Abstract
Federated Graph Neural Networks (FedGNNs) have emerged as a promising paradigm for decentralized graph learning across distributed data silos. However, the influence of underlying communication topologies on model accuracy and efficiency remains underexplored. This study presents a topology-aware benchmarking framework for federated GNNs, systematically evaluating the impact of network structure and aggregation strategy on performance and communication overhead. The proposed framework functions as a synthetic, communication-level digital twin that emulates Federated Learning interactions and topology-dependent dynamics under controlled conditions. Four learning schemes-Centralized, Local, FedAvg, and FedAvg-Fedadam-were assessed across three representative topologies: Barab & aacute;si-Albert (BA), Watts-Strogatz (WS), and Erd & odblac;s-R & eacute;nyi (ER). Results demonstrate that centralized training achieved the highest mean ROC-AUC (0.63), while FedAvg-Fedadam attained the best F1-score (0.038), balancing local adaptation and global convergence. Among topologies, BA and WS yielded higher average AUC values (approximately 0.57 and 0.56, respectively) than ER (approximately 0.39). Communication analysis revealed FedAvg as the most efficient strategy, requiring only approximately 3.8 x 105 bytes cumulatively. These findings highlight key trade-offs between accuracy, robustness, and communication efficiency in federated graph learning and provide empirical guidance for topology-aware optimization of distributed GNNs. While the experiments rely on representative synthetic topologies, the insights offer indicative relevance and potential applicability to Internet-of-Things (IoT), vehicular, and cyber-physical networks, where communication structure and bandwidth constraints critically influence collaborative intelligence. By modeling canonical connectivity patterns and releasing our code and data, the proposed benchmarking framework offers a reproducible basis for comparing emerging federated graph architectures under constrained communication conditions.

Abstract

Abstract
Sleep disorders exhibit substantial heterogeneity, and traditional classifications may not fully capture clinically relevant subtypes. Clustering techniques can identify patient subgroups that improve phenotypic characterization and may support personalized management. This systematic review evaluated the application of clustering in sleep medicine, with particular focus on its potential use as a pre-test triage tool prior to formal sleep testing. PubMed/MEDLINE, Embase, Web of Science, and Scopus were searched to February 2025. Eligible studies applied clustering to classify sleep disorders in adults. Two reviewers independently conducted screening, data extraction, and risk-of-bias assessment using QUADAS-2. The protocol was registered on PROSPERO. Fifty-one studies (1983-2025) were included, predominantly focused on obstructive sleep apnea (OSA) (n = 38, 74%). Hierarchical clustering (n = 20) and K-means clustering (n =14) were the most frequently used techniques. Internal validation was reported in only 18% of studies, and external validation was reported in only 1 study. Seven studies relied exclusively on baseline clinical, demographic, or questionnaire data, representing pre-test scenarios, whereas most incorporated polysomnography-derived variables, limiting their applicability to early clinical stratification. Hierarchical clustering was the most commonly applied method; however, the overall lack of validation limits confidence in the robustness and clinical applicability of identified phenotypes. The potential role of clustering as a pre-test triage strategy remains largely unexplored, as most studies focused on post-diagnostic phenotyping and were affected by incorporation bias. Future research should prioritize pre-test clinical variables, rigorously validate internally and externally, and adopt standardized methodological and reporting practices to facilitate clinical translation.

Abstract

Abstract
Accurate retrieval of post-surgical images plays a critical role in surgical planning for breast cancer patients. However, current content-based image retrieval methods face challenges related to limited interpretability, poor robustness to image noise, and reduced generalization across clinical settings. To address these limitations, we propose a multistage retrieval pipeline integrating saliency-based explainability, noise-reducing image pre-processing, and ensemble learning. Evaluated on a dataset of post-operative breast cancer patient images, our approach achieves contrastive accuracy of 77.67% for Excellent/Good and 84.98% for Fair/Poor outcomes, surpassing prior studies by 8.37% and 11.80%, respectively. Explainability analysis provided essential insight by showing that feature extractors often attend to irrelevant regions, thereby motivating targeted input refinement. Ablations show that expanded bounding box inputs improve performance over original images, with gains of 0.78% and 0.65% contrastive accuracy for Excellent/Good and Fair/Poor, respectively. In contrast, the use of segmented images leads to a performance drop (1.33% and 1.65%) due to the loss of contextual cues. Furthermore, ensemble learning yielded additional gains of 0.89% and 3.60% over the best-performing single-model baselines. These findings underscore the importance of targeted input refinement and ensemble integration for robust and generalizable image retrieval systems.

Abstract
Driving safety under low-visibility or distracted conditions remains a critical challenge for intelligent transportation systems. This paper presents Edge-VisionGuard, a lightweight framework that integrates signal processing and edge artificial intelligence to enhance real-time driver monitoring and hazard detection. The system fuses multi-modal sensor data-including visual, inertial, and illumination cues-to jointly estimate driver attention and environmental visibility. A hybrid temporal-spatial feature extractor (TS-FE) is introduced, combining convolutional and B-spline reconstruction filters to improve robustness against illumination changes and sensor noise. To enable deployment on resource-constrained automotive hardware, a structured pruning and quantization pipeline is proposed. Experiments on synthetic VR-based driving scenes demonstrate that the full-precision model achieves 89.6% driver-state accuracy (F1 = 0.893) and 100% visibility accuracy, with an average inference latency of 16.5 ms. After 60% parameter reduction and short fine-tuning, the pruned model preserves 87.1% accuracy (F1 = 0.866) and <3 ms latency overhead. These results confirm that Edge-VisionGuard maintains near-baseline performance under strict computational constraints, advancing the integration of computer vision and Edge AI for next-generation safe and reliable driving assistance systems.