction toward CO while inhibiting the formation of the side products, H 2 and formic acid. Compared with coordinately saturated TM-COFs and noble metals ( e.g. Au and Ag), TM-CTFs exhibit higher catalytic activity and stronger inhibition of side products. The predictions are supported by previous experimental results. This study provides an effective strategy and predictive tool for developing desired catalysts with high activity and selectivity.more » « less
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