Oral squamous cell carcinoma OSCC is a major global health burden, particularly in several regions across Asia, Africa, and South America, where it accounts for a significant proportion of cancer cases. Early detection dramatically improves outcomes, with stage I cancers achieving up to 90 percent survival. However, traditional diagnosis based on histopathology has limited accessibility in low-resource settings because it is invasive, resource-intensive, and reliant on expert pathologists. On the other hand, oral cytology of brush biopsy offers a minimally invasive and lower cost alternative, provided that the remaining challenges, inter observer variability and unavailability of expert pathologists can be addressed using artificial intelligence. Development and validation of robust AI solutions requires access to large, labeled, and multi-source datasets to train high capacity models that generalize across domain shifts. We introduce the first large and multicenter oral cytology dataset, comprising annotated slides stained with Papanicolaou(PAP) and May-Grunwald-Giemsa(MGG) protocols, collected from ten tertiary medical centers in India. The dataset is labeled and annotated by expert pathologists for cellular anomaly classification and detection, is designed to advance AI driven diagnostic methods. By filling the gap in publicly available oral cytology datasets, this resource aims to enhance automated detection, reduce diagnostic errors, and improve early OSCC diagnosis in resource-constrained settings, ultimately contributing to reduced mortality and better patient outcomes worldwide.
Large language models (LLMs) hold significant potential for psychological support, capable of generating empathetic responses and simulating therapeutic conversations. However, existing LLM-based approaches often lack sufficient grounding in structured diagnostic reasoning and diverse therapeutic strategies, limiting their effectiveness in complex counseling scenarios. To address these limitations, we propose PsyLLM, the first large language model designed to incorporate diagnostic- and therapeutic-oriented reasoning for mental health counseling. To develop PsyLLM, we design a novel automated data synthesis pipeline that processes real-world mental health posts collected from Reddit, where users frequently express psychological distress and seek community support. The pipeline transforms these posts into multi-turn counseling dialogues and leverages LLMs guided by international diagnostic standards (e.g., DSM/ICD) and multiple therapeutic frameworks (e.g., CBT, ACT, psychodynamic) to generate structured, clinically informed reasoning traces. A rigorous multi-dimensional filtering mechanism further improves the quality and clinical fidelity of the synthesized dialogue data. In addition, we introduce a new benchmark and evaluation protocol, assessing counseling performance across four key dimensions. Our experiments, along with evaluations by professional counseling experts, demonstrate that PsyLLM consistently outperforms various baseline models on this benchmark. Code, data, and models are available at https://github.com/Emo-gml/PsyLLM.
ENACT-Heart is a two-branch ensemble for heart-sound classification. A Vision Transformer (ViT) processes spectrogram images, while a convolutional neural network (CNN) processes visualizations of waveforms and spectral centroids derived from the same recordings. The branch predictions are combined by a weighted average with fixed, input-independent weights. On the PASCAL heart-sound dataset, the ensemble achieved an accuracy of 97.52%, compared with 93.88% for the ViT and 95.45% for the CNN. The ensemble achieved a macro-F1 of 0.94 and recall of 0.74 for extra heart sounds. On this dataset, late fusion improved accuracy and macro-F1 relative to both individual branches.
Lung segmentation in chest X-ray (CXR) images is a crucial task in medical image analysis, aiding in accurate disease diagnosis and treatment planning. This study presents an improved U-Net architecture by integrating a Convolutional Block Attention Module (CBAM) to enhance segmentation performance. The proposed CBAM unifies three attention mechanisms (Channel Attention, Spatial Attention, and Pixel Attention) to refine feature extraction and improve focus on critical image regions. The Channel Attention mechanism emphasizes inter-channel dependencies, the Spatial Attention mechanism enhances localization accuracy by highlighting spatial correlations, and the Pixel Attention mechanism refines segmentation precision at the pixel level. By incorporating CBAM into the U-Net framework, the model achieves superior performance in lung segmentation, as evaluated using the Dice coefficient and Jaccard similarity index. Experimental results demonstrate that the proposed approach significantly improves segmentation accuracy, making it a promising advancement in medical image processing for lung disease assessment.
Despite advancements in Computer-Aided Diagnosis (CAD) systems, breast cancer remains one of the leading causes of cancer-related deaths among women worldwide. Recent breakthroughs in Artificial Intelligence (AI) have shown significant promise in development of advanced Deep Learning (DL) architectures for breast cancer diagnosis through mammography. In this context, the paper focuses on the integration of AI within a Human-Centric workflow to enhance breast cancer diagnostics. Key challenges are, however, largely overlooked such as reliance on detailed tumor annotations and susceptibility to missing views, particularly during test time. To address these issues, we propose a hybrid, multi-scale and multi-view Swin Transformer-based framework (MSMV-Swin) that enhances diagnostic robustness and accuracy. The proposed MSMV-Swin framework is designed to work as a decision-support tool, helping radiologists analyze multi-view mammograms more effectively. More specifically, the MSMV-Swin framework leverages the Segment Anything Model (SAM) to isolate the breast lobe, reducing background noise and enabling comprehensive feature extraction. The multi-scale nature of the proposed MSMV-Swin framework accounts for tumor-specific regions as well as the spatial characteristics of tissues surrounding the tumor, capturing both localized and contextual information. The integration of contextual and localized data ensures that MSMV-Swin's outputs align with the way radiologists interpret mammograms, fostering better human-AI interaction and trust. A hybrid fusion structure is then designed to ensure robustness against missing views, a common occurrence in clinical practice when only a single mammogram view is available.
Wrist pathologies are frequently observed, particularly among children who constitute the majority of fracture cases. However, diagnosing these conditions is time-consuming and requires specialized expertise. Computer vision presents a promising avenue, contingent upon the availability of extensive datasets, a notable challenge in medical imaging. Therefore, reliance solely on one modality, such as images, proves inadequate, especially in an era of diverse and plentiful data types. In this study, we employ a multifaceted approach to address the challenge of recognizing wrist pathologies using an extremely limited dataset. Initially, we approach the problem as a fine-grained recognition task, aiming to identify subtle X-ray pathologies that conventional CNNs overlook. Secondly, we enhance network performance by fusing patient metadata with X-ray images. Thirdly, rather than pre-training on a coarse-grained dataset like ImageNet, we utilize weights trained on a fine-grained dataset. While metadata integration has been used in other medical domains, this is a novel application for wrist pathologies. Our results show that a fine-grained strategy and metadata integration improve diagnostic accuracy by 2% with a limited dataset and by over 10% with a larger fracture-focused dataset.
The rapid advancement of artificial intelligence has raised concerns regarding its trustworthiness, especially in terms of interpretability and robustness. Tree-based models like Random Forest and XGBoost excel in interpretability and accuracy for tabular data, but scaling them remains computationally expensive due to poor data locality and high data dependence. Previous efforts to accelerate these models with analog content addressable memory (CAM) have struggled, due to the fact that the difficult-to-implement sharp decision boundaries are highly susceptible to device variations, which leads to poor hardware performance and vulnerability to adversarial attacks. This work presents a novel hardware-software co-design approach using $MoS_2$ Flash-based analog CAM with inherent soft boundaries, enabling efficient inference with soft tree-based models. Our soft tree model inference experiments on $MoS_2$ analog CAM arrays show this method achieves exceptional robustness against device variation and adversarial attacks while achieving state-of-the-art accuracy. Specifically, our fabricated analog CAM arrays achieve $96\%$ accuracy on Wisconsin Diagnostic Breast Cancer (WDBC) database, while maintaining decision explainability. Our experimentally calibrated model validated only a $0.6\%$ accuracy drop on the MNIST dataset under $10\%$ device threshold variation, compared to a $45.3\%$ drop for traditional decision trees. This work paves the way for specialized hardware that enhances AI's trustworthiness and efficiency.
This paper presents an new approach for detecting in the electrical power system of satellites operating in Low Earth Orbit (LEO) without an Attitude Determination and Control Subsystem (ADCS). Components of these systems are prone to faults, such as line-to-line faults in the photovoltaic subsystem, open circuits, and short circuits in the DC-to-DC converter, as well as ground faults in batteries. In the previous research has largely focused on detecting faults in each components, such as photovoltaic arrays or converter systems, therefore, has been limited attention given to whole electrical power system of satellite as a whole system. Our approach addresses this gap by utilizing a Multi-Layer Perceptron (MLP) neural network model, which leverages input data such as solar radiation and surface temperature to predict current and load outputs. These machine learning techniques that classifiy use different approaches like Principal Component Analysis (PCA) and K-Nearest Neighbors (KNN), to classify faults effectively. The model presented achieves over 99% accuracy in identifying faults across multiple subsystems, marking a notable advancement from previous approaches by offering a complete diagnostic solution for the entire satellite power system. This thorough method boosts system reliability and helps lower the chances of mission failure
Matching theoretical predictions to experimental data remains a central challenge in hadron spectroscopy. In particular, the identification of new hadronic states is difficult, as exotic signals near threshold can arise from a variety of physical mechanisms. A key diagnostic in this context is the pole structure of the scattering amplitude, but different configurations can produce similar signatures. The mapping between pole configurations and line shapes is especially ambiguous near the mass threshold, where analytic control is limited. In this work, we introduce an uncertainty-aware machine learning approach for classifying pole structures in $S$-matrix elements. Our method is based on an ensemble of classifier chains that provide both epistemic and aleatoric uncertainty estimates. We apply a rejection criterion based on predictive uncertainty, achieving a validation accuracy of nearly $95\%$ while discarding only a small fraction of high-uncertainty predictions. Trained on synthetic data with known pole structures, the model generalizes to previously unseen experimental data, including enhancements associated with the $P_{c\bar{c}}(4312)^+$ state observed by LHCb. In this, we infer a four-pole structure, representing the presence of a genuine compact pentaquark in the presence of a higher channel virtual state pole with non-vanishing width. While evaluated on this particular state, our framework is broadly applicable to other candidate hadronic states and offers a scalable tool for pole structure inference in scattering amplitudes.
Recent advances in large vision-language models have led to impressive performance in visual question answering and multimodal reasoning. However, it remains unclear whether these models genuinely perform grounded visual reasoning or rely on superficial patterns and dataset biases. In this work, we introduce MagiC, a comprehensive benchmark designed to evaluate grounded multimodal cognition, assessing not only answer accuracy but also the quality of step-by-step reasoning and its alignment with relevant visual evidence. Our benchmark includes approximately 5,500 weakly supervised QA examples generated from strong model outputs and 900 human-curated examples with fine-grained annotations, including answers, rationales, and bounding box groundings. We evaluate 15 vision-language models ranging from 7B to 70B parameters across four dimensions: final answer correctness, reasoning validity, grounding fidelity, and self-correction ability. MagiC further includes diagnostic settings to probe model robustness under adversarial visual cues and assess their capacity for introspective error correction. We introduce new metrics such as MagiScore and StepSense, and provide comprehensive analyses that reveal key limitations and opportunities in current approaches to grounded visual reasoning.
Medical Visual Question Answering (MedVQA) is a promising tool to assist radiologists by automating medical image interpretation through question answering. Despite advances in models and datasets, MedVQA's integration into clinical workflows remains limited. This study systematically reviews 68 publications (2018-2024) and surveys 50 clinicians from India and Thailand to examine MedVQA's practical utility, challenges, and gaps. Following the Arksey and O'Malley scoping review framework, we used a two-pronged approach: (1) reviewing studies to identify key concepts, advancements, and research gaps in radiology workflows, and (2) surveying clinicians to capture their perspectives on MedVQA's clinical relevance. Our review reveals that nearly 60% of QA pairs are non-diagnostic and lack clinical relevance. Most datasets and models do not support multi-view, multi-resolution imaging, EHR integration, or domain knowledge, features essential for clinical diagnosis. Furthermore, there is a clear mismatch between current evaluation metrics and clinical needs. The clinician survey confirms this disconnect: only 29.8% consider MedVQA systems highly useful. Key concerns include the absence of patient history or domain knowledge (87.2%), preference for manually curated datasets (51.1%), and the need for multi-view image support (78.7%). Additionally, 66% favor models focused on specific anatomical regions, and 89.4% prefer dialogue-based interactive systems. While MedVQA shows strong potential, challenges such as limited multimodal analysis, lack of patient context, and misaligned evaluation approaches must be addressed for effective clinical integration.
The labor-intensive nature of medical data annotation presents a significant challenge for respiratory disease diagnosis, resulting in a scarcity of high-quality labeled datasets in resource-constrained settings. Moreover, patient privacy concerns complicate the direct sharing of local medical data across institutions, and existing centralized data-driven approaches, which rely on amounts of available data, often compromise data privacy. This study proposes a federated few-shot learning framework with privacy-preserving mechanisms to address the issues of limited labeled data and privacy protection in diagnosing respiratory diseases. In particular, a meta-stochastic gradient descent algorithm is proposed to mitigate the overfitting problem that arises from insufficient data when employing traditional gradient descent methods for neural network training. Furthermore, to ensure data privacy against gradient leakage, differential privacy noise from a standard Gaussian distribution is integrated into the gradients during the training of private models with local data, thereby preventing the reconstruction of medical images. Given the impracticality of centralizing respiratory disease data dispersed across various medical institutions, a weighted average algorithm is employed to aggregate local diagnostic models from different clients, enhancing the adaptability of a model across diverse scenarios. Experimental results show that the proposed method yields compelling results with the implementation of differential privacy, while effectively diagnosing respiratory diseases using data from different structures, categories, and distributions.
Accurate preoperative assessment of lymph node (LN) metastasis in rectal cancer guides treatment decisions, yet conventional MRI evaluation based on morphological criteria shows limited diagnostic performance. While some artificial intelligence models have been developed, they often operate as black boxes, lacking the interpretability needed for clinical trust. Moreover, these models typically evaluate nodes in isolation, overlooking the patient-level context. To address these limitations, we introduce LRMR, an LLM-Driven Relational Multi-node Ranking framework. This approach reframes the diagnostic task from a direct classification problem into a structured reasoning and ranking process. The LRMR framework operates in two stages. First, a multimodal large language model (LLM) analyzes a composite montage image of all LNs from a patient, generating a structured report that details ten distinct radiological features. Second, a text-based LLM performs pairwise comparisons of these reports between different patients, establishing a relative risk ranking based on the severity and number of adverse features. We evaluated our method on a retrospective cohort of 117 rectal cancer patients. LRMR achieved an area under the curve (AUC) of 0.7917 and an F1-score of 0.7200, outperforming a range of deep learning baselines, including ResNet50 (AUC 0.7708). Ablation studies confirmed the value of our two main contributions: removing the relational ranking stage or the structured prompting stage led to a significant performance drop, with AUCs falling to 0.6875 and 0.6458, respectively. Our work demonstrates that decoupling visual perception from cognitive reasoning through a two-stage LLM framework offers a powerful, interpretable, and effective new paradigm for assessing lymph node metastasis in rectal cancer.
In pediatric orthodontics, accurate estimation of growth potential is essential for developing effective treatment strategies. Our research aims to predict this potential by identifying the growth peak and analyzing cervical vertebra morphology solely through lateral cephalometric radiographs. We accomplish this by comprehensively analyzing cervical vertebral maturation (CVM) features from these radiographs. This methodology provides clinicians with a reliable and efficient tool to determine the optimal timings for orthodontic interventions, ultimately enhancing patient outcomes. A crucial aspect of this approach is the meticulous annotation of keypoints on the cervical vertebrae, a task often challenged by its labor-intensive nature. To mitigate this, we introduce Attend-and-Refine Network (ARNet), a user-interactive, deep learning-based model designed to streamline the annotation process. ARNet features Interaction-guided recalibration network, which adaptively recalibrates image features in response to user feedback, coupled with a morphology-aware loss function that preserves the structural consistency of keypoints. This novel approach substantially reduces manual effort in keypoint identification, thereby enhancing the efficiency and accuracy of the process. Extensively validated across various datasets, ARNet demonstrates remarkable performance and exhibits wide-ranging applicability in medical imaging. In conclusion, our research offers an effective AI-assisted diagnostic tool for assessing growth potential in pediatric orthodontics, marking a significant advancement in the field.
Learning from sparse labels is a challenge commonplace in the medical domain. This is due to numerous factors, such as annotation cost, and is especially true for newly introduced tasks. When dense pixel-level annotations are needed, this becomes even more unfeasible. However, being able to learn from just a few annotations at the pixel-level, while extremely difficult and underutilized, can drive progress in studies where perfect annotations are not immediately available. This work tackles the challenge of learning the dense prediction task of keypoint localization from a few point annotations in the context of 2d carcinosis keypoint localization from laparoscopic video frames for diagnostic planning of advanced ovarian cancer patients. To enable this, we formulate the problem as a sparse heatmap regression from a few point annotations per image and propose a new loss function, called Crag and Tail loss, for efficient learning. Our proposed loss function effectively leverages positive sparse labels while minimizing the impact of false negatives or missed annotations. Through an extensive ablation study, we demonstrate the effectiveness of our approach in achieving accurate dense localization of carcinosis keypoints, highlighting its potential to advance research in scenarios where dense annotations are challenging to obtain.
Radiographic images are a cornerstone of medical diagnostics in orthopaedics, with anatomical landmark detection serving as a crucial intermediate step for information extraction. General-purpose foundational segmentation models, such as SAM (Segment Anything Model), do not support landmark segmentation out of the box and require prompts to function. However, in medical imaging, the prompts for landmarks are highly specific. Since SAM has not been trained to recognize such landmarks, it cannot generate accurate landmark segmentations for diagnostic purposes. Even MedSAM, a medically adapted variant of SAM, has been trained to identify larger anatomical structures, such as organs and their parts, and lacks the fine-grained precision required for orthopaedic pelvic landmarks. To address this limitation, we propose leveraging another general-purpose, non-foundational model: YOLO. YOLO excels in object detection and can provide bounding boxes that serve as input prompts for SAM. While YOLO is efficient at detection, it is significantly outperformed by SAM in segmenting complex structures. In combination, these two models form a reliable pipeline capable of segmenting not only a small pilot set of eight anatomical landmarks but also an expanded set of 72 landmarks and 16 regions with complex outlines, such as the femoral cortical bone and the pelvic inlet. By using YOLO-generated bounding boxes to guide SAM, we trained the hybrid model to accurately segment orthopaedic pelvic radiographs. Our results show that the proposed combination of YOLO and SAM yields excellent performance in detecting anatomical landmarks and intricate outlines in orthopaedic pelvic radiographs.
Pneumonia is a leading cause of mortality in children under five, requiring accurate chest X-ray diagnosis. This study presents a machine learning-based Pediatric Chest Pneumonia Classification System to assist healthcare professionals in diagnosing pneumonia from chest X-ray images. The CNN-based model was trained on 5,863 labeled chest X-ray images from children aged 0-5 years from the Guangzhou Women and Children's Medical Center. To address limited data, we applied augmentation techniques (rotation, zooming, shear, horizontal flipping) and employed GANs to generate synthetic images, addressing class imbalance. The system achieved optimal performance using combined original, augmented, and GAN-generated data, evaluated through accuracy and F1 score metrics. The final model was deployed via a Flask web application, enabling real-time classification with probability estimates. Results demonstrate the potential of deep learning and GANs in improving diagnostic accuracy and efficiency for pediatric pneumonia classification, particularly valuable in resource-limited clinical settings https://github.com/AbdulManaf12/Pediatric-Chest-Pneumonia-Classification
Low-dose computed tomography (LDCT) reduces radiation exposure but often degrades image quality, potentially compromising diagnostic accuracy. Existing deep learning-based denoising methods focus primarily on pixel-level mappings, overlooking the potential benefits of high-level semantic guidance. Recent advances in vision-language models (VLMs) suggest that language can serve as a powerful tool for capturing structured semantic information, offering new opportunities to improve LDCT reconstruction. In this paper, we introduce LangMamba, a Language-driven Mamba framework for LDCT denoising that leverages VLM-derived representations to enhance supervision from normal-dose CT (NDCT). LangMamba follows a two-stage learning strategy. First, we pre-train a Language-guided AutoEncoder (LangAE) that leverages frozen VLMs to map NDCT images into a semantic space enriched with anatomical information. Second, we synergize LangAE with two key components to guide LDCT denoising: Semantic-Enhanced Efficient Denoiser (SEED), which enhances NDCT-relevant local semantic while capturing global features with efficient Mamba mechanism, and Language-engaged Dual-space Alignment (LangDA) Loss, which ensures that denoised images align with NDCT in both perceptual and semantic spaces. Extensive experiments on two public datasets demonstrate that LangMamba outperforms conventional state-of-the-art methods, significantly improving detail preservation and visual fidelity. Remarkably, LangAE exhibits strong generalizability to unseen datasets, thereby reducing training costs. Furthermore, LangDA loss improves explainability by integrating language-guided insights into image reconstruction and offers a plug-and-play fashion. Our findings shed new light on the potential of language as a supervisory signal to advance LDCT denoising. The code is publicly available on https://github.com/hao1635/LangMamba.
Cardiac diseases are among the leading causes of morbidity and mortality worldwide, which requires accurate and timely diagnostic strategies. In this study, we introduce an innovative approach that combines deep learning image registration with physics-informed regularization to predict the biomechanical properties of moving cardiac tissues and extract features for disease classification. We utilize the energy strain formulation of Neo-Hookean material to model cardiac tissue deformations, optimizing the deformation field while ensuring its physical and biomechanical coherence. This explainable approach not only improves image registration accuracy, but also provides insights into the underlying biomechanical processes of the cardiac tissues. Evaluation on the Automated Cardiac Diagnosis Challenge (ACDC) dataset achieved Dice scores of 0.945 for the left ventricular cavity, 0.908 for the right ventricular cavity, and 0.905 for the myocardium. Subsequently, we estimate the local strains within the moving heart and extract a detailed set of features used for cardiovascular disease classification. We evaluated five classification algorithms, Logistic Regression, Multi-Layer Perceptron, Support Vector Classifier, Random Forest, and Nearest Neighbour, and identified the most relevant features using a feature selection algorithm. The best performing classifier obtained a classification accuracy of 98% in the training set and 100% in the test set of the ACDC dataset. By integrating explainable artificial intelligence, this method empowers clinicians with a transparent understanding of the model's predictions based on cardiac mechanics, while also significantly improving the accuracy and reliability of cardiac disease diagnosis, paving the way for more personalized and effective patient care.
Prostate cancer (PCa) is a leading cause of cancer-related mortality in men, and accurate identification of clinically significant PCa (csPCa) is critical for timely intervention. Transrectal ultrasound (TRUS) is widely used for prostate biopsy; however, its low contrast and anisotropic spatial resolution pose diagnostic challenges. To address these limitations, we propose a novel hybrid-view attention (HVA) network for csPCa classification in 3D TRUS that leverages complementary information from transverse and sagittal views. Our approach integrates a CNN-transformer hybrid architecture, where convolutional layers extract fine-grained local features and transformer-based HVA models global dependencies. Specifically, the HVA comprises intra-view attention to refine features within a single view and cross-view attention to incorporate complementary information across views. Furthermore, a hybrid-view adaptive fusion module dynamically aggregates features along both channel and spatial dimensions, enhancing the overall representation. Experiments are conducted on an in-house dataset containing 590 subjects who underwent prostate biopsy. Comparative and ablation results prove the efficacy of our method. The code is available at https://github.com/mock1ngbrd/HVAN.