Breast mass segmentation is an important step in computer-aided mammography, but it remains difficult because masses can have low contrast, irregular shapes, and boundaries that blend with surrounding breast tissue. To address this problem, we present DualMiT-Net, a dual-branch network that uses both a focused view of the mass and a wider view of the surrounding tissue. The local branch uses a Mix Transformer (MiT-B5) encoder to learn mass shape, texture, and boundary information, while the global branch uses an EfficientNet-B5 encoder to learn surrounding breast context. Features from the two branches are shared at the deeper encoder levels and are then progressively fused in a single decoder. A spatial gate controls how much global information is added during decoding. We also evaluated four input representations and selected a percentile-windowed mammogram combined with a Gabor texture response. The model was trained and evaluated on the mass subset of the Curated Breast Imaging Subset of the Digital Database for Screening Mammography (CBIS-DDSM) using a patient-level split. Across three training runs, DualMiT-Net with exponential moving average weights achieved a mean Dice coefficient of 0.9375 and a mean Intersection over Union of 0.8834. It also achieved better Dice and IoU scores than six standard encoder-decoder baselines trained using the same data and training settings. These results show that combining local mass information with wider breast context can provide accurate and consistent breast mass segmentation.
Rafi Ibn Sultan, Chengyin Li, Yiannos Demetriou +6cs.CV cs.AI
Background: Accurate segmentation of the Left Anterior Descending (LAD) artery in 3D free-breathing, non-contrast CT is critical for cardiac dose sparing in thoracic radiotherapy. The LAD is extremely small, has poor soft-tissue contrast, and varies substantially across patients; even manual contours show limited inter-observer agreement, underscoring the ambiguity of the vessel boundaries. Purpose: To develop a transformer-based framework that improves LAD delineation in low-contrast, imbalanced CT through local-global context modeling and uncertainty-guided optimization. Methods: We propose NA-UNETR, a 3D transformer-based segmentation model whose Neighborhood Attention (NA) and Dilated NA (DiNA) blocks jointly capture fine structural detail and long-range context. Given the scarcity of annotated LAD data, the model is pretrained on 1,000 CTA volumes of general coronary anatomy and fine-tuned with LoRA-based parameter-efficient adaptation on 20 free-breathing institutional CT scans. A composite Dice-Focal and Hausdorff loss, dynamically balanced via homoscedastic uncertainty, improves overlap and boundary accuracy. Results: NA-UNETR reached 45.64% Dice, 38.16 mm HD95, and 10.01 mm ASD, improving Dice by 3.10 percentage points over nnU-Net and reducing HD95 by 2.96 mm relative to Swin UNETR, with the strongest boundary accuracy among all models and improved centerline stability. On ImageCAS it achieved 79.49% Dice, 8.89 mm HD95, and 1.02 mm ASD. Ablations confirmed that residual blocks, variable kernels, and uncertainty-weighted loss each contributed. Conclusions: NA-UNETR balances local precision and global context for thin, low-contrast LAD structures, offering a computationally efficient framework for substructure-level cardiac segmentation in radiotherapy planning.
In a feature-tokenized transformer (arXiv:2106.11959) such as BiomeGPT (doi:10.64898/2026.01.05.697599), each input token is built by fusing a fixed identity with a sample-specific measurement: a fixed species and a variable abundance, T = S + A. To interpret downstream classification in such models, prior work inspects the attention weights of the special [CLS] token (arXiv:2106.11959, arXiv:1810.04805, BiomeGPT) to rank sample tokens by importance. These weights have two critical limitations: they are nonnegative, so they cannot separate disease-supporting from health-supporting evidence (arXiv:2201.12114), and they act after token fusion, obscuring how the input sources S and A each affect the output. To address this we use Integrated Gradients (arXiv:1703.01365), a signed, fusion-aware attribution method, and propose a source-derived baseline T' = S + A_0 for feature-tokenized models such as BiomeGPT, which preserves species identity as a fixed biological coordinate while isolating the effect of abundance variation. Applied to a disease-versus-health decision margin, it yields polarity that explicitly separates pathogenic from protective microbial signals. We show that this gradient-based approach uncovers species-abundance directional relationships and sensitivity diagnostics entirely obscured by unsigned [CLS] attention weights. We further recommend second-order Integrated Hessians (arXiv:2002.04138) to expose microbiome community interaction rules: how a perturbation in one member alters the model's sensitivity to another, and which other species drive ambiguous cases toward disease or health at a given abundance level. This provides a principled approach to explainability in BiomeGPT that generalizes to other smooth and differentiable feature-tokenized transformers. Code is available at https://github.com/nohren/token-source-attribution
Federico Del Pup, Elisa Tentori, Manfredo Atzorics.LG cs.AI
Hand gesture recognition via surface electromyography (sEMG) is fundamental to prosthetic control. In this field, deep learning approaches have become the gold standard. However, current architectures struggle to scale; model performance typically decreases as the number of hand movements increases. Performance degradation is tied to the increased statistical complexity of decoding expanded gesture sets and compounded by the limitations of state-of-the-art methods, which primarily rely on low-latency unimodal convolutional architectures. Convolutions operate locally, limiting model's ability to capture long-range sequential patterns. Unimodal setups cannot leverage complementary information from coordinated signals characterizing movement execution, such as inertial and eye-tracking data. These limitations motivate architectures that integrate local and global features across multimodal physiological sequences. To bridge this gap, this study introduces EMG-CrossFormer, an end-to-end hybrid convolutional-transformer for seamless multimodal integration. EMG-CrossFormer combines representations from an arbitrary number of unimodal encoders through cascaded cross-attention fusion layers, and decodes the fused representations using learnable gesture queries. EMG-CrossFormer was evaluated on four NinaPro datasets (DB2, DB3, DB7, and DB10) and benchmarked against six state-of-the-art models using an increasing number of modalities. Using only sEMG, EMG-CrossFormer achieved mean accuracies of 72.33%, 52.48%, 79.16%, and 73.49% on DB2, DB3, DB7, and DB10, respectively. Incorporating inertial signals improved performance to 90.66%, 80.40%, 92.79%, and 92.06%. These results show that joint local-global feature modeling improves sEMG-only decoding and that multimodal fusion substantially amplifies this benefit, underscoring the value of both design principles for complex hand gesture recognition.
Small object segmentation in medical imaging is primarily hindered by class imbalance and inherent boundary complexity. Consequently, conventional global networks frequently fail to detect sparse targets or suffer from severe edge degradation. To overcome these limitations, we propose the Detection-guided Cropping Segmentation Network (DCSNet), an end-to-end framework that transforms global dense prediction into a localized refinement process. This framework integrates two core components, namely Detection-guided Hierarchical Cropping (DGHC) and Multiscale Feature Aggregation (MSFA). The DGHC module leverages region proposals to dynamically extract object-centric features, effdataectively filtering out massive background interference to mitigate class imbalance. Subsequently, the MSFA module operates strictly within these purified regions, synergizing a Transformer encoder with a pixel-adaptive fusion strategy. This mechanism dynamically aggregates multiscale features to capture both semantic context and fine-grained details for sharp boundary delineation. Extensive experiments across three diverse medical datasets demonstrate that DCSNet significantly outperforms existing state-of-the-art methods, yielding substantial improvements in boundary precision and offering a highly robust solution for clinical micro-lesion segmentation.
Partial-to-full registration remains challenging due to varying overlap ratios, fluctuating point densities, and the presence of noise. While transformers have shown strong potential for point cloud processing, prior methods typically confine them to global context aggregation, overlooking fine-grained local geometry crucial for accurate correspondence. We propose \emph{GAPR-Net}, a learning-based point cloud registration framework with a coarse-to-fine architecture that combines convolution and transformer modules, in which local and global information is fused between the partial and full point clouds using a cross-attention mechanism. To achieve this, a transformation-invariant point-wise geometric feature representation is proposed, which can robustly capture relative geometric features for individual points with respect to their neighboring points. To evaluate the effectiveness of the proposed approach, experiments are conducted on four geometrically distinct bones, including the tibia, femur, pelvis, and thoracic cartilage. The overall registration recall reaches 94.2\%, the method results in a low RMSE of 1.992 mm and $R^2$ values of 0.908 and 0.974 for rotation and translation, respectively. The results demonstrate that the proposed method effectively addresses the partial-to-full point cloud registration problem. The proposed method enables highly accurate 3D point cloud registration using partial observation, providing a critical foundation for precise surgical navigation and robotic interventions in computer-assisted surgery. The code will be accessed after the double-blind review process.
Electroencephalography (EEG) is a widely adopted technique for monitoring brain activity, offering valuable insights into neurological states due to its high temporal resolution and cost-effectiveness. To enhance the analysis of complex EEG data, we propose EEG-TransNet, an architecture designed to capture temporal, regional, and synchronous features of EEG signals. EEG-TransNet introduces three key modules: 1) a preprocessing and feature extraction module leveraging ResNet and wavelet-based denoising, 2) a Local Self-Attention Block for regional feature learning, and 3) a Fuzzy-Attention Synchronous Transformer (FAST) to model spatiotemporal dependencies. Through extensive experiments on three EEG datasets (BETA, SEED, and DepEEG), the proposed model consistently outperforms other methods in terms of classification accuracy and robustness across varying signal lengths. Ablation studies confirm the contribution of the Local Self-Attention Block in improving performance, and the inclusion of depthwise separable convolutions in the decoder reduces computational complexity while maintaining high accuracy. EEG-TransNet's ability to generalize across subjects with minimal performance variation highlights its potential as a robust tool for EEG-based brain activity classification and emotion recognition tasks.
The graphical representation of the brain offers critical insights into diagnosing and prognosing neurodegenerative disease via relationships between regions of interest (ROIs). Despite recent emergence of various Graph Neural Networks (GNNs) to effectively capture the relational information, there remain inherent limitations in interpreting the brain networks. Specifically, convolutional approaches ineffectively aggregate information from distant neighborhoods, while attention-based methods exhibit deficiencies in capturing node-centric information, particularly in retaining critical characteristics from pivotal nodes. These shortcomings reveal challenges for identifying disease-specific variation from diverse features from different modalities. In this regard, we propose an integrated framework guiding diffusion process at each node by a downstream transformer where both short- and long-range properties of graphs are aggregated via diffusion-kernel and multi-head attention respectively. We demonstrate the superiority of our model by improving performance of pre-clinical Alzheimer's disease (AD) classification with various modalities. Also, our model adeptly identifies key ROIs that are closely associated with the preclinical stages of AD, marking a significant potential for early diagnosis and prevision of the disease.