Deep learning-based 3-dimensional (3D) shape reconstruction from 2-dimensional (2D) magnetic resonance imaging (MRI) has become increasingly important in medical disease diagnosis, treatment planning, and computational modeling. This review surveys the methodological landscape of 3D MRI reconstruction, focusing on 4 primary approaches: point cloud, mesh-based, shape-aware, and volumetric models. For each category, we analyze the current state-of-the-art techniques, their methodological foundation, limitations, and applications across anatomical structures. We provide an extensive overview ranging from cardiac to neurological to lung imaging. We also focus on the clinical applicability of models to diseased anatomy, and the influence of their training and testing data. We examine publicly available datasets, computational demands, and evaluation metrics. Finally, we highlight the emerging research directions including multimodal integration and cross-modality frameworks. This review aims to provide researchers with a structured overview of current 3D reconstruction methodologies to identify opportunities for advancing deep learning towards more robust, generalizable, and clinically impactful solutions.

High-sensitivity clutter filtering is a fundamental step in ultrasound microvascular imaging. Singular value decomposition (SVD) and robust principal component analysis (rPCA) are the main clutter filtering strategies. However, both strategies are limited in feature modeling and tissue-blood flow separation for high-quality microvascular imaging. Recently, deep learning-based clutter filtering has shown potential in more thoroughly separating tissue and blood flow signals. However, the existing supervised filters face the challenges of interpretability and lack of in-vitro and in-vivo ground truths. While the interpretability issue can be addressed by algorithm deep unfolding, the training ground truth remains unsolved. To this end, this paper proposes an unsupervised unfolded rPCA (U2-rPCA) method that preserves mathematical interpretability and is insusceptible to learning labels. Specifically, U2-rPCA is unfolded from an iteratively reweighted least squares (IRLS) rPCA baseline with intrinsic low-rank and sparse regularization. A sparse-enhancement unit is added to the network to strengthen its capability to capture the sparse micro-flow signals. U2-rPCA is like an adaptive filter that is trained with part of the image sequence and then used for the following frames. Experimental validations on a in-silico dataset and public in-vivo datasets demonstrated the outperformance of U2-rPCA when compared with the SVD-based method, the rPCA baseline, and another deep learning-based filter. Particularly, the proposed method improved the contrastto-noise ratio (CNR) of the power Doppler image by 2 dB to 10 dB when compared with other methods. Furthermore, the effectiveness of the building modules of U2-rPCA was validated through ablation studies.

While contrast-enhanced CT (CECT) is standard for assessing abdominal aortic aneurysms (AAA), the required iodinated contrast agents pose significant risks, including nephrotoxicity, patient allergies, and environmental harm. To reduce contrast agent use, recent deep learning methods have focused on generating synthetic CECT from non-contrast CT (NCCT) scans. However, most adopt a multi-stage pipeline that first generates images and then performs segmentation, which leads to error accumulation and fails to leverage shared semantic and anatomical structures. To address this, we propose a unified deep learning framework that generates synthetic CECT images from NCCT scans while simultaneously segmenting the aortic lumen and thrombus. Our approach integrates conditional diffusion models (CDM) with multi-task learning, enabling end-to-end joint optimization of image synthesis and anatomical segmentation. Unlike previous multitask diffusion models, our approach requires no initial predictions (e.g., a coarse segmentation mask), shares both encoder and decoder parameters across tasks, and employs a semi-supervised training strategy to learn from scans with missing segmentation labels, a common constraint in real-world clinical data. We evaluated our method on a cohort of 264 patients, where it consistently outperformed state-of-the-art single-task and multi-stage models. For image synthesis, our model achieved a PSNR of 25.61 dB, compared to 23.80 dB from a single-task CDM. For anatomical segmentation, it improved the lumen Dice score to 0.89 from 0.87 and the challenging thrombus Dice score to 0.53 from 0.48 (nnU-Net). These segmentation enhancements led to more accurate clinical measurements, reducing the lumen diameter MAE to 4.19 mm from 5.78 mm and the thrombus area error to 33.85% from 41.45% when compared to nnU-Net. Code is available at https://github.com/yuxuanou623/AortaDiff.git.

Transfer learning is crucial for medical imaging, yet the selection of source datasets - which can impact the generalizability of algorithms, and thus patient outcomes - often relies on researchers' intuition rather than systematic principles. This study investigates these decisions through a task-based survey with machine learning practitioners. Unlike prior work that benchmarks models and experimental setups, we take a human-centered HCI perspective on how practitioners select source datasets. Our findings indicate that choices are task-dependent and influenced by community practices, dataset properties, and computational (data embedding), or perceived visual or semantic similarity. However, similarity ratings and expected performance are not always aligned, challenging a traditional "more similar is better" view. Participants often used ambiguous terminology, which suggests a need for clearer definitions and HCI tools to make them explicit and usable. By clarifying these heuristics, this work provides practical insights for more systematic source selection in transfer learning.

Background: Quantitative stress perfusion cardiovascular magnetic resonance (CMR) is a powerful tool for assessing myocardial ischemia. Motion correction is essential for accurate pixel-wise mapping but traditional registration-based methods are slow and sensitive to acquisition variability, limiting robustness and scalability. Methods: We developed an unsupervised deep learning-based motion correction pipeline that replaces iterative registration with efficient one-shot estimation. The method corrects motion in three steps and uses robust principal component analysis to reduce contrast-related effects. It aligns the perfusion series and auxiliary images (arterial input function and proton density-weighted series). Models were trained and validated on multivendor data from 201 patients, with 38 held out for testing. Performance was assessed via temporal alignment and quantitative perfusion values, compared to a previously published registration-based method. Results: The deep learning approach significantly improved temporal smoothness of time-intensity curves (p<0.001). Myocardial alignment (Dice = 0.92 (0.04) and 0.91 (0.05)) was comparable to the baseline and superior to before registration (Dice = 0.80 (0.09), p<0.001). Perfusion maps showed reduced motion, with lower standard deviation in the myocardium (0.52 (0.39) ml/min/g) compared to baseline (0.55 (0.44) ml/min/g). Processing time was reduced 15-fold. Conclusion: This deep learning pipeline enables fast, robust motion correction for stress perfusion CMR, improving accuracy across dynamic and auxiliary images. Trained on multivendor data, it generalizes across sequences and may facilitate broader clinical adoption of quantitative perfusion imaging.

The accurate interpretation of chest radiographs using automated methods is a critical task in medical imaging. This paper presents a comparative analysis between a supervised lightweight Convolutional Neural Network (CNN) and a state-of-the-art, zero-shot medical Vision-Language Model (VLM), BiomedCLIP, across two distinct diagnostic tasks: pneumonia detection on the PneumoniaMNIST benchmark and tuberculosis detection on the Shenzhen TB dataset. Our experiments show that supervised CNNs serve as highly competitive baselines in both cases. While the default zero-shot performance of the VLM is lower, we demonstrate that its potential can be unlocked via a simple yet crucial remedy: decision threshold calibration. By optimizing the classification threshold on a validation set, the performance of BiomedCLIP is significantly boosted across both datasets. For pneumonia detection, calibration enables the zero-shot VLM to achieve a superior F1-score of 0.8841, surpassing the supervised CNN's 0.8803. For tuberculosis detection, calibration dramatically improves the F1-score from 0.4812 to 0.7684, bringing it close to the supervised baseline's 0.7834. This work highlights a key insight: proper calibration is essential for leveraging the full diagnostic power of zero-shot VLMs, enabling them to match or even outperform efficient, task-specific supervised models.

Accurate medical image segmentation plays a crucial role in overall diagnosis and is one of the most essential tasks in the diagnostic pipeline. CNN-based models, despite their extensive use, suffer from a local receptive field and fail to capture the global context. A common approach that combines CNNs with transformers attempts to bridge this gap but fails to effectively fuse the local and global features. With the recent emergence of VLMs and foundation models, they have been adapted for downstream medical imaging tasks; however, they suffer from an inherent domain gap and high computational cost. To this end, we propose U-DFA, a unified DINOv2-Unet encoder-decoder architecture that integrates a novel Local-Global Fusion Adapter (LGFA) to enhance segmentation performance. LGFA modules inject spatial features from a CNN-based Spatial Pattern Adapter (SPA) module into frozen DINOv2 blocks at multiple stages, enabling effective fusion of high-level semantic and spatial features. Our method achieves state-of-the-art performance on the Synapse and ACDC datasets with only 33\% of the trainable model parameters. These results demonstrate that U-DFA is a robust and scalable framework for medical image segmentation across multiple modalities.

Foundation models (FMs) are reshaping medical imaging, yet their application in echocardiography remains limited. While several echocardiography-specific FMs have recently been introduced, no standardized benchmark exists to evaluate them. Echocardiography poses unique challenges, including noisy acquisitions, high frame redundancy, and limited public datasets. Most existing solutions evaluate on private data, restricting comparability. To address this, we introduce CardioBench, a comprehensive benchmark for echocardiography FMs. CardioBench unifies eight publicly available datasets into a standardized suite spanning four regression and five classification tasks, covering functional, structural, diagnostic, and view recognition endpoints. We evaluate several leading FM, including cardiac-specific, biomedical, and general-purpose encoders, under consistent zero-shot, probing, and alignment protocols. Our results highlight complementary strengths across model families: temporal modeling is critical for functional regression, retrieval provides robustness under distribution shift, and domain-specific text encoders capture physiologically meaningful axes. General-purpose encoders transfer strongly and often close the gap with probing, but struggle with fine-grained distinctions like view classification and subtle pathology recognition. By releasing preprocessing, splits, and public evaluation pipelines, CardioBench establishes a reproducible reference point and offers actionable insights to guide the design of future echocardiography foundation models.

Automated structured radiology report generation (SRRG) from chest X-ray images offers significant potential to reduce workload of radiologists by generating reports in structured formats that ensure clarity, consistency, and adherence to clinical reporting standards. While radiologists effectively utilize available clinical contexts in their diagnostic reasoning, existing SRRG systems overlook these essential elements. This fundamental gap leads to critical problems including temporal hallucinations when referencing non-existent clinical contexts. To address these limitations, we propose contextualized SRRG (C-SRRG) that comprehensively incorporates rich clinical context for SRRG. We curate C-SRRG dataset by integrating comprehensive clinical context encompassing 1) multi-view X-ray images, 2) clinical indication, 3) imaging techniques, and 4) prior studies with corresponding comparisons based on patient histories. Through extensive benchmarking with state-of-the-art multimodal large language models, we demonstrate that incorporating clinical context with the proposed C-SRRG significantly improves report generation quality. We publicly release dataset, code, and checkpoints to facilitate future research for clinically-aligned automated RRG at https://github.com/vuno/contextualized-srrg.

Precise delineation of meningiomas is crucial for effective radiotherapy (RT) planning, directly influencing treatment efficacy and preservation of adjacent healthy tissues. While automated deep learning approaches have demonstrated considerable potential, achieving consistently accurate clinical segmentation remains challenging due to tumor heterogeneity. Interactive Medical Image Segmentation (IMIS) addresses this challenge by integrating advanced AI techniques with clinical input. However, generic segmentation tools, despite widespread applicability, often lack the specificity required for clinically critical and disease-specific tasks like meningioma RT planning. To overcome these limitations, we introduce Interactive-MEN-RT, a dedicated IMIS tool specifically developed for clinician-assisted 3D meningioma segmentation in RT workflows. The system incorporates multiple clinically relevant interaction methods, including point annotations, bounding boxes, lasso tools, and scribbles, enhancing usability and clinical precision. In our evaluation involving 500 contrast-enhanced T1-weighted MRI scans from the BraTS 2025 Meningioma RT Segmentation Challenge, Interactive-MEN-RT demonstrated substantial improvement compared to other segmentation methods, achieving Dice similarity coefficients of up to 77.6\% and Intersection over Union scores of 64.8\%. These results emphasize the need for clinically tailored segmentation solutions in critical applications such as meningioma RT planning. The code is publicly available at: https://github.com/snuh-rad-aicon/Interactive-MEN-RT