OptiModNet: A UNet-Transformer Hybrid with Grouped-Query and Channel Attention for Optic Disc and Cup Segmentation

Precise segmentation of the optic disc and cup is critical for the early detection and diagnosis of glaucoma. However, achieving consistently high performance across datasets while maintaining low computational requirements remains a significant challenge. In glaucoma detection, low-computation methods are crucial for enabling rapid, large-scale screening and facilitating deployment in resource-limited clinical environments. While deep learning models such as UNets, Vision Transformers (ViTs), and Diffusion models have demonstrated strong segmentation performance but these methods often come with substantial computational overhead. UNets are efficient at capturing local features but are limited in modeling global contextual information. Conversely, ViTs excel at long-range dependency modeling but are computationally intensive. Hybrid architectures, such as UNetR, which combine transformer-based encoders with UNet-style decoders, have shown improved performance but while incurring additional complexity. Considering these, in this work, we propose OptiModNet, a light weight novel hybrid architecture tailored for optic disc and cup segmentation. The model integrates diverse attention mechanisms at multiple stages of the network to enhance both local and global feature representation. We include an Aggregated Pyramid Loss that supervises predictions at multiple decoder depths, to promote better gradient flow and structural consistency. We evaluate OptiModNet on the REFUGE2 dataset for both optic disc and cup segmentation tasks. Our method achieves state-of-the-art performance, exceeding existing approaches by over 2.5\%, while maintaining high efficiency with only 3.73 GFLOPs and 1.93M parameters. The code is available at https://github.com/SG1947/OptiModNet.

DynoDINO: Harnessing Dynamic Latent Information from DINO Features for Multi-Phase Medical Image Segmentation

Multi-phase Contrast-Enhanced Computed Tomography (CECT) plays a central role in the diagnosis and characterization of focal lesions by capturing temporal enhancement patterns across multiple acquisition phases. Accurate lesion segmentation from such data remains challenging because clinically relevant contrast kinetics are distributed across phases, while anatomical inconsistencies, respiratory motion, and incomplete acquisitions often lead to inter-phase misalignment and interrupted temporal information. Conventional segmentation frameworks typically process each phase independently or rely on simple fusion strategies, limiting their temporal reasoning capability. To address these challenges, we propose DynoDINO, a unified framework tailored to address the core challenges of multi-phase medical image segmentation. DynoDINO first performs slice-level alignment to establish inter-phase anatomical correspondence and then employs a Multi-phase Fusion Model to jointly enhance temporal correlations across phases. Our fusion model incorporates a Mix-attention (MA) mechanism for efficient multi-phase feature calibration and an Adaptive Gating Mechanism with difference-based residual learning to selectively preserve diagnostically relevant contrast variations while suppressing artifacts caused by residual misalignment. In addition, the adaptive gating mechanism improves training stability by preventing feature degradation caused by unguided subtraction operations. Experiments on three large-scale datasets, including LiTS, PLC-CECT, and WAW-TACE, demonstrate that DynoDINO consistently improves boundary delineation and structural fidelity under standard, shifted, and missing-phase conditions.

ATCNet-CIAM for Multi-Session Motor Imagery EEG Signal Classification

Motor imagery (MI)-based electroencephalography is widely used in non-invasive brain--computer interfaces (BCIs), but robust decoding remains challenging due to inter-subject variability and cross-session non-stationarity. This work proposes ATCNet-CIAM, an enhanced attention temporal convolutional network that integrates a lightweight channel-integrated attention module (CIAM) into the ATCNet framework to improve channel-spatial feature representation for MI decoding. The proposed model is evaluated on BCI Competition IV-2a, BCI Competition IV-2b, and the multi-day WBCIC-MI dataset under standard, within-session, and cross-session protocols. Experimental results show that ATCNet-CIAM achieves 86.32% accuracy on BCI IV-2a and 87.96% on BCI IV-2b under the standard protocol, while reaching 89.46% and 83.64% in the within-session WBCIC-MI on 2C and 3C, respectively. The proposed framework consistently improves classification stability and robustness under session-varying conditions, and ablation study confirms the complementary contribution of the proposed architectural components.

AdaKAN: A dual-branch adaptive Kolmogorov-Arnold network for medical image segmentation

Medical image segmentation is a fundamental task in computer-aided diagnosis, yet it remains challenging due to the complexity of anatomical structures and the variability across imaging modalities. In this paper, we propose AdaKAN, an Adaptive Kolmogorov-Arnold Network (KAN) that synergistically integrates convolutional operations with a novel efficient KAN (EffiKAN) block, comprised of an efficient attention mechanism and an adaptive KAN (AdaptKAN) module. This module features a dual-branch design: one branch employs a KAN layer with Bernstein polynomial activations for globally smooth and stable function approximation, while the other branch performs channel-wise refinement through projection operations and adaptive scaling. AdaKAN adopts a U-shaped architecture that effectively captures both long-range dependencies and fine-grained local features, overcoming the limitations of conventional convolutional and Transformer-based segmentation models. Skip connections are employed to preserve spatial details during encoding and facilitate accurate reconstruction during decoding. Extensive experiments conducted on diverse medical imaging datasets demonstrate that AdaKAN achieves state-of-the-art performance in segmentation accuracy.

SHFormer: Dynamic Spectral Filtering Convolutional Neural Network and High-pass Kernel Generation Transformer for Adaptive MRI Reconstruction

Attention Mechanism (AM) selectively focuses on essential information for imaging tasks and captures relationships between distant pixel neighborhoods to compute feature representations. Accelerated MRI reconstruction benefits from AM, as the imaging process involves Fourier domain measurements that influence image representation non-locally. However, AM-based models are more adept at capturing low-frequency information with limited capacity for high-frequency representations, restricting models to smooth reconstruction. Additionally, AM-based models need mode-specific retraining for multimodal MRI data, as their knowledge is restricted to local contextual variations that may be inadequate to capture transferable features across heterogeneous domains. To address these challenges, we propose a neuromodulation-based discriminative multi-spectral AM for scalable MRI reconstruction that can (i) propagate context-aware high-frequency details for high-quality reconstruction, and (ii) capture features reusable across deviated unseen domains in multimodal MRI. The proposed network consists of a spectral filtering CNN to capture mode-specific transferable features and a dynamic high-pass kernel generation transformer focusing on high-frequency details. We evaluate our model on comparative studies in supervised and self-supervised learning, diffusion model-based training, closed-set and open-set generalization under heterogeneous MRI data, and interpretation-based analysis. Our method offers scalable, high-quality reconstruction with best improvement margins of ~1 dB in PSNR and ~0.01 in SSIM under unseen scenarios. Code: https://github.com/sriprabhar/SHFormer

Pediatric Bone Age Prediction Using Deep Learning

Pediatric bone age prediction is a crucial task in clinical practice that can help diagnose endocrine disorders and provide insight into a child's growth and development. However, conventional bone age prediction methods are often labor-intensive and require specialized radiological expertise. This paper presents a Deep Learning (DL)-based approach to pediatric bone age prediction using EfficientNet with Additive Attention, a state-of-the-art neural network architecture for image classification and regression tasks. The method utilizes over 12,000 X-ray images from the RSNA bone age dataset. It involves image preprocessing, transforming them into three-channel images, and training a Convolutional Neural Network (CNN) to automatically learn the features of hand bone images. This approach provides a more effective and accurate solution for predicting bone age, which is critical in diagnosing pediatric endocrine diseases. This work uses two variations of the EfficientNet model (B0 and B4), where EfficientNetB4 is also finetuned with the Additive Attention mechanism. These three models predict the age for the original age, and their comparison is shown in curves. The predicted ages depict that in most cases, EfficientNetB4 and EfficientNetB4 with Additive Attention (EN-AA) successfully predicted the bone ages more accurately regarding the original age, and their performance was better than the EfficientNetB0. Specific performance metrics are provided to underscore this improvement. Learning curves for training and validation loss confirm effective learning without overfitting or underfitting, further validating our approach's efficacy in pediatric endocrine disease diagnosis.

MMA-Former: Multi-Window Mixture-of-Head Attention Transformer for Adaptive PNI Prediction in 3D MRI

Perineural invasion (PNI) is a critical prognostic factor in cholangiocarcinoma. Non-invasive prediction from 3D MRI is challenging, demanding models that efficiently capture both fine-grained details and global context. We propose the Multi-window Mixture-of-Head Attention Transformer (MMA-Former), a novel end-to-end 3D architecture featuring a Coarse-Fine Transformer (CFT) structure for parallel multi-scale feature extraction. We advance this structure by integrating a novel Window-Specific Mixture-of-Head attention (WS-MoH) mechanism. Unlike standard Multi-Head Self Attention (MSA), WS-MoH generates a representation for each 3D window and dynamically routes the entire window to specialized or common attention heads. This enables spatially adaptive feature extraction tailored to the local context of each window, enhancing specialization and reducing redundancy without increasing parameters. Evaluated on a retrospective dataset of 168 T1-weighted MRI scans, MMA-Former achieved an AUC of 0.752, outperforming other 3D architectures, including the best CNN (AUC of 0.708) and Transformer baselines (AUC of 0.681).

EPRA U-Net: An Efficient Pyramid Residual Attention Framework for Accurate Infarct Segmentation in Diffusion-Weighted MRI

Objective: Accurate identification of acute ischemic infarcts on diffusion-weighted magnetic resonance imaging (DWI) is a critical prerequisite for reliable lesion quantification and effective clinical decision support in the management of cerebrovascular events. Methods: This study presents EPRA U-Net (Efficient Pyramid Residual Attention U-Net), a task-specific integrated architecture for efficient and accurate infarct segmentation of DWI images. In the proposed architecture, an EfficientNet-based encoder was used as a hierarchical feature extractor with a minimized parameterization. In addition, a Residual-Recurrent (R2) block (recurrent unrolling step t = 2, following the original formulation) and Atrous Spatial Pyramid Pooling (ASPP) were integrated to enhance the performance of spatial dependency modeling. Additionally, a dual attention mechanism was incorporated to highlight lesion-related activations while concurrently enabling the suppression of extraneous background responses. To prioritize lesion detection consistent with clinical imperative, a Tversky loss function was adopted, emphasizing the sensitivity of detection over its specificity during the optimization process. Results: Experimental evaluations were conducted utilizing an in-house dataset comprising 167 patients with 4,895 DWI slices; subsequently, the performance of the proposed EPRA U-Net was assessed in comparison with state-of-the-art models, specifically UNet++, DeepLabV3+, and TransUNet. The experimental results suggest that EPRA U-Net attained superior performance, evidenced by a pixel-aggregated Dice of 0.8984, a per-sample Dice of 0.9469, an IoU of 0.8155, a Recall of 0.8887, a Lesion F1 of 0.9378, and an HD95 of 11.62 px. Furthermore, a clear reduction in the rate of missed lesions, specifically by 16%, 25%, and 29%, was observed when compared with UNet++, DeepLabV3+, and TransUNet, respectively.

HistoSeg++: Delving deeper with attention and multiscale feature fusion for biomarker segmentation

Segmentation of biomarkers in medical images is frequently viewed as a first step towards medical image analysis in any bioinformatics or biomedical application. Despite progress, existing methods still struggle to capture information at multiple scales and to perform upsampling effectively across different datasets. These shortcomings often result in suboptimal generalization capabilities. Recently, architectures belonging to the Nested-UNet family excel in capturing multiscale contextual information and upsample them effectively. In this work, We propose a novel Nested-UNet architecture that effectively captures multi-scale contextual information. It includes inner and outer attention units to enhance focus during upsampling, along with channel-wise feature recalibration using squeeze-and-excitation modules, leading to improved segmentation performance. Additionally, the architecture integrates an edge-aware loss to emphasize boundary accuracy by assigning greater importance to edge regions. Tested extensively on three publicly available benchmark datasets. Our method demonstrates a generalization performance superior to existing Nested-UNet methods. Code: https://github.com/saadwazir/histosegplusplus

DrivenMorph: Bridging Attention Mechanism and Variational Image Registration via Difference Modeling

Medical image registration benefits significantly from deep learning, yet existing approaches often lack physical explainability and fine-grained deformation control. Motivated by Demons algorithms, we propose a novel DrivenMorph framework that bridges attention mechanisms with variational image registration by incorporating difference modeling as a physically inspired inductive bias. The resulting driving force, computed from local differences in the latent feature space, provides explicit semantic guidance throughout the registration process. It directly drives the registration process through a neural Demons layer that simulates force-displacement interactions to generate smooth and anatomically consistent deformation. Unlike previous methods, our approach not only integrates traditional registration principles with popular deep networks, providing an explainable and efficient solution for learning-based medical image registration, but also separates difference modeling from deformation, improving modularity and explainability. Extensive experiments on multiple 3D brain MRI datasets demonstrate superior performance over state of-the-art learning-based and optimization-based methods. Furthermore, visualizations and statistical analyses confirm that the learned driving force aligns closely with actual deformation patterns, supporting its explanatory value.

Blasto-Net: An Explainable Multi-Task Learning for Blastocyst Segmentation, Grading, and Implantation Prediction

This study introduces Blasto-Net, a multi-task deep learning model for comprehensive blastocyst analysis. The proposed model performs three tasks simultaneously in a single forward pass: segmentation of the ZP, TE, and ICM compartments, morphological grading, and implantation outcome prediction. Accurate blastocyst analysis in in vitro fertilization (IVF) is challenging. The compartments often have similar textures but very different structures. To address these challenges, Blasto-Net employs an EfficientNet-B3 encoder with a UNet-style decoder enhanced by the Convolutional Block Attention Module (CBAM) and a novel Edge-Aware Attention Module (EAAM) to effectively capture both semantic and boundary information. To handle distinct compartment topologies, the network employs specialized segmentation heads and a composite region- and boundary-based loss. Additionally, Grad-CAM++ visualizations are used to verify the anatomical consistency of the model's predictions. Evaluated on a public HMC blastocyst dataset, Blasto-Net achieves Dice scores of 94.93%, 91.60%, and 88.82% for ICM, ZP, and TE, respectively, alongside an implantation F1-score of 80.0%. These results demonstrate that Blasto-Net offers an accurate, interpretable, and efficient solution for automated blastocyst assessment, with strong potential to support clinical decision-making in IVF.

ClinReadNet: A clinical reading-inspired network for low-dose abdominal CT image quality assessment

In abdominal CT imaging, developing a low-dose, no-reference image quality assessment (No-reference IQA) model that mimics doctors' reading habits for evaluating CT image quality has significant practical value. This paper proposes a novel deep learning-based framework, ClinReadNet, whose design aligns with the clinical reading logic of radiologists: first, it introduces the Sobel ordinal quality network (SOQN) module, which can simultaneously focus on edge details highly relevant to image quality and the quality distribution pattern of the entire image, accurately matching the clinical image-reading judgment habit of "considering both local details and overall context"; second, the framework integrates the (shifted) window multi-scale temperature multi-head self-attention ((S)W-MTMSA) module, which further replicates the radiologists' image-reading process of shifting from overall scanning to local focusing, and accurately locks in regions of interest through multi-sharpness attention; third, it designs the hierarchical ranked probability score (HRPS) loss function, which combines the dual logics of coarse classification and fine classification, while paying attention to the distance information between grading labels, effectively improving the performance of image quality assessment. Experiments conducted on the LDCTIQAG2023 dataset show that the proposed method achieves the current state-of-the-art (SOTA) performance: the values of Pearson's linear correlation coefficient (PLCC), Spearman's rank-order correlation coefficient (SROCC), and Kendall's rank-order correlation coefficient (KROCC) reach 0.9507, 0.9554, and 0.8629 respectively, with the sum of their absolute values (Score) being 2.7690, outperforming existing methods.

DSU-Net: An Attention-Enhanced Dense Skip U-Net for Breast Lesion Segmentation in Mammographic Images

Breast cancer remains one of the leading causes of cancer-related mortality among women worldwide, making early detection essential for effective treatment. Mammography is the primary screening modality; however, accurate delineation of suspicious lesions remains challenging and subject to inter-observer variability. Automated segmentation methods can assist radiologists by providing consistent and efficient lesion localization. This study presents DSU-Net, an attention-enhanced Dense Skip U-Net architecture for automated breast lesion segmentation in mammographic images. The proposed framework integrates dense skip connections and attention mechanisms to improve feature propagation, preserve spatial information, and enhance lesion boundary delineation. Experiments were conducted using the Curated Breast Imaging Subset of the Digital Database for Screening Mammography (CBIS-DDSM). To address severe foreground-background imbalance, a composite loss function combining Dice loss, focal loss, and binary cross-entropy loss was employed during training. The proposed model achieved a Dice Similarity Coefficient of 0.9421, an Intersection over Union of 0.8905, an accuracy of 0.9711, and an AUC-ROC of 0.9878 on the validation dataset. Qualitative evaluation demonstrated accurate delineation of lesions with varying sizes and morphologies, while quantitative results confirmed robust discrimination between lesion and background regions. These findings demonstrate that DSU-Net provides accurate and reliable breast lesion segmentation in mammographic images and highlights the potential of attention-guided deep learning for computer-aided breast cancer screening and diagnosis.

An Attention-Based Denoising Model for Diffusion Weighted Imaging

Diffusion-weighted imaging (DWI) is used for whole-body cancer screening, but it typically requires a long acquisition time. When the scan time is reduced, the image quality often suffers, leading to increased noise in the scans. Magnitude reconstruction in DWI introduces signal-dependent Rician noise, which makes denoising more challenging for conventional convolution-based methods. To address this limitation, we propose a noise-aware attention-driven denoising framework that integrates hierarchical Swin Transformer window attention with transformer-based multi-dimensional gated refinement for DWI restoration. The model incorporates explicit noise-level conditioning and residual reconstruction to enable adaptive suppression of heteroscedastic noise across a wide range of corruption levels. Experimental evaluation on corrupted DWI scans demonstrates strong restoration performance. Our model achieves a mean PSNR of 33.69~dB and SSIM of 0.8539 across noise levels from 1\% to 15\%, while maintaining stable behavior under severe noise conditions. These results indicate that attention-guided contextual modeling combined with channel-adaptive refinement provides a robust and generalizable solution for DWI denoising.

Gaze into the Details: Locality-Sensitive Enhancement for OCTA Retinal Vessel Segmentation

Existing deep learning frameworks for Optical Coherence Tomography Angiography (OCTA) vessel segmentation are largely derived from the U-Net architecture, which serves as the foundation for most current designs. However, most of these methods focus only on holistic representation, struggling to address the problem of low local contrast unique to OCTA, which leads to vessel discontinuities and loss of detail. To address these problems, we propose LSENet, which builds upon the U-Net architecture by introducing three core innovative modules: To address vessel discontinuities, we introduce the Patch Information Enhance module (PIE), which replaces standard skip connections to execute patch-wise attention. To mitigate detail loss, the Multiscale Feature Fusion module (MFF) is proposed to feed the PIE module rich, multi-scale information by extracting visually interpretable features from both the original input and preceding layers. Finally, the Connectivity Refinement Decoder (CRD) is designed to refine features from all levels and utilize a large kernel in the final convolutional layer to reduce fragmentation. Experiments on three public datasets (OCTA-500, ROSE-1, and ROSSA) demonstrate that our proposed LSENet achieves state-of-the-art performance while requiring fewer parameters.