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1


What is the primary goal of the article according to its introduction?

3. To explore advancements, applications, and challenges of generative AI in medical imaging

I answered that the article explores medical imaging because the writers specifically discussed and explained on points about how generative AI can create and enhance synthetic medical images to improve data availability , diversity and privacy in the healthcare system . Most of the information in the article is about the applications of medical imaging like AI models such as GANs to produce real looking medical data for training and learning .

The reference in my answer is based on the generative AI model’s specifically the physic-informed model like the GAN that learn from real datasets to generate synthetic images. These theories are supported by numerous of works related in deep generative modeling like Goodfellow et al, 2014 on GANs are used in medical imaging to improve data quality, patients privacy and diagnostic standards.

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2


How do generative AI models differ from traditional discriminative models in healthcare applications?

2. Generative models produce new data rather than only classify or interpret

I chose this answer because generative AI models are made to create new data, such as synthetic medical images by having an overview of existing datasets. In the health care system they help produce realistic images for training , research and rare disease stimulation while the traditional discrimination models only analyze or classify existing data.

This is all based on the generative discriminative model framework in machine learning .These generative models learn the “joint probability distribution “ to produce new samples . Discriminative models learn the “conditional probability” to predict results. The whole concept was first formalized by Goodfellow et al. in 2014 in their introduction to generative adversarial networks which are now widely used in medical image synthesis as explained in Khosravi et al. in 2025.

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3


What is meant by the term “model as a dataset”?

3. Sharing trained model weights instead of raw data

This is because the term “ model as a dataset” refers to the concept of using a trained Ai model as a source of knowledge or data . It means hospitals or researchers share the trained model , which are it weights and knowledge, instead of real patient data to prevent any ethical concerns.

All of this is based on the idea from Khosravi et al. in 2025 where models can act like datasets by holding patterns from data that is linking to federated learning and privacy safe AI in medical imaging .

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4


Which statement correctly distinguishes physics-informed and statistical models?

3. Physics-informed models incorporate biological or physical principles

Physics-informed models use real scientific laws to guide predictions. While statically models depend on data patterns and correlations which is why physics-informed ones are more connected to read world physical processes

This is all coming from Khosravi et al. (2025) physics-informed models combine AI with physical principles to improve accuracy and reliability in medical imaging and stimulation .

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5


According to the article, what does the “image generation trilemma” describe?

2. Trade-offs among image diversity, quality, and speed

The “ image generation trilemma” means that there is a balance problem like then we improve one factor like image quality it can reduce diversity or speed of generation and vice versa. You can maximized all 3 all at once when creating synthetic medical images .

All from Khosravi et al. (2025) the article explains that generative AI in medical imaging faces trade offs between diversity , quality and speed which will affect how the synthetic data is produced and used .

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6


What is the Human Turing Test used for in medical image synthesis?

2. To assess realism of synthetic medical images by experts

The human Turing test is used when experts judge if AI generated images like real or fake. It helps check how realistic the synthetic medical images are compared to real ones

From Khosravi et al. 2025 the test measure the perceived realism of the AI generated medical images which shows how close the real and fake images look.

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7


Which of the following is NOT mentioned as a potential benefit of synthetic data in healthcare?

4. Eliminating all medical biases permanently

My asnswer is not mentioned because while synthetic data is often used as helping to reduce bias and improve fairness , it can’t guarantee elimination of all biases . So it is inaccurate to say that it permanently eliminates all medical biases .

The Giuffre and Shung (2023) explains how synthetic can augment datasets , assist research and address privacy. It states its potential application but also states its limitations which include bias , and interpretability.

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8


What is one major ethical concern associated with generative AI in medical imaging?

2. Data copying and patient reidentification

Some facial features , anatomical markers or sensitive information in the images might allow reidentification even when explicit identifiers are removed . Copying might even happen which is when multiple copies of the image are shown in a dataset.

The article explains some challenges and considerations which explain points like patient privacy and data copying ,

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9


What regulatory precedent did the article cite for synthetic data technologies?

4. U.S. legislation limiting data sharing

The US would like to protect individual privacy and confidentiality .

All based on laws like confidential information protection and statistical efficiency Acts .

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10


What is the main purpose of the article?

2. To compare and evaluate ASCVD risk prediction models in East Asia

The article dicusses evaluating and comparing the performance of different atherosclerotic cardiovascular disease (ASCVD) risk prediction models among East Asian populations to improve accuracy and regional applicability.

All based from the articles first page abstract stating reasons like why this research started and risks .

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11


Which of the following models was originally developed for a Western population?

1. Framingham Risk Score

The Framingham Risk Score was developed using data from the Framingham Heart Study in the United States, which focused on a Western population. It is one of the earliest and most widely known ASCVD (Atherosclerotic Cardiovascular Disease) prediction models.

Based on K. Nguyen et al. Where the article discusses how the models such as Framingham were created in western populations and compares them with models developed for East Asian populations .

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12


Why might Western-based risk prediction models overestimate ASCVD risk in East Asian populations?

2. East Asians have lower baseline incidence of ASCVD

Western-based ASCVD risk models like the Framingham Risk Score often overestimates cardiovascular risk in East Asian populations because East Asians generally have a lower baseline incidence of ASCVD compared to Western populations.

Based on K. Nguyen et.al which the article highlights that western developed models tend to overpredict ASCVD risk in eat Asians due to the Ethiopic and epidemiologic differences .

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13


What is the key advantage of the China-PAR model compared to Western-based models?

4. It was calibrated using national data representing diverse regions in China

The China-PAR model is better for Chinese and East Asian people because it was built using large national data from different parts of China. This makes it more accurate for local populations than Western models like Framingham, which were based on Western data.

K.Nguyen et al , the article explains that the China-PAR model was calibrated with regional Chinese data giving it better accuracy for East Asian populations .

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14


Which of the following variables is not typically included in ASCVD risk prediction models discussed in the article?

4. Genetic ancestry markers

ASCVD risk prediction models such as Framingham, China-PAR, KRPM, and NIPPON Data80 mainly use clinical and lifestyle factors like age, blood pressure, cholesterol levels, and smoking status which doesn’t include genetic ancestry markers .

K. Nguyen et al, the study compared models based on common risk factors and notes the genetic markers are not yet used in traditional ASCVD models .

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15


What is a major difference between the Suita Score and the Framingham Risk Score?

2. Suita Score was designed for a Japanese population using local epidemiological data

The Suita Score was created in Japan using data from Japanese people, making it more accurate for predicting ASCVD risk in East Asian populations. In contrast, the Framingham Risk Score was developed in the United States for a Western population, which can lead to overestimation of risk in Asians.

The article explains that models like the Suita Score were built from local Japanese epidemiological data to better reflect regional cardiovascular risk patterns.

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16


According to the article, what is a potential benefit of developing East Asia–specific risk models?

3. They improve accuracy and reduce overestimation of risk

East Asia–specific ASCVD risk models are built using local population data, which helps make predictions more accurate. Western models often overestimate cardiovascular risk for East Asians, so regional models fix this problem.

The article notes that using East Asia–specific models improves risk accuracy and reduces overestimation compared to Western-based models.

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17


Which factor was highlighted as influencing ASCVD risk differences among East Asian countries?

2. Cultural and dietary variations, such as salt intake and lifestyle

The article explains that differences in diet, lifestyle, and culture — such as salt consumption, smoking habits, and physical activity — affect ASCVD risk levels among East Asian countries. These variations lead to differences in heart disease rates between places like China, Japan, and Korea.

K. Nguyen et al. The study highlights that cultural and dietary factors are key contributors to the variation in ASCVD risk across East Asian populations.

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18


What future direction does the article suggest for improving ASCVD risk prediction?

2. Using multimodal AI-based prediction integrated with regional data

The article suggests that future ASCVD prediction should use AI and machine learning that combine clinical, lifestyle, and regional data. This approach can make risk prediction more accurate and personalized for East Asian populations.

K. Nguyen et al. The study notes that AI-based, data-integrated models could improve the precision and adaptability of ASCVD risk prediction in the future.

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19


Which statement best explains the key difference in how VAEs, GANs, and DDPMs generate medical images according to the figure?

3. DDPMs iteratively remove noise through reverse diffusion rather than using encoder–decoder or discriminator structures.

VAEs uses an encoder–decoder setup to generate images. GANs use a generator and discriminator that compete to make realistic images. DDPMs (Diffusion Models) work differently they don’t reply on an encoder or a decoder but uses iterative noise removal .

The article explains that DDPMs generate data through iterative denoising steps unlike VAEs and GANs making them effective for medical image synthesis and reconstruction.

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20


Which of the following best explains the trend shown in Figure comparing age-standardized and crude CVD mortality rates among East Asian countries?

3. Despite differences in age structures, Japan maintains low mortality rates in both measures, suggesting effective prevention and healthcare systems.

The article shows that Japan has low cardiovascular disease (CVD) mortality rates, both crude and age-standardized, compared to other East Asian countries. This means Japan’s low rates are not just due to population age differences but also reflect strong prevention programs, healthy lifestyles, and effective healthcare systems.

The study notes that Japan’s consistently low CVD mortality across both crude and standardized rates suggests effective national prevention and healthcare strategies, not simply demographic effects.

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ผลคะแนน 125.9 เต็ม 140

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