Leukemia diagnosis and monitoring rely increasingly on high-throughput image data, yet conventional clustering methods lack the flexibility to accommodate evolving cellular patterns and quantify uncertainty in real time. We introduce Adaptive and Dynamic Neuro-Fuzzy Clustering, a novel streaming-capable framework that combines Convolutional Neural Network-based feature extraction with an online fuzzy clustering engine. ADNF initializes soft partitions via Fuzzy C-Means, then continuously updates micro-cluster centers, densities, and fuzziness parameters using a Fuzzy Temporal Index (FTI) that measures entropy evolution. A topology refinement stage performs density-weighted merging and entropy-guided splitting to guard against over- and under-segmentation. On the C-NMC leukemia microscopy dataset, our tool achieves a silhouette score of 0.51, demonstrating superior cohesion and separation over static baselines. The method's adaptive uncertainty modeling and label-free operation hold immediate potential for integration within the INFANT pediatric oncology network, enabling scalable, up-to-date support for personalized leukemia management.

Brain tumor detection from MRI scans plays a crucial role in early diagnosis and treatment planning. Deep convolutional neural networks (CNNs) have demonstrated strong performance in medical imaging tasks, particularly when pretrained on large datasets. However, it remains unclear which type of pretrained model performs better when only a small dataset is available: those trained on domain-specific medical data or those pretrained on large general datasets. In this study, we systematically evaluate three pretrained CNN architectures for brain tumor classification: RadImageNet DenseNet121 with medical-domain pretraining, EfficientNetV2S, and ConvNeXt-Tiny, which are modern general-purpose CNNs. All models were trained and fine-tuned under identical conditions using a limited-size brain MRI dataset to ensure a fair comparison. Our results reveal that ConvNeXt-Tiny achieved the highest accuracy, followed by EfficientNetV2S, while RadImageNet DenseNet121, despite being pretrained on domain-specific medical data, exhibited poor generalization with lower accuracy and higher loss. These findings suggest that domain-specific pretraining may not generalize well under small-data conditions. In contrast, modern, deeper general-purpose CNNs pretrained on large-scale datasets can offer superior transfer learning performance in specialized medical imaging tasks.

Unlike nature image classification where groundtruth label is explicit and of no doubt, physicians commonly interpret medical image conditioned on certainty like using phrase "probable" or "likely". Existing medical image datasets either simply overlooked the nuance and polarise into binary label. Here, we propose a novel framework that leverages a Large Language Model (LLM) to directly mine medical reports to utilise the uncertainty relevant expression for supervision signal. At first, we collect uncertainty keywords from medical reports. Then, we use Qwen-3 4B to identify the textual uncertainty and map them into an adaptive Generalized Label Smoothing (GLS) rate. This rate allows our model to treat uncertain labels not as errors, but as informative signals, effectively incorporating expert skepticism into the training process. W e establish a new clinical expert uncertainty-aware benchmark to rigorously evaluate this problem. Experiments demonstrate that our approach significantly outperforms state-of-the-art methods in medical disease detection. The curated uncertainty words database, code, and benchmark will be made publicly available upon acceptance.

Deep learning models have achieved remarkable success in medical image analysis but are fundamentally constrained by the requirement for large-scale, meticulously annotated datasets. This dependency on "big data" is a critical bottleneck in the medical domain, where patient data is inherently difficult to acquire and expert annotation is expensive, particularly for rare diseases where samples are scarce by definition. To overcome this fundamental challenge, we propose a novel paradigm: Zero-Training Task-Specific Model Synthesis (ZS-TMS). Instead of adapting a pre-existing model or training a new one, our approach leverages a large-scale, pre-trained generative engine to directly synthesize the entire set of parameters for a task-specific classifier. Our framework, the Semantic-Guided Parameter Synthesizer (SGPS), takes as input minimal, multi-modal task information as little as a single example image (1-shot) and a corresponding clinical text description to directly synthesize the entire set of parameters for a task-specific classifier. The generative engine interprets these inputs to generate the weights for a lightweight, efficient classifier (e.g., an EfficientNet-V2), which can be deployed for inference immediately without any task-specific training or fine-tuning. We conduct extensive evaluations on challenging few-shot classification benchmarks derived from the ISIC 2018 skin lesion dataset and a custom rare disease dataset. Our results demonstrate that SGPS establishes a new state-of-the-art, significantly outperforming advanced few-shot and zero-shot learning methods, especially in the ultra-low data regimes of 1-shot and 5-shot classification. This work paves the way for the rapid development and deployment of AI-powered diagnostic tools, particularly for the long tail of rare diseases where data is critically limited.

Deformable templates, or atlases, are images that represent a prototypical anatomy for a population, and are often enhanced with probabilistic anatomical label maps. They are commonly used in medical image analysis for population studies and computational anatomy tasks such as registration and segmentation. Because developing a template is a computationally expensive process, relatively few templates are available. As a result, analysis is often conducted with sub-optimal templates that are not truly representative of the study population, especially when there are large variations within this population. W e propose a machine learning framework that uses con-volutional registration neural networks to efficiently learn a function that outputs templates conditioned on subject-specific attributes, such as age and sex. W e also leverage segmentations, when available, to produce anatomical segmentation maps for the resulting templates. The learned network can also be used to register subject images to the templates. W e demonstrate our method on a compilation of 3D brain MRI datasets, and show that it can learn high-quality templates that are representative of populations. W e find that annotated conditional templates enable better registration than their unlabeled unconditional counterparts, and outperform other templates construction methods.

The hyper-parameters for different datasets are shown in Table 1.

Accurate segmentation of nodules in both 2D breast ultrasound (BUS) and 3D automated breast ultrasound (ABUS) is crucial for clinical diagnosis and treatment planning. Therefore, developing an automated system for nodule segmentation can enhance user independence and expedite clinical analysis. Unlike fully-supervised learning, weakly-supervised segmentation (WSS) can streamline the laborious and intricate annotation process. However, current WSS methods face challenges in achieving precise nodule segmentation, as many of them depend on inaccurate activation maps or inefficient pseudo-mask generation algorithms. In this study, we introduce a novel multi-agent reinforcement learning-based WSS framework called Flip Learning, which relies solely on 2D/3D boxes for accurate segmentation. Specifically, multiple agents are employed to erase the target from the box to facilitate classification tag flipping, with the erased region serving as the predicted segmentation mask. The key contributions of this research are as follows: (1) Adoption of a superpixel/supervoxel-based approach to encode the standardized environment, capturing boundary priors and expediting the learning process. (2) Introduction of three meticulously designed rewards, comprising a classification score reward and two intensity distribution rewards, to steer the agents' erasing process precisely, thereby avoiding both under- and over-segmentation. (3) Implementation of a progressive curriculum learning strategy to enable agents to interact with the environment in a progressively challenging manner, thereby enhancing learning efficiency. Extensively validated on the large in-house BUS and ABUS datasets, our Flip Learning method outperforms state-of-the-art WSS methods and foundation models, and achieves comparable performance as fully-supervised learning algorithms.

Breast cancer is a leading cause of death among women worldwide, emphasizing the need for early detection and accurate diagnosis. As such Ultrasound Imaging, a reliable and cost-effective tool, is used for this purpose, however the sensitive nature of medical data makes it challenging to develop accurate and private artificial intelligence models. A solution is Federated Learning as it is a promising technique for distributed machine learning on sensitive medical data while preserving patient privacy. However, training on non-Independent and non-Identically Distributed (non-IID) local datasets can impact the accuracy and generalization of the trained model, which is crucial for accurate tumour boundary delineation in BC segmentation. This study aims to tackle this challenge by applying the Federated Proximal (FedProx) method to non-IID Ultrasonic Breast Cancer Imaging datasets. Moreover, we focus on enhancing tumour segmentation accuracy by incorporating a modified U-Net model with attention mechanisms. Our approach resulted in a global model with 96% accuracy, demonstrating the effectiveness of our method in enhancing tumour segmentation accuracy while preserving patient privacy. Our findings suggest that FedProx has the potential to be a promising approach for training precise machine learning models on non-IID local medical datasets.

The rapid advancement of artificial intelligence (AI) in healthcare imaging has revolutionized diagnostic medicine and clinical decision-making processes. This work presents an intelligent multimodal framework for medical image analysis that leverages Vision-Language Models (VLMs) in healthcare diagnostics. The framework integrates Google Gemini 2.5 Flash for automated tumor detection and clinical report generation across multiple imaging modalities including CT, MRI, X-ray, and Ultrasound. The system combines visual feature extraction with natural language processing to enable contextual image interpretation, incorporating coordinate verification mechanisms and probabilistic Gaussian modeling for anomaly distribution. Multi-layered visualization techniques generate detailed medical illustrations, overlay comparisons, and statistical representations to enhance clinical confidence, with location measurement achieving 80 pixels average deviation. Result processing utilizes precise prompt engineering and textual analysis to extract structured clinical information while maintaining interpretability. Experimental evaluations demonstrated high performance in anomaly detection across multiple modalities. The system features a user-friendly Gradio interface for clinical workflow integration and demonstrates zero-shot learning capabilities to reduce dependence on large datasets. This framework represents a significant advancement in automated diagnostic support and radiological workflow efficiency, though clinical validation and multi-center evaluation are necessary prior to widespread adoption.