In the era of digital medicine, medical imaging serves as a widespread technique for early disease detection, with a substantial volume of images being generated and stored daily in electronic patient records. X-ray angiography imaging is a standard and one of the most common methods for rapidly diagnosing coronary artery diseases. The notable achievements of recent deep learning algorithms align with the increased use of electronic health records and diagnostic imaging. Deep neural networks, leveraging abundant data, advanced algorithms, and powerful computational capabilities, prove highly effective in the analysis and interpretation of images. In this context, Object detection methods have become a promising approach, particularly through convolutional neural networks (CNN), streamlining medical image analysis by eliminating manual feature extraction. This allows for direct feature extraction from images, ensuring high accuracy in results. Therefore, in our paper, we utilized the object detection method on X-ray angiography images to precisely identify the location of coronary artery stenosis. As a result, this model enables automatic and real-time detection of stenosis locations, assisting in the crucial and sensitive decision-making process for healthcare professionals.

This study explores the use of Federated Learning (FL) for stenosis detection in coronary angiography images (CA). Two heterogeneous datasets from two institutions were considered: Dataset 1 includes 1219 images from 200 patients, which we acquired at the Ospedale Riuniti of Ancona (Italy); Dataset 2 includes 7492 sequential images from 90 patients from a previous study available in the literature. Stenosis detection was performed by using a Faster R-CNN model. In our FL framework, only the weights of the model backbone were shared among the two client institutions, using Federated Averaging (FedAvg) for weight aggregation. We assessed the performance of stenosis detection using Precision (P rec), Recall (Rec), and F1 score (F1). Our results showed that the FL framework does not substantially affects clients 2 performance, which already achieved good performance with local training; for client 1, instead, FL framework increases the performance with respect to local model of +3.76%, +17.21% and +10.80%, respectively, reaching P rec = 73.56, Rec = 67.01 and F1 = 70.13. With such results, we showed that FL may enable multicentric studies relevant to automatic stenosis detection in CA by addressing data heterogeneity from various institutions, while preserving patient privacy.

Artificial intelligence has become one of Ukraine's most "effective tools" in identifying potential saboteurs amid the ongoing war with Russia, according to the Ukrainian Ministry of Internal Affairs. The ministry issued a report Wednesday on law enforcement's anti-sabotage activities aimed at stopping people in Ukraine who may compromise the counteroffensive or aid Russia in its assault. Officers have been using software on tablets to check if a person they view as "suspicious" is already listed in databases, including a police database of about 2 million people suspected of holding positions in paramilitary units from the far-right faction known as the Liberal Democratic Party of Russia (LDPR). The first days of Russia's attack on Ukraine were peppered with reports of mass anti-war protests in Russian cities and thousands of arrests, but the report highlights Ukraine's own efforts to combat acts of sabotage within its own population. The ministry said that Ukrainian police have been fighting against such saboteurs ever since Russia invaded Ukraine.