Core Viewpoint - Early diagnosis and treatment of tumors are crucial for improving patient outcomes, as demonstrated by the case of a patient whose tumor grew significantly due to delayed medical attention [1][4]. Group 1: Importance of Early Detection - The article emphasizes the significance of early cancer screening, particularly for liver tumors, which can lead to better survival rates if detected early [4][5]. - A case study illustrates that a patient delayed seeking treatment for four months after receiving a concerning health report, resulting in a tumor that had grown to a critical size [1][4]. - The survival rates for early-stage cancer surgeries are notably high, with five-year survival rates exceeding 70-80% and ten-year rates above 50% [4]. Group 2: Advances in Medical Technology - The article highlights the rapid advancement of medical technology, particularly MRI, which has become widely available and significantly aids in early cancer detection [5][6]. - The introduction of new treatment options, such as targeted therapies and immunotherapies, has improved the prognosis for patients with previously inoperable tumors, increasing the operable rate from 5% to 25% [8]. Group 3: Patient Engagement and Follow-Up - The importance of patient engagement is underscored, with the author advocating for direct communication with patients to monitor their health and encourage timely follow-ups [9][11]. - A personal approach to patient care, including providing personal contact information for follow-up questions, is emphasized as a way to improve patient outcomes [9][11]. Group 4: Future Aspirations - The author has set a personal goal of performing 1,000 early-stage liver cancer surgeries over ten years, aiming for a significant portion of these patients to live beyond ten years [11][12]. - The vision includes creating a supportive community for patients who have successfully navigated early cancer detection and treatment, reinforcing the message of the importance of timely medical intervention [12].

Core Viewpoint - The integration of multimodal neuroimaging and artificial intelligence (AI) is revolutionizing the early diagnosis and personalized treatment of neuropsychiatric disorders, addressing the challenges posed by their complex pathology and clinical heterogeneity [2][6]. Multimodal Neuroimaging: A Comprehensive Brain Examination - Traditional single-modality brain examinations are limited, while multimodal imaging can decode the brain from structural, functional, and molecular dimensions, enabling early intervention [7][8]. - Structural imaging (e.g., MRI) reveals brain tissue volume and cortical thickness, functional imaging (e.g., fMRI, EEG) captures neuronal activity, and molecular imaging (e.g., PET) tracks pathological markers like amyloid proteins, providing early warnings for conditions like Alzheimer's disease [9]. AI as a Puzzle Solver - AI demonstrates three key capabilities in handling vast heterogeneous data: feature fusion (early, mid, and late fusion), deep learning models, and clinical prediction tools, significantly enhancing diagnostic accuracy [12][13]. - For instance, multimodal AI models have improved early Alzheimer's diagnosis accuracy to 92.7%, surpassing single-modality methods by over 15% [13]. Practical Achievements: AI's Impact - AI has achieved high diagnostic accuracy, distinguishing Alzheimer's from Lewy body dementia at 87% and predicting epilepsy seizures with over 98% accuracy [14]. - It can predict the efficacy of depression medications with 89% accuracy and assess cognitive decline rates [15]. - AI identified three subtypes in over 2,000 bipolar disorder patients, guiding personalized treatment approaches [16]. Challenges and Breakthroughs: Path to Clinical Application - The integration of multimodal neuroimaging data faces challenges such as data availability, heterogeneity, and AI model interpretability, compounded by issues like class imbalance, algorithm bias, and data privacy [20]. - Addressing these challenges is crucial for developing robust AI models based on multimodal neuroimaging [20]. Future Research Directions - The future of AI in neuropsychiatric disorders includes the development of transformer models for cross-modal data processing, dynamic monitoring of brain network changes, and creating lightweight models for clinical use [23][24]. - Despite significant advancements, further exploration of clinical effectiveness and usability is needed to transition from research to practical applications [24].

Core Viewpoint - The Trump administration's policies are significantly undermining U.S. scientific research and funding, leading to widespread concerns about the future of science in the country [1][3][11]. Group 1: Impact on Federal Research Funding - The Trump administration has threatened to cut billions in funding for research universities and has already terminated over 1,000 grants in critical areas such as climate change and cancer research [1][20]. - The proposed 2026 budget may drastically reduce federal scientific investments, with potential cuts of 50% to NASA's science budget and 40% to the National Institutes of Health (NIH) [2][22]. - The NIH, which received nearly $48 billion in funding, is crucial for U.S. research, having funded over 99% of drugs approved from 2010 to 2019 [9][31]. Group 2: Scientific Community's Response - A public letter from approximately 1,900 members of the National Academies of Sciences, Engineering, and Medicine expressed alarm over the damage to U.S. science, with 94% of surveyed scientists worried about the future [3][37]. - The scientific community is concerned that the dismantling of federal support will lead to a significant decline in innovation and competitiveness, with many researchers considering opportunities abroad [26][27]. Group 3: Long-term Consequences - Experts warn that the damage inflicted by the Trump administration could take decades to reverse, with a significant loss of knowledge and talent in the scientific workforce [7][19]. - The reduction in federal funding is expected to hinder technological innovation, affecting industries reliant on research and development [31][32]. - The shift towards private funding may not adequately replace government support, particularly for high-cost, large-scale research projects [33][34]. Group 4: University and Research Institution Challenges - U.S. universities are facing unprecedented challenges due to funding cuts and political pressures, with many institutions already tightening graduate admissions and research funding [21][24]. - The Trump administration's stance on federal funding has created a hostile environment for research, leading to fears of a decline in the quality and quantity of scientific output [25][30]. - The potential loss of international talent is a significant concern, as many foreign researchers are reconsidering their plans to study or work in the U.S. due to the current political climate [26][27].