CDGC-Net: 3D Medical Image Segmentation with Cooperative Dual-Scale Self-Attention and Grouped Channel Modeling

Accurate 3D medical image segmentation requires the integration of long-range anatomical context with fine boundary detail. Existing methods often model global and local features in separate modules or feature levels and perform channel recalibration independently. This may cause semantic mismatch between global context and local boundaries, insufficient channel relationship modeling, weak spatial-channel interaction, and redundant representations. We propose CDGC-Net, a 3D medical image segmentation network that combines cooperative dual-scale spatial attention with grouped hierarchical channel modeling. With-in each CDGC block, Cooperative Dual-Scale Self-Attention (CDSA) assigns attention heads to parallel local-window and global-sparse branches. The two branches capture fine spatial details and long-range anatomical context at the same feature level. Their outputs are concatenated into an $N\times C$ spatial representation and directly passed to Grouped Hierarchical Channel Attention (GHCA). GHCA organizes the channels into $r$ groups and models both within-group and cross-group dependencies. CDSA and GHCA reuse a shared key projection to maintain a consistent feature reference. Residual feature alignment subsequently integrates the refined features with the original representation. On the Synapse, ACDC, BraTS, and LA datasets, CDGC-Net achieved mean DSC values of 86.96\%, 92.91\%, 82.56\%, and 93.52\%, respectively, exceeding the next-highest reported values by 0.39, 0.47, 0.17, and 0.32 percentage points. CDGC-Net contains 25.83M parameters and 28.62G FLOPs for an input size of $64\times128\times128$, reducing these quantities by 39.87\% and 40.30\%, respectively, relative to UNETR++. These results indicate a favorable trade-off between segmentation accuracy and computational complexity.

Gated Spatial Redundancy Projection for Pathology Transformer Attentions

Transformer models are increasingly used for whole-slide image analysis in computational pathology. Yet, WSIs differ fundamentally from natural images: neighbouring patches often contain highly similar tissue type, stain, texture, and cellular composition. We identify this local spatial redundancy as a pathology-specific failure mode of self-attention, where dominant neighbourhood features can be repeatedly mixed into patch-tokens and weaken subtle diagnostic or prognostic deviations. We propose Gated Spatial Redundancy Projection (Gated SRP), a lightweight drop-in correction module for self-attention layers. For each patch token and attention head, Gated SRP estimates a local redundancy axis from neighbouring value vectors, projects the attention output onto this axis, and applies a learned signed gate to correct the redundancy-aligned component geometrically. Across five TCGA survival cohorts, Gated SRP obtains the highest mean C-index among the compared attention variants in all cohorts, with an average improvement over the base attention, while adding only +0.02% parameters. Across five slide-level classification datasets, it improves the base attention on 12 of 16 reported metrics and achieves the best AUC on three datasets. Code is publicly available at https://github.com/AtlasAnalyticsLab/GatedSRP.

TransNRank: Towards Accurate Neoantigen Ranking with Transformer

Personalized neoantigen prediction is challenging due to the scarcity of positive samples, the noise of the experimental data, the severe class imbalance trait and the complex of immunogenicity features. Prior arts, such as linear regression and XGBoost fail to model long-range dependencies and contextual relationships within peptide features, therefore the performance of neoantigen positive recall rate is limited. In this paper, we present a novel deep learning framework based on Transformer, coined as TransNRank. By leveraging the self-attention mechanism, our model captures both local and global feature contexts, enabling more accurate recognition of immunogenic neoantigens. A positive-aware training objective is utilized to handle the class imbalance problem, assigning more weights to those few positive samples. Extensive experiments are performed on NCI, TESLA and HiTIDE datasets. Notably, our TransNRank can push the upper bound top 20 recall rate of neoantigen prediction from 46.9% (45 from 96) to 53.1% (51 from 96), while reducing the training epochs from 200 epochs to 20 epochs. Furthermore, we analyze the features contribution based on TransNRank and find that the mutation at anchor and TCGA expression level play an unexpected important role in neoantigen prediction, and removing insignificant features to reduce the input dimensionality of peptides does not drastically impair the overall performance of the model. Our paradigm not only streamlines the prediction pipeline but also sets a new state-of-the-art for neoantigen discovery, with broad implications for accurate immuno-oncology.

Now You Have My Healthy Attention: A U-DiT for Brain-MRI Inpainting

The ASNR-MICCAI BraTS Local Synthesis (Inpainting) task asks for the anatomically plausible completion of healthy brain tissue within a masked region of a T1-weighted MRI, providing a tumor-free anatomical reference for downstream analysis. As the task is scored by distortion metrics (SSIM, PSNR, MSE), we build a deterministic regression model and focus on giving it inductive biases tailored to inpainting. Our network follows the U-DiT principle of performing self-attention on a downsampled token grid: a volumetric encoder-decoder imports long-range context through a downsampled global self-attention block with three-dimensional rotary position embeddings, while convolutions and skip connections preserve high-frequency detail. Two ideas drive our results. First, we constrain the attention so that occluded ("void") tokens attend only to known-healthy tokens of the same volume, with a learned bias toward each query's contralateral homologue, forcing the completion to be inferred from observed anatomy rather than from other unknown regions. Second, we add a contralateral-symmetry input that supplies the mirrored healthy hemisphere as a patient-specific prior; since the brain is approximately bilaterally symmetric and lesions are typically unilateral, this prior improves the distortion metrics at matched structural similarity. On the official BraTS-2026 validation leaderboard our submission reaches a mean healthy-region SSIM of $0.864$, PSNR of $24.7$\,dB and MSE of $4.6{\times}10^{-3}$ over $219$ cases. We further analyse the residual smoothness inherent to distortion-optimal regression and discuss its implications for anatomical realism.

An Attention-Based Framework for Alzheimers Disease Classification Using Resting-State fMRI

Accurate identification of Alzheimers disease (AD) using resting-state functional magnetic resonance imaging (rs-fMRI) remains challenging due to the high dimensionality, noise, and complex inter-regional dependencies inherent in functional brain connectivity, which limit the effectiveness of traditional approaches based on handcrafted connectivity features or conventional machine learning models. In this work, we present an attention-based deep learning framework for Alzheimers disease classification that operates directly on rs-fMRI functional connectivity matrices by treating brain regions as tokens and employing a Transformer-inspired self-attention mechanism to model long-range and global functional dependencies across distributed brain networks. The proposed framework learns discriminative functional representations without reliance on manual feature engineering and is evaluated on a longitudinal cohort from the Alzheimers Disease Neuroimaging Initiative (ADNI) comprising cognitively normal and Alzheimers disease subjects with multiple visits. A subject-wise evaluation protocol is adopted to prevent information leakage across visits, and class-weighted optimization is incorporated to address mild class imbalance. Experimental results for binary AD versus cognitively normal classification demonstrate that the proposed attention- based rs-fMRI model achieves an accuracy of 88.95% and a ROC-AUC of 0.90, along with a favorable precision-recall balance, highlighting the effectiveness of self-attention-driven functional connectivity modeling as a robust and interpretable approach for Alzheimers disease detection using resting-state fMRI.

Matrix-Free Photoacoustic Image Reconstruction via Sensor-Token Self-Attention

Photoacoustic tomography (PAT) combines the optical absorption contrast of biological tissue with the spatial resolution of ultrasound, yet recovering the initial pressure distribution from sparse-view sensor measurements remains an ill-posed inverse problem. Iterative compressive-sensing solvers and unrolled deep networks both retain a dependence on the system matrix at inference, which leaves real-time clinical reconstruction computationally expensive. This paper proposes the Sensor Attention Network (SAN), a Transformer-based architecture that treats the full time series of each sensor as a token and maps raw measurements directly to the reconstructed image without invoking the system matrix at inference. For training and benchmarking, an analytical k-space H-matrix is constructed and validated against the k-Wave pseudo-spectral solver under matched geometry, achieving a mean per-sensor Pearson correlation of 0.919 +/- 0.049, with k-space apodization and Gaussian temporal damping acting synergistically to reduce the energy-normalized mismatch by 49%. Trained with a vessel-weighted loss on 488 augmented samples and evaluated on 46 held-out samples against ISTA, split-Bregman total variation (SBTV), and learned ISTA (LISTA), SAN attains the highest mean SSIM (0.522) and PSNR (22.09 dB) and the lowest NMSE (0.233). Paired t-tests and Wilcoxon signed-rank tests confirm the superiority of SAN over LISTA on PSNR, NMSE, and Pearson correlation at p < 1e-8, and over ISTA and SBTV on all fidelity metrics. By bypassing the H-matrix at inference, SAN reduces reconstruction time by at least an order of magnitude, supporting real-time PAT reconstruction.

CSWinUNETR: Segmentation of Thin Anatomical Structures in Medical Images

Accurate segmentation of thin, tortuous anatomical structures, such as retinal vessels, cerebral vasculature, and facial wrinkles, remains challenging due to low contrast, frequent discontinuities, and severe class imbalance. Although recent convolutional and Transformer-based models have improved performance, they often yield fragmented predictions and fail to recover fine branches. We propose CSWinUNETR, a general-purpose backbone for 2D and 3D thin-structure segmentation. It employs cross-shaped stripe self-attention to model long-range principal-axis context and incorporates cyclic shifts to enhance information exchange across stripes. To better preserve fine-grained details, we further introduce a detail-enhanced multi-scale self-attention module that aggregates contextual features from multi-resolution representations. In addition, we propose sparse-control dynamic snake convolution, which reconstructs reliable dense curvilinear kernels from sparsely predicted control points to better follow tortuous geometry. Extensive experiments on four benchmarks across ophthalmology, neurovascular imaging, and dermatology demonstrate that CSWinUNETR consistently outperforms state-of-the-art methods without task-specific post-processing or topology-aware losses. The code is available at https://github.com/labhai/CSWinUNETR.