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# คำถาม คำตอบ ถูก / ผิด สาเหตุ/ขยายความ ทฤษฎีหลักคิด/อ้างอิงในการตอบ คะแนนเต็ม ให้คะแนน
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

the article title explicitly defines its goal as exploring the opportunities and challenges of generative AI in medical image synthesis,which directly matches option 3

exploring the potential of generative artificial intelligence in medical image synthesis:opportunities challenges and future direction

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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

generative models are defined by their ability to create new data, unlike discriminative models which only classify or interpret existing data

generative models learn the joint probability p(x,y) of the data distribution , allowing them to synthesize new samples

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3


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

3. Sharing trained model weights instead of raw data

model as dataset. is a privacy method where the trained model eights are shared as a safe proxy for the original,sensitive raw data

based on privacy-preserving AI where model wights statistically summarize the patterns learned from the sensitive dataset

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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 incorporate real-world physical or biological laws directly,unlike statistical models that only learn from data correlations.

this distinction is based on Hybrid modeling, where physics informed models are mechanistic and use governing equations as constraints

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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 trilemma is a standard generative modeling constraint where models must trade off achieving high diversity,high quality,high speed

this is the trilemma constraint in generative modeling ,balancing fidelity,diversity,and inference cost

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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 uses experts raters to subjectively determine if synthetic image are realistic and clinically useful.

perceptual evaluation method that directly assesses the fidelity of generated images based on human judgment.

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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

synthetic data can only mitigate biases by boosting diversity,it cannot permanently eliminate all medical biases,making option 4 realistic

the principle is bias mitigation vs elimination.All the other option are realistic benefits but total elimination of bias is an overstatement of the technology capability

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8


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

2. Data copying and patient reidentification

the ethical risk is that generative models may memorize and reproduce training data, leading to data copying and potential patient reidenrification,violating privacy.

this concern is tied to model memorization,where the models training makes it vulnerable to privacy leakage and data extraction attacks.

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9


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

2. FDA clearance of synthetic MRI as image-processing software

the fda clearance of synthetic MRI tool is a key regulatory precedent because it established a pathway for synthetic image generation tools to be classified as image-processing software.

a benchmark in regulatory policy, setting a standard for classifying synthetic image tools under existing software frameworks rather than as new medical devices.

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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

research aims to validate and improve ASCVD prediction models within a specific region, making the comparison of models in east asia the main purpose.

the principle is External validation, which requires checking a model’s performance on a new, distinct population.

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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 from the framingham heart study,a long term study primarily of a western US population.

the core principle is derivation cohort. the models training models foundation is the framingham heart study, making it the only western models listed.

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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 models use a higher baseline risk in their original population. when applied to east asians with a naturally lower incidence of ASCVD, the models training makes incorrectly overestimates the risk.

the issue is model calibration. overestimation occurs because the baseline risk of the western derivation cohort is significantly higher than that of the east asian population.

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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’s advantage is it’s superior calibration because it was developed using diverse national data from the population it is meant to serve.

Model calibration, ensuring the models baseline risk and factors are accurate for the specific derivation cohort.

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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

traditional ASCVD models use standard clinical inputs, because they’re easy to get,they do not typically include complex genetic ancestry markers.

Clinical feasibility. standard models use only readily available biometric variables, leaving complex genetic ancestry markers for specialized research.

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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

derivation population. the suita score was created using local japanese’s epidemiological data, giving it better accuracy for east asians,while framingham uses data from a western population

regional specificity. the suita score is an ethnicity-specific model, contrasting with the western-derived framingham model.

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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

developing east asia-specific models is a benefit because they use correct local data for calibration,which directly improves prediction accuracy and fixes the overestimation error of western models.

Model calibration.A regional model ensures superior accuracy because it accounts for the true baseline incidence of ASVD in that specific population.

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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

difference in diet and lifestyle across east asia creat risk heterogeneity.this difference is a major non- genetic factor influencing ASCVD risk variation.

Environmental risk heterogeneity.local variations in diets and culture are key non-genetic risk factors that necessitate the development of country-specific ASCVD.

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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 future requires using AI with multimodal data and integrating regional data to ensure high accuracy and correct calibration.

Holistic and calibrated prediction is holistic and calibrated prediction, moving toward multimodal and away from older,single-factor, uncalibrated risk scores

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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.

DDPMs are unique as they generate images by iteratively removing noise , a fundamentallly different process from the encoder-decoder or generator discriminator structures.

generative model architecture. DDPMs use a markov chain denoising process, VAEs use variations inference and GANs use adversarial learning.

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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.

japan’s consistently low mortality rate in both age-standardized and crude measures confirm the effectiveness of its prevention and healthcare system, as the low rate isn’t just due to a young population.

interpretation of age-standardized rates. A low rate that persist after age-standardization indicates the effectiveness of public health measures.

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ผลคะแนน 132.65 เต็ม 140

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