Coronary artery disease (CAD) remains a major global health burden. Accurate identification of the culprit vessel and assessment of stenosis severity are essential for guiding individualized therapy. Although coronary CT angiography (CCTA) is the first-line non-invasive modality for CAD diagnosis, its dependence on high-end equipment, radiation exposure, and strict patient cooperation limits large-scale use. With advances in artificial intelligence (AI) and the widespread availability of electrocardiography (ECG), AI-ECG offers a promising alternative for CAD screening. In this study, we developed an interpretable AI-ECG model to predict severe or complete stenosis of the four major coronary arteries on CCTA. On the internal validation set, the model's AUCs for the right coronary artery (RCA), left main coronary artery (LM), left anterior descending artery (LAD), and left circumflex artery (LCX) were 0.794, 0.818, 0.744, and 0.755, respectively; on the external validation set, the AUCs reached 0.749, 0.971, 0.667, and 0.727, respectively. Performance remained stable in a clinically normal-ECG subset, indicating robustness beyond overt ECG abnormalities. Subgroup analyses across demographic and acquisition-time strata further confirmed model stability. Risk stratification based on vessel-specific incidence thresholds showed consistent separation on calibration and cumulative event curves. Interpretability analyses revealed distinct waveform differences between high- and low-risk groups, highlighting key electrophysiological regions contributing to model decisions and offering new insights into the ECG correlates of coronary stenosis.

This paper proposes a new enhanced model architecture to perform classification of lumbar spine degeneration with DICOM images while using a hybrid approach, integrating EfficientNet and VGG19 together with custom-designed components. The proposed model is differentiated from traditional transfer learning methods as it incorporates a Pseudo-Newton Boosting layer along with a Sparsity-Induced Feature Reduction Layer that forms a multi-tiered framework, further improving feature selection and representation. The Pseudo-Newton Boosting layer makes smart variations of feature weights, with more detailed anatomical features, which are mostly left out in a transfer learning setup. In addition, the Sparsity-Induced Layer removes redundancy for learned features, producing lean yet robust representations for pathology in the lumbar spine. This architecture is novel as it overcomes the constraints in the traditional transfer learning approach, especially in the high-dimensional context of medical images, and achieves a significant performance boost, reaching a precision of 0.9, recall of 0.861, F1 score of 0.88, loss of 0.18, and an accuracy of 88.1%, compared to the baseline model, EfficientNet. This work will present the architectures, preprocessing pipeline, and experimental results. The results contribute to the development of automated diagnostic tools for medical images.

Accurate anatomical labeling of intracranial arteries is essential for cerebrovascular diagnosis and hemodynamic analysis but remains time-consuming and subject to interoperator variability. We present a deep learning-based framework for automated artery labeling from 3D Time-of-Flight Magnetic Resonance Angiography (3D ToF-MRA) segmentations (n=35), incorporating uncertainty quantification to enhance interpretability and reliability. We evaluated three convolutional neural network architectures: (1) a UNet with residual encoder blocks, reflecting commonly used baselines in vascular labeling; (2) CS-Net, an attention-augmented UNet incorporating channel and spatial attention mechanisms for enhanced curvilinear structure recognition; and (3) nnUNet, a self-configuring framework that automates preprocessing, training, and architectural adaptation based on dataset characteristics. Among these, nnUNet achieved the highest labeling performance (average Dice score: 0.922; average surface distance: 0.387 mm), with improved robustness in anatomically complex vessels. To assess predictive confidence, we implemented test-time augmentation (TT A) and introduced a novel coordinate-guided strategy to reduce interpolation errors during augmented inference. The resulting uncertainty maps reliably indicated regions of anatomical ambiguity, pathological variation, or manual labeling inconsistency. We further validated clinical utility by comparing flow velocities derived from automated and manual labels in co-registered 4D Flow MRI datasets, observing close agreement with no statistically significant differences. Our framework offers a scalable, accurate, and uncertainty-aware solution for automated cerebrovascular labeling, supporting downstream hemodynamic analysis and facilitating clinical integration. Introduction The intracranial arterial system plays a critical role in brain perfusion to maintain normal cognitive function.

Coronary artery disease stands as one of the primary contributors to global mortality rates. The automated identification of coronary artery stenosis from X-ray images plays a critical role in the diagnostic process for coronary heart disease. This task is challenging due to the complex structure of coronary arteries, intrinsic noise in X-ray images, and the fact that stenotic coronary arteries appear narrow and blurred in X-ray angiographies. This study employs five different variants of the Mamba-based model and one variant of the Swin Transformer-based model, primarily based on the U-Net architecture, for the localization of stenosis in Coronary artery disease. Our best results showed an F1 score of 68.79% for the U-Mamba BOT model, representing an 11.8% improvement over the semi-supervised approach.

We propose a general pipeline to automate the extraction of labels from radiology reports using large language models, which we validate on spinal MRI reports. The efficacy of our labelling method is measured on five distinct conditions: spinal cancer, stenosis, spondylolisthesis, cauda equina compression and herniation. Using open-source models, our method equals or surpasses GPT-4 on a held-out set of reports. Furthermore, we show that the extracted labels can be used to train imaging models to classify the identified conditions in the accompanying MR scans. All classifiers trained using automated labels achieve comparable performance to models trained using scans manually annotated by clinicians. Code can be found at https://github.com/robinyjpark/AutoLabelClassifier.

Assessing the severity of stenoses in coronary angiography is critical to the patient's health, as coronary stenosis is an underlying factor in heart failure. Current practice for grading coronary lesions, i.e. fractional flow reserve (FFR) or instantaneous wave-free ratio (iFR), suffers from several drawbacks, including time, cost and invasiveness, alongside potential interobserver variability. In this context, some deep learning methods have emerged to assist cardiologists in automating the estimation of FFR/iFR values. Despite the effectiveness of these methods, their reliance on large datasets is challenging due to the distributed nature of sensitive medical data. Federated learning addresses this challenge by aggregating knowledge from multiple nodes to improve model generalization, while preserving data privacy. We propose the first federated detection transformer approach, FeDETR, to assess stenosis severity in angiography videos based on FFR/iFR values estimation. In our approach, each node trains a detection transformer (DETR) on its local dataset, with the central server federating the backbone part of the network. The proposed method is trained and evaluated on a dataset collected from five hospitals, consisting of 1001 angiographic examinations, and its performance is compared with state-of-the-art federated learning methods.

The fundamental problem with ultrasound-guided diagnosis is that the acquired images are often 2-D cross-sections of a 3-D anatomy, potentially missing important anatomical details. This limitation leads to challenges in ultrasound echocardiography, such as poor visualization of heart valves or foreshortening of ventricles. Clinicians must interpret these images with inherent uncertainty, a nuance absent in machine learning's one-hot labels. We propose Re-Training for Uncertainty (RT4U), a data-centric method to introduce uncertainty to weakly informative inputs in the training set. This simple approach can be incorporated to existing state-of-the-art aortic stenosis classification methods to further improve their accuracy. When combined with conformal prediction techniques, RT4U can yield adaptively sized prediction sets which are guaranteed to contain the ground truth class to a high accuracy. We validate the effectiveness of RT4U on three diverse datasets: a public (TMED-2) and a private AS dataset, along with a CIFAR-10-derived toy dataset. Results show improvement on all the datasets.

Cardiac auscultation, an integral tool in diagnosing cardiovascular diseases (CVDs), often relies on the subjective interpretation of clinicians, presenting a limitation in consistency and accuracy. Addressing this, we introduce the BUET Multi-disease Heart Sound (BMD-HS) dataset - a comprehensive and meticulously curated collection of heart sound recordings. This dataset, encompassing 864 recordings across five distinct classes of common heart sounds, represents a broad spectrum of valvular heart diseases, with a focus on diagnostically challenging cases. The standout feature of the BMD-HS dataset is its innovative multi-label annotation system, which captures a diverse range of diseases and unique disease states. This system significantly enhances the dataset's utility for developing advanced machine learning models in automated heart sound classification and diagnosis. By bridging the gap between traditional auscultation practices and contemporary data-driven diagnostic methods, the BMD-HS dataset is poised to revolutionize CVD diagnosis and management, providing an invaluable resource for the advancement of cardiac health research. The dataset is publicly available at this link: https://github.com/mHealthBuet/BMD-HS-Dataset.

Large language models (LLMs) present a valuable technology for various applications in healthcare, but their tendency to hallucinate introduces unacceptable uncertainty in critical decision-making situations. Human-AI collaboration (HAIC) can mitigate this uncertainty by combining human and AI strengths for better outcomes. This paper presents a novel guided deferral system that provides intelligent guidance when AI defers cases to human decision-makers. We leverage LLMs' verbalisation capabilities and internal states to create this system, demonstrating that fine-tuning small-scale LLMs with data from large-scale LLMs greatly enhances performance while maintaining computational efficiency and data privacy. A pilot study showcases the effectiveness of our proposed deferral system.

Most of the recent results in polynomial functional regression have been focused on an in-depth exploration of single-parameter regularization schemes. In contrast, in this study we go beyond that framework by introducing an algorithm for multiple parameter regularization and presenting a theoretically grounded method for dealing with the associated parameters. This method facilitates the aggregation of models with varying regularization parameters. The efficacy of the proposed approach is assessed through evaluations on both synthetic and some real-world medical data, revealing promising results.