Less Contouring, More Accuracy: Lesion-Guided ROI Deep Learning for Ovarian Ultrasound Classification

Ovarian lesion classification using transvaginal ultrasound remains challenging due to overlapping imaging characteristics and the dependence on expert interpretation. This study investigates whether lesion-guided region-of-interest (ROI) deep learning can achieve competitive diagnostic performance while reducing the annotation burden associated with pixel-level lesion segmentation. Two publicly available ovarian ultrasound datasets were evaluated: the Multi-Modality Ovarian Tumor Ultrasound (MMOTU) dataset for eight-class classification and the Ovarian Ultrasound Dataset (OUD) for binary classification. Four strategies were compared under a unified framework: global image-based deep learning, lesion-guided ROI-based deep learning, lesion contour-based deep learning, and contour-based radiomics with machine learning classifiers. Four deep learning architectures, MaxViT-Tiny, Swin Transformer, EfficientNet-B7, and ResNet18, were evaluated. Radiomics models were developed using support vector machine, k-nearest neighbors, and artificial neural network classifiers, with ANOVA-based feature selection applied for the lower-sample OUD dataset. The lesion-guided ROI strategy achieved the strongest overall performance, with MaxViT-Tiny obtaining 93.10% accuracy and an AUC of 0.99 on MMOTU and 97.56% accuracy and an AUC of 0.99 on OUD. The contour-based approach achieved comparable accuracy but required substantially higher annotation effort. These findings demonstrate that lesion-guided ROI deep learning provides an effective balance between diagnostic performance and annotation efficiency, offering a practical approach for scalable AI-assisted ovarian ultrasound analysis

SPARC: Slice-to-volume Pipeline for Automated Reconstruction of gated 3D+time fetal Cardiac MRI

Fetal cardiac MRI (fCMR) provides valuable diagnostic information complementary to echocardiography, particularly for complex congenital heart disease (CHD). Dynamic cine imaging captures cardiac motion essential for assessment of cardiac function; however, the reconstruction of 3D+time cine volumes from 2D+time acquired slices remains challenging due to unpredictable fetal motion and the absence of automated and robust processing tools suitable for clinical deployment. We present the SPARC pipeline (Slice-to-volume Pipeline for Automated Reconstruction of gated 3D+time fetal Cardiac MRI) which combines physics-informed slice-to-volume reconstruction (SVR) of Doppler ultrasound (DUS) gated stacks of slices, assisted by deep learning (DL) models for thoracic segmentation and anatomical reorientation. The proposed SVR algorithm achieves a tenfold reduction in reconstruction time relative to existing frame-wise approaches ($4.8 \pm 1.0$ vs $49.0 \pm 14.1$ min, $p < 0.0001$) while improving the reconstruction quality. Thoracic segmentation performance using ensemble aggregation exceeded inter-rater agreement (Dice $84.7 \pm 3.9\%$ vs $81.4 \pm 7.7\%$, $p<0.05$), while anatomical reorientation achieved a success rate of $90.1\%$. End-to-end evaluation on a large held-out clinical cohort ($n = 121$) demonstrated fully automatic processing in $82.6\%$ of cases with a mean runtime of $7.1 \pm 1.3$ min, compatible with clinical deployment. The complete SPARC pipeline is publicly available as a Docker container https://hub.docker.com/r/aboutill/sparc and is currently deployed at our institution as a clinical research tool.

Harnessing Magnitude-Only and Complex Measurements for Improved Dynamic MRI Reconstruction with Learned Priors

MRI reconstruction methods for undersampled k-space data naturally utilize complex-valued measurements. Parallel developments in sparse phase retrieval have shown that magnitude-only measurements may provide complementary information for signal recovery. However, their use in MRI reconstruction remains largely unexplored, due to lack of practical settings where informative magnitude measurements can be obtained without additional scan time. In this work, we investigate the use of auxiliary k-space magnitude information for accelerated steady-state dynamic MRI reconstruction, and demonstrate strong consistency of k-space magnitudes across time-frames. Building on this observation, we propose $\mathbb{C}+\text{Mag}$, a magnitude-informed physics-driven deep learning reconstruction method. The proposed method employs an ADMM-based unrolling framework with a novel magnitude-aware data-fidelity formulation, where quadratically smoothed optimization and momentum-based updates are introduced to address the non-differentiability and non-convexity of the magnitude constraints. Experiments on retrospectively undersampled cine MRI and phase-contrast flow MRI datasets, as well as prospectively undersampled real-time cine MRI acquisitions, demonstrate improved artifact suppression, sharper anatomical recovery, and better preservation of phase information compared to conventional PD-DL methods, which is further supported through blinded expert reader evaluations.

UMPIRE-Net: Unrolled Magnitude-Phase Regularization Network for Accelerated MRI

MRI reconstruction from undersampled k-space measurements is an ill-posed inverse problem. Physics-driven deep learning (PD-DL) methods have shown strong performance for this task by combining the MRI forward model with learned image regularization within algorithm-unrolling frameworks. However, most existing PD-DL methods reconstruct complex-valued images directly, thereby implicitly coupling magnitude and phase within a single learned representation. This coupled regularization may be suboptimal in reconstruction settings where accurate phase modeling plays an important role, such as partial Fourier (PF) imaging, where recovery of the omitted asymmetric k-space measurements depends on the underlying image phase. In such scenarios, explicit modeling of magnitude and phase as separate components may reduce the reliance on externally estimated or predefined phase information. To this end, we propose UMPIRE-Net (Unrolled Magnitude-Phase In REgularization Network), a PD-DL method that introduces separate learned regularizers for magnitude and phase components, together with a novel data-fidelity formulation that enforces measurements consistency. We evaluate UMPIRE-Net for accelerated MRI with PF across different datasets and acceleration factors. Experimental results demonstrate that our proposed method improves reconstruction quality compared with a conventional complex-valued PD-DL baseline, yielding sharper images and reduced artifacts. Code available at: https://github.com/MahdiSaberii/UMPIRE-Net

EEG Decoding Using CNN and LSTM Network

Motor imagery (MI) brain--computer interfaces (BCIs) have emerged as a promising approach for establishing flexible communication pathways between the human brain and external devices , particularly for individuals affected by stroke or neurodegenerative disorders. Reliable decoding of motor-imagery electroencephalography (MI-EEG) remains challenging because EEG recordings contain substantial noise and exhibit complex, weakly informative relationships with the underlying brain activity. Although deep learning provides an effective means of learning representations directly from EEG signals, its application to MI-EEG feature learning remains comparatively limited. This study introduces a hybrid deep-learning architecture that integrates a convolutional neural network (CNN) with a bidirectional long short-term memory (bi-LSTM) network. The CNN is used to learn high-level spatial and temporal representations directly from raw MI-EEG recordings, whereas the bi-LSTM models temporal dependencies and relationships among the extracted features. The proposed approach is evaluated using both a publicly available dataset and a privately acquired dataset obtained with an EEG acquisition system. The experimental results indicate that the CNN\&bi-LSTM architecture provides robust performance for both two- and three-class motor-imagery classification and demonstrates promising subject-independent decoding capability across the evaluated methods.

Dual-domain U-Nets with embedded back projection operators for motion-resolved 4D CBCT reconstruction

Four-dimensional cone beam CT (4D CBCT) is important for image-guided radiation therapy of thoracic cancers, but its use is limited by long scan times, causing high patient dose and motion/sparse-sampling artifacts. We propose a deep learning method for motion-resolved 4D CBCT reconstruction from conventional free-breathing scans, without a respiratory signal or explicit projection binning. Our CNN takes free-breathing 3D CBCT projections as input and predicts a static volume at maximum inhalation plus ten displacement vector fields (DVFs) spanning a breathing cycle. The network extends U-Net: the encoder acts on filtered projection stacks, the decoder acts in the volume domain, and skip connections are replaced with non-trainable back-projection functions at multiple resolutions to transfer features between domains. The model is trained on simulated CBCT scans and evaluated on 11 unseen simulated patients and 13 clinical free-breathing scans. Two additional models (60 s and 6 s scans) were evaluated by clinical experts on three and two scans, comparing single phases of our 4D reconstruction to reference 3D SART-TV images for tumor and esophagus visibility. Experts preferred our method for tumor visibility (59% vs. 36% no preference, 5% reference) and esophagus visibility (47% vs. 42%, 11%). On simulated data, image quality matched SART-TV (mean RMSE: -1.19 HU, PSNR: +0.09 dB, SSIM: -0.009) while enabling 4D reconstruction. On clinical scans, our method showed sharper dynamic structures (e.g., diaphragm) and fewer motion streak artifacts than traditional reconstruction. This non-patient-specific CNN predicts static volumes and full 4D respiratory motion models from a single free-breathing scan, without a respiratory surrogate or projection binning, reducing motion artifacts while adding motion-modeling capability.

First Investigation of Deep Learning for Intraoperative Gauze Segmentation in Minimally Invasive Abdominal Surgery

Surgical gauze is an essential part of surgical procedures, primarily used for controlling bleeding and absorbing bodily fluids. The post-surgical retention of gauze can lead to serious complications and necessitate additional surgery for its removal. Despite the clinical significance, research on gauze segmentation using real-world surgical data remains underexplored, owing in part to the scarcity of annotated datasets. In this work, we investigate the use of deep learning methods for gauze segmentation in robot-assisted minimally invasive abdominal surgeries, utilizing an in-house surgical dataset prepared at a university hospital. The training data reflects realistic surgical settings and captures extensive diversity in spatial, morphological, and visual attributes across three different gauze categories. We evaluate several widely used segmentation architectures, including CNN-based, transformer-based, and hybrid architectures, to establish a proof-of-concept for gauze segmentation in a realistic clinical setting. In addition, we investigate the influence of sub-optimally annotated, auto-tracked segmentation masks as a strategy to address data scarcity and improve performance. Our results demonstrate the efficacy of real-world training data in countering the main challenge reported by prior works, the trade-off between blood presence and gauze detection. The incorporation of auto-tracked annotations yields performance enhancements, particularly in generic surgical scenarios. The integration of effective segmentation approaches can benefit robot-guided surgical procedures and various downstream applications by providing precise delineation of foreign objects, thereby enhancing patient safety and surgical outcomes.

Eddeep: a deep-learning framework for fast eddy-current distortion correction in diffusion MRI

Diffusion MRI (dMRI) relies on diffusion-weighted echo-planar imaging, which is highly susceptible to eddy-current-induced geometric distortions. These distortions vary across diffusion volumes according to gradient strength and direction, causing between-volume misalignment that can bias downstream microstructural analyses. Current state-of-the-art correction methods, such as FSL Eddy, achieve high-quality correction through iterative prediction-correction schemes but are computationally expensive. We propose Eddeep, a deep-learning framework for fast eddy-current distortion correction in dMRI. Eddeep decomposes the problem into two stages. First, a supervised image translation network standardises the appearance of diffusion-weighted and b=0 images, removing contrast differences that hinder reliable registration. Second, an unsupervised registration network estimates both eddy-current distortion and between-volume head motion parameters under a physics-constrained quadratic distortion model, enabling correction in a single forward pass. The method was trained on UK Biobank data and evaluated on both in-domain (UK Biobank) and out-of-domain (Memodyn) datasets. Across a range of complementary metrics, including between-volume jitter, diffusion kurtosis imaging residuals, signal irregularity, and mutual information, Eddeep achieved correction quality comparable to that of FSL Eddy while substantially reducing inference time. These results demonstrate that deep learning can provide accurate and efficient eddy-current distortion correction without relying on iterative optimisation, supporting the development of faster diffusion MRI processing pipelines for large-scale studies and clinical deployment. The code is available at: https://github.com/CIG-UCL/eddeep.

Visual Semantic Decoding of Electrocorticography from Video Stimuli using End-to-End Deep Learning

ECoG-based visual semantic decoding enables inference of semantic interpretation of visual perception from complex, noisy brain activity. This study examines the feasibility of visual semantic decoding using an end-to-end deep learning framework using electrocorticography (ECoG). Specifically, the decoding task is to predict visual categories from video stimuli using time-series neural inputs. A previously collected ECoG dataset from participants ($n=17$) with drug-resistant epilepsy is used for analysis. With fewer than 50 training samples per visual category, this study evaluates multiple deep learning approaches, artificial neural network architectures, and frequency-band filtered inputs. The best-performing approach is analyzed to shed light on the discriminative information it relies on across spectral, temporal, and cortical dimensions. The selected decoding system uses mixup augmentation, a Transformer-based encoder, and high-gamma (80-150 Hz) inputs with a 900 ms post-stimulus window. Further analysis shows that early visual cortex (V2-V4), ventral stream visual cortex, MT+ complex with neighbouring visual areas, and lateral temporal cortex contributed substantially to decoding performance. This study demonstrates that an end-to-end deep learning framework can yield promising decoding performance from dynamic visual stimuli without handcrafted features, while the model behavior remains interpretable through spectral, temporal, and cortical dimensions, which are broadly consistent with established neuroscience knowledge.

Value-Monotonicity Matters: A Concordance Loss for Deep Survival Prediction

Deep survival models are evaluated almost exclusively by the concordance index (C-index), yet they are commonly trained using likelihood objectives such as the Cox partial likelihood, discrete-time negative log-likelihood, and DeepHit likelihood. This mismatch is usually considered acceptable because the C-index can be recomputed on validation data during training. However, for end-to-end training of high-capacity encoders on small, heavily censored oncology cohorts, frequent C-index evaluation is computationally expensive, making the loss value itself an important signal for monitoring, early stopping, and model selection. We show that likelihood losses are unreliable for this purpose and propose a value-monotone concordance loss. We prove that every strictly proper survival likelihood admits directions where the loss decreases while the C-index remains unchanged, causing the loss value to decouple from ranking performance. We then study a sigmoid concordance loss (SCL), whose value approximates one minus the C-index up to a temperature term, ensuring that lower loss corresponds to higher C-index during optimization. The loss is architecture agnostic and reduces to a convex survival ranking support vector machine for linear models. Across eighteen datasets from four modalities using a unified five-fold cross-validation protocol, SCL achieves discrimination comparable to standard likelihood losses and is the best or within one standard deviation of the best C-index. Unlike likelihood losses, SCL maintains a strong correlation between loss value and C-index during training, with rank correlations of 0.96 to 0.99 compared with -0.03 to 0.53 for likelihood losses. Calibration measured by the integrated Brier score is comparable. SCL provides a value-monotone optimization objective whose value can serve as a reliable surrogate for the C-index during expensive end-to-end training.

Multimodal Assessment of Pancreatic Cancer Resectability Using Deep Learning

Accurate determination of pancreatic ductal adenocarcinoma (PDAC) resectability relies on evaluating how the tumor interacts with major peripancreatic vessels on CT imaging, yet expert assessment often shows substantial variability. We introduce a fully automated multimodal deep learning framework that jointly analyzes 3D contrast enhanced CT and structured clinical information to classify patients into the three National Comprehensive Cancer Network (NCCN) resectability categories (upfront resectable, borderline resectable, locally advanced). The approach uses a Swin-UNETR backbone to obtain anatomy aware image representations through auxiliary segmentation of pancreas, tumor, and vascular structures. These features are fused with a compact clinical embedding derived from 17 routinely collected variables and processed by a lightweight classification head. Model training is guided by a dynamic multitask objective that adapts the balance between segmentation and classification based on current tumor Dice performance, promoting feature representations that remain both anatomically informed and discriminative.

Population-Scale Segmentation of Penile Tissue in DIXON MRI using Deep Learning for Quantitative Phenotyping in Male Reproductive Health

Penile measurement is clinically relevant across male reproductive and urogenital health, including conditions such as micropenis, congenital and endocrine disorders, and sexual or urinary dysfunction. However, quantitative assessment of penile size has relied mainly on external length or circumference measurements, which are difficult to standardize, sensitive to measurement conditions, and unable to capture the internal portion of the penis. MRI enables volumetric assessment of the whole penis in vivo, but automated segmentation has not previously been established at population scale. Automated whole-organ volumetry would enable high-throughput phenotyping for multi-omics and clinical studies of male reproductive disease. Here, we present a deep learning framework for whole-penis segmentation in multi-channel DIXON MRI. Using a newly curated expert-annotated training dataset ($n = 145$ subjects; $13,050$ annotated slices) and a double-annotated independent test benchmark ($n = 24$ subjects; $2,160$ double-annotated slices), we optimized a 3D nnU-Net architecture. The model achieved a 5-fold cross-validation Dice score of $0.90$ and performed at observer-level accuracy on the independent test set (Dice: $0.92$; Hausdorff distance: $3.58$). We deployed the model in $34,412$ UK Biobank participants, enabling automated quantification of total penile tissue, including both external and internal components. Longitudinal evaluation in 2,282 men demonstrated high inter-session reproducibility ($r = 0.87$). This framework establishes a reproducible and population-scalable method for MRI-based assessment of penile anatomy and provides an open technical resource for future studies in urological imaging and male reproductive health. The trained model weights will be publicly released.

Single-Channel EEG-Based Cognitive Load Assessment in Online Learning: A Hybrid Deep Learning Approach

Monitoring cognitive load during online learning could help instructors identify content that learners find difficult, but remote settings remove the visual cues that support this judgement in a classroom. We study whether a single-channel, consumer-grade EEG device (the NeuroSky MindWave Mobile 2) can distinguish easy from difficult educational-video content, using the publicly available dataset of Wang et al. [24] (ten learners, one excluded for excessive noise, leaving nine). We implement a hybrid CNN+LSTM+Attention model that combines the raw waveform with band-power features. In a within-subject setting, the model reaches up to 78.5% accuracy, compared with 55% for conventional feature-based classifiers; regularization (dropout and L2) closes the large gap between training and validation accuracy that we observe without it, keeping validation accuracy stable at roughly 68-73%. We are deliberately cautious about these numbers: with only nine subjects, within-subject evaluation is optimistic, and we argue that subject-independent evaluation -- in which no learner appears in both training and test data -- should be the standard for this task. To that end we release a reproducible evaluation pipeline. We frame the work as a feasibility study rather than a deployable system, and pair it with an open, notebook-based tool that records EEG, runs inference, and visualizes estimated cognitive load as a heatmap over the video timeline to help educators locate potentially challenging segments.

BREIT: A Framework for Brain Stroke Reconstruction using Multi-Frequency 3D EIT

Multi-Frequency Electrical Impedance Tomography (MF-EIT) is a non-invasive, low-cost modality that reconstructs electrical property distributions from boundary voltages. For stroke imaging, progress in 3D deep-learning reconstruction is limited by the lack of large-scale datasets with paired ground-truth (GT) volumes and by non-standardized pipelines for data generation, simulation, and evaluation. We introduce BREIT, a modular framework for 3D MF-EIT stroke reconstruction providing: (i) a neuroimaging-to-EIT pipeline that converts CT/MRI into frequency-dependent GT admittivity volumes; (ii) a self-contained Python 3D Complete Electrode Model (CEM) forward solver for simulating MF-EIT voltages; and (iii) a 3D D-bar implementation supporting non-uniform electrode layouts. Building on BREIT, we propose dFNO-bar, which integrates Fourier Neural Operators into D-bar by learning a mapping from scattering data $t(ξ)$ to conductivity $σ(x){=}\Re\{γ\}$. We evaluate dFNO-bar against D-bar, Deep D-bar, and Gauss--Newton reconstructions on UCLH-matched synthetic data, and observe higher brain SSIM with comparable CC across noise settings.

GUMP-Net: An interpretable model-data-driven intelligent algorithm for multi-class pelvic segmentation

Pelvic segmentation is one of the most important and fundamental research problems in precise and intelligent diagnosis and treatment, as well as surgical planning and navigation for pelvic fractures. By combining an improved geodesic active contour model with deep neural networks, we propose GUMP-Net, an interpretable model-data-driven intelligent algorithm for multi-class pelvic segmentation, in which three network modules are designed to constitute the overall segmentation framework together: the object detection module for automatic level set initialization, the edge detector module for learning an anatomy-aware edge detector function and the iteration module for deep level set evolution. Leveraging the advantages of level set representation and deep learning, GUMP-Net shows more accurate, robust and consistent segmentation performance, especially in small training data situation, compared to the state-of-the-art methods. Extensive experiments on pelvic datasets demonstrate the rationality and effectiveness of the proposed algorithm. Further experiments extended to ankle dataset indicate broader applications to other anatomies. The proposed algorithm not only provides an efficient segmentation method for complex fracture reduction, but also gives an interpretable geometric perspective for understanding deep learning segmentation.

NeuroStrata: An Electroencephalographic Connectivity-Aware Deep Representation Learning Framework for Dynamic Brain Network Analysis of Mental Stress

This study introduces NeuroStrata, a connectivity-aware deep representation learning framework for EEG-based mental stress analysis using Time-Varying Partial Directed Coherence (TV-PDC). Unlike conventional EEG classification approaches based on static features, NeuroStrata models the temporal evolution of frequency-specific directed connectivity across distributed brain regions. EEG signals from the 32-channel SAM 40 dataset recorded during mental arithmetic tasks were used to generate TV-PDC connectivity maps. These maps were processed using pretrained Convolutional Neural Networks (CNNs) and Vision Transformers (ViTs) to extract deep connectivity embeddings, which were subsequently classified using lightweight machine learning models. Experimental results demonstrate that beta-band connectivity provides the highest discriminative capability, achieving a peak accuracy of 97.3% using the LAION-CLIP-ViT-L14 backbone with a Support Vector Machine classifier, while alpha-band connectivity exhibits consistently stable performance across model configurations. Connectivity analysis revealed prominent frontal-driven alpha influences and centrally integrated beta connectivity patterns associated with stress-related neural dynamics. Temporal evaluation further indicated that classification performance stabilizes in mid-to-late temporal windows, suggesting progressive consolidation of stress-related connectivity signatures. The proposed framework integrates time-varying effective connectivity modelling with deep representation learning to provide an interpretable and automated approach for EEG-based mental stress analysis.

High-Fidelity 3D Geometric Reconstruction of Pelvic Organs from MRI: A Hybrid Deep Learning and Iterative Optimization Approach

Patient-specific 3D reconstruction of pelvic organ geometry from MRI is important for pelvic floor modeling and downstream patient-specific analysis. However, while previous studies have focused primarily on either image segmentation or downstream use of 3D models, the reconstruction of high-fidelity, high-quality geometries remains labor-intensive and poorly standardized. The study introduced a hybrid deformable shape modeling framework that integrates deep learning prediction with iterative optimization for the reconstruction of the bladder, uterus, and rectum. The framework consists of three core components: a geometry-aware multi-level deep learning architecture that preserves topological consistency of pelvic organs; a two-stage amortized optimization training strategy that balances global shape capture and local surface refinement; and a holistic synergy mechanism--where iterative optimization provides supervision for deep learning during the training phase, and during inference, deep learning rapidly predicts the global organ morphology, followed by iterative optimization to refine local surfaces and mesh quality. This framework demonstrated marked superiority in geometric fidelity than current mainstream deep learning-based organ reconstruction models. For individual anatomical structures, the reconstructed 3D geometries for the bladder, rectum, and uterus achieved significantly lower Chamfer Distance values and higher Dice Similarity Coefficient scores. In addition, while maintaining high computational efficiency, the proposed architecture yielded superior overall volumetric mesh quality. At the patient level, the framework achieved higher mean values for the 10 worst elements for both minSICN and minSIGE compared to traditional geometric post-processing algorithms.

Ellipse Meets Bit-Planes: A Novel Approach to RNFL based Glaucoma Detection Using Advanced Image Processing and Deep Learning

This work proposes an integrated pipeline for automatic glaucoma detection method from easily available colour fundas images based on an adaptive algorithm for ellipse-based polar transformation, to enhance the analysis of the Retinal Nerve Fiber Layer (RNFL) as the primary biomarker for observing glaucomatous changes, regardless of optic disc and macula position. Utilizing this transformation, we introduce two distinct frameworks tailored to different operational needs. The first framework, a deep learning-inspired feature fusion approach, achieves a 99.3% detection rate, ideal for settings where high precision is essential, despite higher computational demands. The second framework employs a novel image-processing algorithm based on bit-plane slicing, offering 92.31% accuracy and optimized for environments requiring rapid inference with minimal resource consumption. Both frameworks provide scalable and cost-effective solutions for early glaucoma detection. This study highlights the potential of RNFL-based diagnostic tools in addressing the global challenge of glaucoma, particularly in underserved regions.

Intelligent Skin Cancer Detection Using a Multispectral Metasurface and a Hybrid

Skin cancer is among the most prevalent malignancies worldwiAdbe satnradcitts early detection is essential for improving patient survival and reducing treatment costs Conventional dermoscopic and visual imaging techniques are primarily limited to the visible spectrum and often fail to capture subtle spectral signatures associated with early stage malignancies This study proposes an innovative framework that integrates a multispectral metasurface for imaging with a hybrid deep learning architecture based on Convolutional Neural Networks and Vision Transformers The designed metasurface enables noninvasive acquisition of rich spectral information highly sensitive to tissue alterations while the hybrid CNN ViT model simultaneously extracts local and global features to robustly classify skin lesions Simulation-based evaluations demonstrate that the proposed method achieves approximately 98 accuracy 95 percentages sensitivity and 99 perentage specificity surpassing conventional RGB-based and single-architecture approaches Qualitative analyses using attention maps reveal that the model focuses on clinically relevant lesion regions improving interpretability Overall the results indicate that combining metasurface based multispectral imaging with hybrid deep learning can introduce a new generation of diagnostic tools in dermatology and pave the way for portable fast and highly accurate clinical systems

Patient-Level Diagnosis of Acute Myeloid Leukemia via Deep Learning Analysis of Bone Marrow Smear

Bone marrow smear review remains important for acute myeloid leukemia (AML) assessment, but manual single-cell interpretation is labor-intensive and patient-level diagnosis requires aggregation of many cellular observations. We present a cell-to-patient deep learning pipeline for AML-assisted diagnosis from bone marrow smear images. The study included 258 patients from six anonymized centers, including a main cohort of 169 patients from Centers 1-3 and an external validation cohort of 89 patients from Centers 4-6. A 16-category cell annotation vocabulary was used to describe the global cellular composition, including granulocytic, monocytic, erythroid, lymphoid, eosinophilic, and other cells. Rather than identifying strict AML blasts or leukemic blasts, the model targets an expert-defined composite category termed Composite Blast-like Cells (CBLC), comprising N, N1, M, M1, R, R1, J, and J1 according to the project-wide morphological standard. A fixed YOLO-based segmentation module detected cells, predicted contours were matched to expert polygon annotations by contour IoU, and standardized single-cell crops were generated. An EfficientNet-B0 classifier was trained through a two-stage GT-to-YOLO and YOLO-to-YOLO strategy with class-imbalance correction, center-border regularization, and morphology-assisted supervision. Cell-level predictions were aggregated into patient-level CBLC ratios for AML-oriented diagnostic support. The pipeline achieved stable internal validation and maintained external generalization, with ensemble weighted F1-scores of 0.9076, 0.8696, and 0.9124 on Centers 4, 5, and 6, respectively.

Deep Learning-assisted AMD Staging based on OCT and OCT Angiography

To develop and evaluate deep learning models for automated grading of age-related macular degeneration (AMD) severity using optical coherence tomography (OCT) and OCT angiography (OCTA) data. Two hundred seventy-one participants aged >= 50 years with varying AMD severities. Central macular 6 x 6 mm OCT/OCTA volumes were acquired using a swept-source OCTA system (SOLIX; Visionix/Optovue Inc., CA). AMD severity was graded into four stages (No AMD, Early AMD, Intermediate AMD, and Advanced AMD) according to the AREDS simplified severity scale. Three deep learning models were developed using different input modalities: (1) biomarker maps derived from segmented pathological features, including retinal fluid, drusen, geographic atrophy (GA), and macular neovascularization (MNV); (2) two-dimensional (2D) en face OCT and OCTA projections; and (3) three-dimensional (3D) OCT/OCTA volumes. EfficientNet-based architectures were trained using normalized inputs, data augmentation, and five-fold cross-validation. A total of 2,030 OCT/OCTA volumes from 351 eyes of 271 participants were analyzed. All models demonstrated strong AMD staging performance with substantial agreement with the reference standard (QWK >= 0.83). The biomarker-based model achieved the highest overall performance (QWK = 0.85 +/- 0.03, mean +/- standard deviation) and the best detection of early AMD (F1-score = 0.59 +/- 0.14). The 3D model achieved performance comparable to the 2D OCT/OCTA model (QWK = 0.83 +/- 0.04 vs. 0.83 +/- 0.09), while the 2D OCT/OCTA model showed the highest precision (0.79 +/- 0.06) and most accurately identified eyes without AMD. Deep learning models using OCT/OCTA data can accurately and automatically grade AMD severity. Among the evaluated approaches, the biomarker-based model provided the most balanced performance and showed particular value for early AMD detection.

Three-Dimensional Retinal Microvasculature Restoration in OCT Angiography

Optical coherence tomographic angiography (OCTA) is a powerful technique for imaging retinal microvasculature. However, acquiring reliable quantification of retinal blood flow and areas of retinal nonperfusion is challenging because of imaging artifacts. Existing methods primarily focus on noise suppression, projection artifact removal, or signal enhancement to improve the image quality of OCTA in cross-sectional or two-dimensional (2D) en face projections, while neglecting the intrinsic three-dimensional vascular architecture. In this study, we propose a deep learning-based algorithm for restoring capillary anatomical vasculature from a single OCTA volume. The network consists of an EfficientNet-B5 encoder and a decoder incorporating concurrent spatial and channel squeeze-and-excitation modules, connected via skip connections to preserve spatial resolution. Three adjacent B-frames are used as input to predict the restored middle B-frame. We evaluated the performance of the model using the peak signal-to-noise ratio (PSNR) and structural similarity index measure (SSIM) against ground truth generated from averaging multiple scans. The results show that the proposed model significantly (both p < 0.001) improved image quality compared with the original single OCTA volume, with a PSNR of 26.16 +/- 1.26 vs. 22.23 +/- 0.78 and an SSIM of 0.91 +/- 0.02 vs. 0.72 +/- 0.03. The proposed model also significantly (p < 0.001) improved microvascular fidelity, measured by the Dice coefficient overlap between the model output and ground truth, in both 2D and 3D by at least 3.8% and 51.2%, respectively, across several different vascular slabs.

Motion-Robust Deep Reconstruction for Free-Breathing Cardiac Cine MRI

Conventional cardiac cine MRI relies on breath-hold Cartesian acquisitions, which are vulnerable to motion artifacts and can be uncomfortable or infeasible, particularly for pediatric and other noncompliant patients who cannot reliably hold their breath. Free-breathing radial acquisitions can alleviate these limitations, but robust reconstruction at high acceleration remains challenging due to prominent streak artifacts. To address these limitations, we propose Cine-DL, a clinically oriented framework that couples targeted k-space preprocessing with fast, model-based deep reconstruction. In this pipeline, raw free-breathing radial data undergo retrospective cardiac binning and respiratory gating to resolve cardiac phases and discard motion-corrupted spokes. We then introduce Streak Optimized Coil Compression (SOC), which explicitly preserves cardiac signals while suppressing peripheral interference that typically drives the streak artifacts. The resulting 2D+t cine series is reconstructed with an unrolled network that alternates a ResNet proximal operator with physics-based data consistency updates solved via conjugate gradient. We further employ a memory-efficient training strategy that reduces peak memory usage. We evaluate Cine-DL on free-breathing volunteer data against established baselines (k-t SENSE and iGRASP) and demonstrate clinical translation via hospital deployment on newly acquired patient data. Our experiments show that Cine-DL consistently improves quantitative metrics and visual fidelity, supporting a practical route toward routine, time-sensitive clinical adoption of free-breathing cine MRI.

AG-TAL: Anatomically-Guided Topology-Aware Loss for Multiclass Segmentation of the Circle of Willis Using Large-Scale Multi-Center Datasets

Accurate multiclass segmentation of the Circle of Willis (CoW) is essential for neurovascular disease management but remains challenging due to complex vascular topology and variable morphology. Existing deep learning methods often suffer from vascular discontinuities and inter-class misclassification, while current topological loss functions incur prohibitive computational costs in 3D multiclass settings. To address these limitations, we propose an Anatomically-Guided Topology-Aware Loss (AG-TAL) and introduce a large-scale, multi-center CoW dataset with unified annotations to facilitate robust model training. AG-TAL specifically integrates a radius-aware Dice loss to address class imbalance in small vessels, a breakage-aware clDice loss that utilizes group convolutions to efficiently preserve local connectivity, and an adjacency-aware co-occurrence loss that leverages anatomical priors to enforce distinct boundaries between neighboring arteries. Evaluated using 5-fold cross-validation, AG-TAL achieved an average Dice score of 80.85% for all CoW arteries, with small arteries notably higher by 1.05-3.09% compared to state-of-the-art methods. Across six independent datasets, the performance of AG-TAL achieved Dice scores ranging from 74.46% to 81.17% for all CoW arteries, with improvements of 2.20% to 9.98% for small arteries compared to other methods. This study demonstrates the superiority of AG-TAL in identifying multiclass CoW arteries and its ability to generalize well to multiple independent datasets. Furthermore, reliability analyses and clinical applications in an Alzheimer's disease cohort validate the AG-TAL's robustness and its potential for discovering imaging-based morphological biomarkers.