Convolutional Neural Networks (CNNs), a sophisticated deep learning technique, have proven highly effective in identifying and classifying abnormalities related to various diseases. The manual classification of these is a hectic and time-consuming process; therefore, it is essential to develop a computerized technique. Most existing methods are designed to address a single specific problem, limiting their adaptability. In this work, we proposed a novel adaptive deep-learning framework for simultaneously classifying breast cancer and maternal-fetal ultrasound datasets. Data augmentation was applied in the preprocessing phase to address the data imbalance problem. After, two novel architectures are proposed: InBnFUS and CNNDen-GRU. The InBnFUS network combines 5-Blocks inception-based architecture (Model 1) and 5-Blocks inverted bottleneck-based architecture (Model 2) through a depth-wise concatenation layer, while CNNDen-GRU incorporates 5-Blocks dense architecture with an integrated GRU layer. Post-training features were extracted from the global average pooling and GRU layer and classified using neural network classifiers. The experimental evaluation achieved enhanced accuracy rates of 99.0% for breast cancer, 96.6% for maternal-fetal (common planes), and 94.6% for maternal-fetal (brain) datasets. Additionally, the models consistently achieve high precision, recall, and F1 scores across both datasets. A comprehensive ablation study has been performed, and the results show the superior performance of the proposed models.

Given artificial intelligence's transformative effects, studying safety is important to ensure it is implemented in a beneficial way. Convolutional neural networks are used in radiology research for prediction but can be corrupted through adversarial attacks. This study investigates the effect of an adversarial attack, through poisoned data. To improve generalizability, we create a generic ResNet pneumonia classification model and then use it as an example by subjecting it to BadNets adversarial attacks. The study uses various poisoned datasets of different compositions (2%, 16.7% and 100% ratios of poisoned data) and two different test sets (a normal set of test data and one that contained poisoned images) to study the effects of BadNets. To provide a visual effect of the progressing corruption of the models, SHapley Additive exPlanations (SHAP) were used. As corruption progressed, interval analysis revealed that performance on a valid test set decreased while the model learned to predict better on a poisoned test set. SHAP visualization showed focus on the trigger. In the 16.7% poisoned model, SHAP focus did not fixate on the trigger in the normal test set. Minimal effects were seen in the 2% model. SHAP visualization showed decreasing performance was correlated with increasing focus on the trigger. Corruption could potentially be masked in the 16.7% model unless subjected specifically to poisoned data. A minimum threshold for corruption may exist. The study demonstrates insights that can be further studied in future work and with future models. It also identifies areas of potential intervention for safeguarding models against adversarial attacks.

Living kidney donors typically experience approximately a 30% reduction in kidney function after donation, although the degree of reduction varies among individuals. This study aimed to develop a machine learning (ML) model to predict serum creatinine (Cre) levels at one year post-donation using preoperative clinical data, including kidney-, fat-, and muscle-volumetry values from computed tomography. A total of 204 living kidney donors were included. Symbolic regression via genetic programming was employed to create an ML-based Cre prediction model using preoperative clinical variables. Validation was conducted using a 7:3 training-to-test data split. The ML model demonstrated a median absolute error of 0.079 mg/dL for predicting Cre. In the validation cohort, it outperformed conventional methods (which assume post-donation eGFR to be 70% of the preoperative value) with higher R² (0.58 vs. 0.27), lower root mean squared error (5.27 vs. 6.89), and lower mean absolute error (3.92 vs. 5.8). Key predictive variables included preoperative Cre and remnant kidney volume. The model was deployed as a web application for clinical use. The ML model offers accurate predictions of post-donation kidney function and may assist in monitoring donor outcomes, enhancing personalized care after kidney donation.

Multi-modal and multi-view imaging is essential for diagnosis and assessment of cervical spondylosis. Deep learning has increasingly been developed to assist in diagnosis and assessment, which can help improve clinical management and provide new ideas for clinical research. To support the development and testing of deep learning models for cervical spondylosis, we have publicly shared a multi-modal and multi-view imaging dataset of cervical spondylosis, named MMCSD. This dataset comprises MRI and CT images from 250 patients. It includes axial bone and soft tissue window CT scans, sagittal T1-weighted and T2-weighted MRI, as well as axial T2-weighted MRI. Neck pain is one of the most common symptoms of cervical spondylosis. We use the MMCSD to develop a deep learning model for predicting postoperative neck pain in patients with cervical spondylosis, thereby validating its usability. We hope that the MMCSD will contribute to the advancement of neural network models for cervical spondylosis and neck pain, further optimizing clinical diagnostic assessments and treatment decision-making for these conditions.

The most common types of kidneys and liver cancer are renal cell carcinoma (RCC) and hepatic cell carcinoma (HCC), respectively. Accurate grading of these carcinomas is essential for determining the most appropriate treatment strategies, including surgery or pharmacological interventions. Traditional deep learning methods often struggle with the intricate and complex patterns seen in histopathology images of RCC and HCC, leading to inaccuracies in classification. To enhance the grading accuracy for liver and renal cell carcinoma, this research introduces a novel feature selection and fusion framework inspired by economic theories, incorporating attention mechanisms into three Convolutional Neural Network (CNN) architectures-MobileNetV2, DenseNet121, and InceptionV3-as foundational models. The attention mechanisms dynamically identify crucial image regions, leveraging each CNN's unique strengths. Additionally, a Gini-based feature selection method is implemented to prioritize the most discriminative features, and the extracted features from each network are optimally combined using a fusion technique modeled after a linear production function, maximizing each model's contribution to the final prediction. Experimental evaluations demonstrate that this proposed approach outperforms existing state-of-the-art models, achieving high accuracies of 93.04% for RCC and 98.24% for LCC. This underscores the method's robustness and effectiveness in accurately grading these types of cancers. The code of our method is publicly available in https://github.com/GHOSTCALL983/GRADE-CLASSIFICATION .

Vascular cognitive impairment (VCI) is an umbrella term for diseases associated with cognitive decline induced by substantive brain damage following pathological changes in the cerebrovascular system. The primary clinical manifestations include behavioral abnormalities and diminished learning and memory cognitive functions. If the location and extent of brain injury are not identified early and therapeutic interventions are not promptly administered, it may lead to irreversible cognitive impairment. Therefore, the early diagnosis of VCI is crucial for its prevention and treatment. Prior to the onset of cognitive impairment in VCI, magnetic resonance imaging (MRI) radiomics can be utilized for early assessment and diagnosis, thereby guiding clinicians in providing precise treatment for patients, which holds significant potential for development. This article reviews the classification of VCI, the concept of radiomics, the application of MRI radiomics in VCI, and the limitations of radiomics in the context of advancements in its application within the central nervous system. CRITICAL RELEVANCE STATEMENT: This article explores how MRI radiomics can be used to detect VCI early, enhancing clinical radiology practice by offering a reliable method for prediction, diagnosis, and identification, which also promotes standardization in research and integration of disciplines. KEY POINTS: MRI radiomics can predict VCI early. MRI radiomics can diagnose VCI. MRI radiomics distinguishes VCI from Alzheimer's disease.

Ankylosing Spondylitis (AS), commonly known as Bechterew's disease, is a complex, potentially disabling disease that develops slowly over time and progresses to radiographic sacroiliitis. The etiology of this disease is poorly understood, making it difficult to diagnose. Therefore, treatment is also delayed. This study aims to diagnose AS with an automated system that classifies axial magnetic resonance imaging (MRI) sequences of AS patients. Recently, the application of deep learning neural networks (DLNNs) for MRI classification has become widespread. The implementation of this process on computer-independent end devices is advantageous due to its high computational power and low latency requirements. In this research, an MRI dataset containing images from 527 individuals was used. A deep learning architecture on a Field Programmable Gate Array (FPGA) card was implemented and analyzed. The results show that the classification performed on FPGA in AS diagnosis yields successful results close to the classification performed on CPU.

This study aims to explore the application of ultrasound technology in triple-negative breast cancer (TNBC) using bibliometric methods. It presents a visual knowledge map to exhibit global research dynamics and elucidates the research directions, hotspots, trends, and frontiers in this field. The Web of Science Core Collection database was used, and CiteSpace and VOSviewer software were employed to visualize the annual publication volume, collaborative networks (including countries, institutions, and authors), citation characteristics (such as references, co-citations, and publications), as well as keywords (including emergence and clustering) related to ultrasound applications in TNBC over the past 15 years. A total of 310 papers were included. The first paper was published in 2010, and after that, publications in this field really took off, especially after 2020. China emerged as the leading country in terms of publication volume, while Shanghai Jiao Tong University had the highest output among institutions. Memorial Sloan Kettering Cancer Center was recognized as a key research institution within this domain. Adrada BE was the most prolific author in terms of publication count. Ko Es held the highest citation frequency among authors. Co-occurrence analysis of keywords revealed that the top three keywords by frequency were "triple-negative breast cancer," "breast cancer," and "sonography." The timeline visualization indicated a strong temporal continuity in the clusters of "breast cancer," "recommendations," "biopsy," "estrogen receptor," and "radiomics." The keyword with the highest emergence value was "neoplasms" (6.80). Trend analysis of emerging terms indicated a growing focus on "machine learning approaches," "prognosis," and "molecular subtypes," with "machine learning approach" emerging as a significant keyword currently. This study provided a systematic analysis of the current state of ultrasound technology applications in TNBC. It highlighted that "machine learning methods" have emerged as a central focus and frontier in this research area, both presently and for the foreseeable future. The findings offer valuable theoretical insights for the application of ultrasound technology in TNBC diagnosis and treatment and establish a solid foundation for further advancements in medical imaging research related to TNBC.

Early detection of lung cancer through low-dose CT lung cancer screening in a high-risk population has proven to reduce lung cancer-specific mortality. Nodule management plays a pivotal role in early detection and further diagnostic approaches. The European Society of Thoracic Imaging (ESTI) has established a nodule management recommendation to improve the handling of pulmonary nodules detected during screening. For solid nodules, the primary method for assessing the likelihood of malignancy is to monitor nodule growth using volumetry software. For subsolid nodules, the aggressiveness is determined by measuring the solid part. The ESTI-recommendation enhances existing protocols but puts a stronger focus on lesion aggressiveness. The main goals are to minimise the overall number of follow-up examinations while preventing the risk of a major stage shift and reducing the risk of overtreatment. KEY POINTS: Question Assessment of nodule growth and management according to guidelines is essential in lung cancer screening. Findings Assessment of nodule aggressiveness defines follow-up in lung cancer screening. Clinical relevance The ESTI nodule management recommendation aims to reduce follow-up examinations while preventing major stage shift and overtreatment.

To develop and validate a machine learning-based prediction model to predict axillary lymph node (ALN) metastasis in triple negative breast cancer (TNBC) patients using magnetic resonance imaging (MRI) and clinical characteristics. This retrospective study included TNBC patients from the First Affiliated Hospital of Soochow University and Jiangsu Province Hospital (2016-2023). We analyzed clinical characteristics and radiomic features from T2-weighted MRI. Using LASSO regression for feature selection, we applied Logistic Regression (LR), Random Forest (RF), and Support Vector Machine (SVM) to build prediction models. A total of 163 patients, with a median age of 53 years (range: 24-73), were divided into a training group (n = 115) and a validation group (n = 48). Among them, 54 (33.13%) had ALN metastasis, and 109 (66.87%) were non-metastasis. Nottingham grade (P = 0.005), tumor size (P = 0.016) were significant difference between non-metastasis cases and metastasis cases. In the validation set, the LR-based combined model achieved the highest AUC (0.828, 95%CI: 0.706-0.950) with excellent sensitivity (0.813) and accuracy (0.812). Although the RF-based model had the highest AUC in the training set and the highest specificity (0.906) in the validation set, its performance was less consistent compared to the LR model. MRI-T2WI radiomic features predict ALN metastasis in TNBC, with integration into clinical models enhancing preoperative predictions and personalizing management.