田森 秀明

Introduction Vietnam still faces a high burden of infectious diseases compared with developed countries, and improving its health and sanitation environment is essential for addressing both infectious and non-communicable diseases. Chest radiography is key for early detection of cardiopulmonary diseases. Artificial Intelligence (AI) research on detecting cardiopulmonary diseases from chest radiographs has advanced; however, no AI development studies have used Vietnamese data, despite its high burden of both disease types, for early detection. Therefore, we aimed to develop an AI model to classify normal and abnormal images using a Vietnamese chest radiograph dataset. Methods We retrospectively analyzed 12,827 normal and 4,644 abnormal cases from two Vietnamese institutions. Features were derived from principal component analysis and extracted using Vision Transformer and EfficientnetV2. We performed binary classification of normal and abnormal images using Light Gradient Boosting Machine with 5-fold cross-validation. Results The model achieved an F1-score of 0.668, sensitivity of 0.596, specificity of 0.931, accuracy of 0.842, and AUC of 0.897. Subgroup evaluation revealed high accuracy in both infectious and non-communicable cases, as well as in urgent cases. Conclusion We developed an AI system that classifies normal and abnormal chest radiographs with high clinical accuracy using Vietnamese data.

Abstract Cultural evolution theory suggests that prestige bias-whereby individuals preferentially learn from prestigious figures-has played a key role in human ecological success. However, its impact within online environments remains unclear, particularly with respect to whether reposts by prestigious individuals amplify diffusion more effectively than reposts by noninfluential users. We analyzed over 55 million posts and 520 million reposts on Twitter (currently X) to examine whether users with high influence scores (hg indices) more effectively amplified the reach of others’ content. Our findings indicate that posts shared by influencers are more likely to be further shared than those shared by non-influencers. This effect persisted over time, especially in viral posts. Moreover, a small group of highly influential users accounted for approximately half of the information flow within repost cascades. These findings demonstrate a prestige bias in information diffusion within the digital society, suggesting that cognitive biases shape content spread through reposting.