Medical images exhibit latent anatomical groupings, such as organs, tissues, and pathological regions, that standard Vision Transformers (ViTs) fail to exploit. While recent work like SBM-Transformer attempts to incorporate such structures through stochastic binary masking, they suffer from non-differentiability, training instability, and the inability to model complex community structure. We present DCMM-Transformer, a novel ViT architecture for medical image analysis that incorporates a Degree-Corrected Mixed-Membership (DCMM) model as an additive bias in self-attention. Unlike prior approaches that rely on multiplicative masking and binary sampling, our method introduces community structure and degree heterogeneity in a fully differentiable and interpretable manner. Comprehensive experiments across diverse medical imaging datasets, including brain, chest, breast, and ocular modalities, demonstrate the superior performance and generalizability of the proposed approach. Furthermore, the learned group structure and structured attention modulation substantially enhance interpretability by yielding attention maps that are anatomically meaningful and semantically coherent.

Although deep neural networks have provided impressive gains in performance, these improvements often come at the cost of increased computational complexity and expense. In many cases, such as 3D volume or video classification tasks, not all slices or frames are necessary due to inherent redundancies. To address this issue, we propose a novel learnable subsampling framework that can be integrated into any neural network architecture. Subsampling, being a nondifferentiable operation, poses significant challenges for direct adaptation into deep learning models. While some works, have proposed solutions using the Gumbel-max trick to overcome the problem of non-differentiability, they fall short in a crucial aspect: they are only task-adaptive and not inputadaptive. Once the sampling mechanism is learned, it remains static and does not adjust to different inputs, making it unsuitable for real-world applications. To this end, we propose an attention-guided sampling module that adapts to inputs even during inference. This dynamic adaptation results in performance gains and reduces complexity in deep neural network models. We demonstrate the effectiveness of our method on 3D medical imaging datasets from MedMNIST3D as well as two ultrasound video datasets for classification tasks, one of them being a challenging in-house dataset collected under real-world clinical conditions.

Deep learning has driven significant advances in medical image analysis, yet its adoption in clinical practice remains constrained by the large size and lack of transparency in modern models. Advances in interpretability techniques such as DL-Backtrace, Layer-wise Relevance Propagation, and Integrated Gradients make it possible to assess the contribution of individual components within neural networks trained on medical imaging tasks. In this work, we introduce an interpretability-guided pruning framework that reduces model complexity while preserving both predictive performance and transparency. By selectively retaining only the most relevant parts of each layer, our method enables targeted compression that maintains clinically meaningful representations. Experiments across multiple medical image classification benchmarks demonstrate that this approach achieves high compression rates with minimal loss in accuracy, paving the way for lightweight, interpretable models suited for real-world deployment in healthcare settings.

Datasets play a critical role in medical imaging research, yet issues such as label quality, shortcuts, and metadata are often overlooked. This lack of attention may harm the generalizability of algorithms and, consequently, negatively impact patient outcomes. While existing medical imaging literature reviews mostly focus on machine learning (ML) methods, with only a few focusing on datasets for specific applications, these reviews remain static -- they are published once and not updated thereafter. This fails to account for emerging evidence, such as biases, shortcuts, and additional annotations that other researchers may contribute after the dataset is published. We refer to these newly discovered findings of datasets as research artifacts. To address this gap, we propose a living review that continuously tracks public datasets and their associated research artifacts across multiple medical imaging applications. Our approach includes a framework for the living review to monitor data documentation artifacts, and an SQL database to visualize the citation relationships between research artifact and dataset. Lastly, we discuss key considerations for creating medical imaging datasets, review best practices for data annotation, discuss the significance of shortcuts and demographic diversity, and emphasize the importance of managing datasets throughout their entire lifecycle. Our demo is publicly available at http://130.226.140.142.

Multi-task learning (MTL) is a powerful approach in deep learning that leverages the information from multiple tasks during training to improve model performance. In medical imaging, MTL has shown great potential to solve various tasks. However, existing MTL architectures in medical imaging are limited in sharing information across tasks, reducing the potential performance improvements of MTL. In this study, we introduce a novel attention-based MTL framework to better leverage inter-task interactions for various tasks from pixel-level to image-level predictions. Specifically, we propose a Cross-Task Attention Network (CTAN) which utilizes cross-task attention mechanisms to incorporate information by interacting across tasks. We validated CTAN on four medical imaging datasets that span different domains and tasks including: radiation treatment planning prediction using planning CT images of two different target cancers (Prostate, OpenKBP); pigmented skin lesion segmentation and diagnosis using dermatoscopic images (HAM10000); and COVID-19 diagnosis and severity prediction using chest CT scans (STOIC). Our study demonstrates the effectiveness of CTAN in improving the accuracy of medical imaging tasks. Compared to standard single-task learning (STL), CTAN demonstrated a 4.67% improvement in performance and outperformed both widely used MTL baselines: hard parameter sharing (HPS) with an average performance improvement of 3.22%; and multi-task attention network (MTAN) with a relative decrease of 5.38%. These findings highlight the significance of our proposed MTL framework in solving medical imaging tasks and its potential to improve their accuracy across domains.

Latent diffusion models (LDMs), a subclass of denoising diffusion models, have recently acquired prominence because they make generating images with high fidelity, diversity, and resolution possible. These models enable fine-grained control of the image production process at inference time (e.g., by utilizing text prompts) when combined with a conditioning mechanism. Large, multi-modal datasets like LAION5B, which contain billions of real image-text pairs, are frequently used to train such models. Given the proper pre-training, LDMs can be used for many downstream activities and are sometimes referred to as foundation models (FM). LDMs can be deployed to end users more easily because their denoising process operates in a relatively low-dimensional latent space and requires only modest hardware resources.

Although generative adversarial networks (GANs) have shown promise in medical imaging, they have four main limitations that impeded their utility: computational cost, data requirements, reliable evaluation measures, and training complexity. Our work investigates each of these obstacles in a novel application of StyleGAN2-ADA to high-resolution medical imaging datasets. Our dataset is comprised of liver-containing axial slices from non-contrast and contrast-enhanced computed tomography (CT) scans. Additionally, we utilized four public datasets composed of various imaging modalities. We trained a StyleGAN2 network with transfer learning (from the Flickr-Faces-HQ dataset) and data augmentation (horizontal flipping and adaptive discriminator augmentation). The network's generative quality was measured quantitatively with the Fr\'echet Inception Distance (FID) and qualitatively with a visual Turing test given to seven radiologists and radiation oncologists. The StyleGAN2-ADA network achieved a FID of 5.22 ($\pm$ 0.17) on our liver CT dataset. It also set new record FIDs of 10.78, 3.52, 21.17, and 5.39 on the publicly available SLIVER07, ChestX-ray14, ACDC, and Medical Segmentation Decathlon (brain tumors) datasets. In the visual Turing test, the clinicians rated generated images as real 42% of the time, approaching random guessing. Our computational ablation study revealed that transfer learning and data augmentation stabilize training and improve the perceptual quality of the generated images. We observed the FID to be consistent with human perceptual evaluation of medical images. Finally, our work found that StyleGAN2-ADA consistently produces high-quality results without hyperparameter searches or retraining.

See also the article by Mei et al in this issue. Alexandre Cadrin-Chênevert, MD, BEng, is a diagnostic and interventional radiologist at CISSS Lanaudière and clinical professor at Laval University. He has previously served as chief of the medical imaging department. As a Kaggle competition master, he has successfully participated in many machine learning competitions. He is an early member of the Canadian Association of Radiologists (CAR) Artificial Intelligence (AI) Standing Committee. His current research interests include deep learning, computer vision, object detection, self-supervised learning, model generalizability, and public medical imaging datasets.