To determine whether deep learning (DL)-based image quality (IQ) assessment of T2-weighted images (T2WI) could be biased by the presence of clinically significant prostate cancer (csPCa). In this three-center retrospective study, five abdominal radiologists categorized IQ of 2,105 transverse T2WI series into optimal, mild, moderate, and severe degradation. An IQ classification model was developed using 1,719 series (development set). The agreement between the model and radiologists was assessed using the remaining 386 series with a quadratic weighted kappa. The model was applied to 11,723 examinations that were not included in the development set and without documented prostate cancer at the time of MRI (patient age, 65.5 ± 8.3 years [mean ± standard deviation]). Examinations categorized as mild to severe degradation were used as target groups, whereas those as optimal were used to construct matched control groups. Case-control matching was performed to mitigate the effects of pre-MRI confounding factors, such as age and prostate-specific antigen value. The proportion of patients with csPCa was compared between the target and matched control groups using the chi-squared test. The agreement between the model and radiologists was moderate with a quadratic weighted kappa of 0.53. The mild-moderate IQ-degraded groups had significantly higher csPCa proportions than the matched control groups with optimal IQ: moderate (N = 126) vs. optimal (N = 504), 26.3% vs. 22.7%, respectively, difference = 3.6% [95% confidence interval: 0.4%, 6.8%], p = 0.03; mild (N = 1,399) vs. optimal (N = 1,399), 22.9% vs. 20.2%, respectively, difference = 2.7% [0.7%, 4.7%], p = 0.008. The DL-based IQ tended to be worse in patients with csPCa, raising concerns about its clinical application.

Recent advances in molecular genetics have revolutionized the classification of pediatric-type high-grade gliomas in the 2021 World Health Organization central nervous system tumor classification. This narrative review synthesizes current evidence on the following four tumor types: diffuse midline glioma, H3 K27-altered; diffuse hemispheric glioma, H3 G34-mutant; diffuse pediatric-type high-grade glioma, H3-wildtype and IDH-wildtype; and infant-type hemispheric glioma. We conducted a comprehensive literature search for articles published through January 2025. For each tumor type, we analyze characteristic clinical presentations, molecular alterations, conventional and advanced magnetic resonance imaging features, radiological-molecular correlations, and current therapeutic approaches. Emerging radiogenomic approaches utilizing artificial intelligence, including radiomics and deep learning, show promise in identifying imaging biomarkers that correlate with molecular features. This review highlights the importance of integrating radiological and molecular data for accurate diagnosis and treatment planning, while acknowledging limitations in current methodologies and the need for prospective validation in larger cohorts. Understanding these correlations is crucial for advancing personalized treatment strategies for these challenging tumors.

Stroke poses a significant health challenge, with ischemic and hemorrhagic subtypes requiring timely and accurate diagnosis for effective management. Traditional imaging techniques like CT have limitations, particularly in early ischemic stroke detection. Recent advancements in artificial intelligence (AI) offer potential improvements in stroke diagnosis by enhancing imaging interpretation. This meta-analysis aims to evaluate the diagnostic accuracy of AI systems compared to human experts in detecting ischemic and hemorrhagic strokes. The review was conducted following PRISMA-DTA guidelines. Studies included stroke patients evaluated in emergency settings using AI-Based models on CT or MRI imaging, with human radiologists as the reference standard. Databases searched were MEDLINE, Scopus, and Cochrane Central, up to January 1, 2024. The primary outcome measured was diagnostic accuracy, including sensitivity, specificity, and AUROC and the methodological quality was assessed using QUADAS-2. Nine studies met the inclusion criteria and were included. The pooled analysis for ischemic stroke revealed a mean sensitivity of 86.9% (95% CI: 69.9%-95%) and specificity of 88.6% (95% CI: 77.8%-94.5%). For hemorrhagic stroke, the pooled sensitivity and specificity were 90.6% (95% CI: 86.2%-93.6%) and 93.9% (95% CI: 87.6%-97.2%), respectively. The diagnostic odds ratios indicated strong diagnostic efficacy, particularly for hemorrhagic stroke (DOR: 148.8, 95% CI: 79.9-277.2). AI-Based systems exhibit high diagnostic accuracy for both ischemic and hemorrhagic strokes, closely approaching that of human radiologists. These findings underscore the potential of AI to improve diagnostic precision and expedite clinical decision-making in acute stroke settings.

Thyroid hormones are significant for controlling metabolism, and two common thyroid disorders, such as hypothyroidism. The hyperthyroidism are directly affect the metabolic rate of the human body. Predicting and diagnosing thyroid disease remain significant challenges in medical research due to the complexity of thyroid hormone regulation and its impact on metabolism. Therefore, this paper proposes a Complex-valued Spatio-Temporal Graph Convolution Neural Network optimized with Giraffe Kicking Optimization Algorithm for Thyroid Nodule Classification in Ultrasound Images (CSGCNN-GKOA-TNC-UI). Here, the ultrasound images are collected through DDTI (Digital Database of Thyroid ultrasound Imageries) dataset. The gathered data is given into the pre-processing stage using Bilinear Double-Order Filter (BDOF) approach to eradicate the noise and increase the input images quality. The pre-processing image is given into the Deep Adaptive Fuzzy Clustering (DAFC) for Region of Interest (RoI) segmentation. The segmented image is fed to the Multi-Objective Matched Synchro Squeezing Chirplet Transform (MMSSCT) for extracting the features, like Geometric features and Morphological features. The extracted features are fed into the CSGCNN, which classifies the Thyroid Nodule into Benign Nodules and Malign Nodules. Finally, Giraffe Kicking Optimization Algorithm (GKOA) is considered to enhance the CSGCNN classifier. The CSGCNN-GKOA-TNC-UI algorithm is implemented in MATLAB. The CSGCNN-GKOA-TNC-UI approach attains 34.9%, 21.5% and 26.8% higher f-score, 18.6%, 29.3 and 19.2% higher accuracy when compared with existing models: Thyroid diagnosis with classification utilizing DNN depending on hybrid meta-heuristic with LSTM method (LSTM-TNC-UI), innovative full-scale connected network for segmenting thyroid nodule in UI (FCG Net-TNC-UI), and Adversarial architecture dependent multi-scale fusion method for segmenting thyroid nodule (AMSeg-TNC-UI) methods respectively. The proposed model enhances thyroid nodule classification accuracy, aiding radiologists and endocrinologists. By reducing misclassification, it minimizes unnecessary biopsies and enables early malignancy detection.

Explainable Artificial Intelligence (XAI) has become an essential component of medical imaging research, aiming to increase transparency and clinical trust in deep learning models. This study investigates brain hemorrhage diagnosis with a focus on explainability through Class Activation Mapping (CAM) techniques. A pipeline was developed to extract pixellevel segmentation and detection annotations from classification models using nine state-of-the-art CAM algorithms, applied across multiple network stages, and quantitatively evaluated on the Hemorica dataset, which uniquely provides both slice-level labels and high-quality segmentation masks. Metrics including Dice, IoU, and pixel-wise overlap were employed to benchmark CAM variants. Results show that the strongest localization performance occurred at stage 5 of EfficientNetV2S, with HiResCAM yielding the highest bounding-box alignment and AblationCAM achieving the best pixel-level Dice (0.57) and IoU (0.40), representing strong accuracy given that models were trained solely for classification without segmentation supervision. To the best of current knowledge, this is among the f irst works to quantitatively compare CAM methods for brain hemorrhage detection, establishing a reproducible benchmark and underscoring the potential of XAI-driven pipelines for clinically meaningful AI-assisted diagnosis.

Aneurysmal subarachnoid hemorrhage (aSAH) is a life-threatening condition, and accurate prediction of functional outcomes is critical for optimizing patient management within the initial 3 days of presentation. However, existing clinical scoring systems and imaging assessments do not fully capture clinical variability in predicting outcomes. We developed a deep learning model integrating pre- and postoperative noncontrast CT (NCCT) imaging with clinical data to predict 3-month modified Rankin Scale (mRS) scores in aSAH patients. Using data from 1850 patients across four hospitals, we constructed and validated five models: preoperative, postoperative, stacking imaging, clinical, and fusion models. The fusion model significantly outperformed the others (all p<0.001), achieving a mean absolute error of 0.79 and an area under the curve of 0.92 in the external test. These findings demonstrate that this integrated deep learning model enables accurate prediction of 3-month outcomes and may serve as a prognostic support tool early in aSAH care.

Brain tumors show significant health challenges due to their potential to cause critical neurological functions. Early and accurate diagnosis is crucial for effective treatment. In this research, we propose ResLink, a novel deep learning architecture for brain tumor classification using CT scan images. ResLink integrates novel area attention mechanisms with residual connections to enhance feature learning and spatial understanding for spatially rich image classification tasks. The model employs a multi-stage convolutional pipeline, incorporating dropout, regularization, and downsampling, followed by a final attention-based refinement for classification. Trained on a balanced dataset, ResLink achieves a high accuracy of 95% and demonstrates strong generalizability. This research demonstrates the potential of ResLink in improving brain tumor classification, offering a robust and efficient technique for medical imaging applications.

The Bosniak classification system is widely used to assess malignancy risk in renal cystic lesions, yet inter-observer variability poses significant challenges. Large language models (LLMs) may offer a standardized approach to classification when provided with textual descriptions, such as those found in radiology reports. This study evaluated the performance of five LLMs-GPT‑4 (ChatGPT), Gemini, Copilot, Perplexity, and NotebookLM-in classifying renal cysts based on synthetic textual descriptions mimicking CT report content. A synthetic dataset of 100 diagnostic scenarios (20 cases per Bosniak category) was constructed using established radiological criteria. Each LLM was evaluated using zero-shot and few-shot prompting strategies, while NotebookLM employed retrieval-augmented generation (RAG). Performance metrics included accuracy, sensitivity, and specificity. Statistical significance was assessed using McNemar's and chi-squared tests. GPT‑4 achieved the highest accuracy (87% zero-shot, 99% few-shot), followed by Copilot (81-86%), Gemini (55-69%), and Perplexity (43-69%). NotebookLM, tested only under RAG conditions, reached 87% accuracy. Few-shot learning significantly improved performance (p < 0.05). Classification of Bosniak IIF lesions remained challenging across models. When provided with well-structured textual descriptions, LLMs can accurately classify renal cysts. Few-shot prompting significantly enhances performance. However, persistent difficulties in classifying borderline lesions such as Bosniak IIF highlight the need for further refinement and real-world validation.

Intracranial hypertension (IH) is a life-threatening complication that may occur after acute brain injury. Early recognition of IH allows prompt interventions that improve outcomes. Even if invasive intracranial monitoring is considered the gold standard for the most severely injured patients, scarce availability of resources, the need for advanced skills, and potential for complications often limit its utilization. On the other hand, different non-invasive methods to evaluate acutely brain-injured patients for elevated intracranial pressure have been investigated. Clinical examination and neuroradiology represent the cornerstone of a patient's evaluation in the intensive care unit (ICU). However, multimodal neuromonitoring, employing widely used different tools, such as brain ultrasound, automated pupillometry, and skull micro-deformation recordings, increase the possibility for continuous or semi-continuous intracranial pressure monitoring. Furthermore, artificial intelligence (AI) has been investigated to as a tool to predict elevated intracranial pressure, shedding light on new diagnostic and treatment horizons with the potential to improve patient outcomes. This narrative review, based on a systematic literature search, summarizes the best available evidence on the use of non-invasive monitoring tools and methods for the assessment of intracranial pressure.

Early and accurate brain tumor classification is vital for clinical diagnosis and treatment. Although Convolutional Neural Networks (CNNs) are widely used in medical image analysis, they often struggle to focus on critical information adequately and have limited feature extraction capabilities. To address these challenges, this study proposes a novel Residual Network based on Multi-dimensional Attention and Pinwheel Convolution (Res-MAPNet) for Magnetic Resonance Imaging (MRI) based brain tumor classification. Res-MAPNet is developed on two key modules: the Coordinated Local Importance Enhancement Attention (CLIA) module and the Pinwheel-Shaped Attention Convolution (PSAConv) module. CLIA combines channel attention, spatial attention, and direction-aware positional encoding to focus on lesion areas. PSAConv enhances spatial feature perception through asymmetric padding and grouped convolution, expanding the receptive field for better feature extraction. The proposed model classifies two publicly brain tumor datasets into glioma, meningioma, pituitary tumor, and no tumor. The experimental results show that the proposed model achieves 99.51% accuracy in the three-classification task and 98.01% accuracy in the four-classification task, better than the existing mainstream models. Ablation studies validate the effectiveness of CLIA and PSAConv, which are 4.41% and 4.45% higher than the ConvNeXt baseline, respectively. This study provides an efficient and robust solution for brain tumor computer-aided diagnosis systems with potential for clinical applications.