In the rapidly evolving field of dental intelligent healthcare, where Artificial Intelligence (AI) plays a pivotal role, the demand for multimodal datasets is critical. Existing public datasets are primarily composed of single-modal data, predominantly dental radiographs or scans, which limits the development of AI-driven applications for intelligent dental treatment. In this paper, we collect a MultiModal Dental (MMDental) dataset to address this gap. MMDental comprises data from 660 patients, including 3D Cone-beam Computed Tomography (CBCT) images and corresponding detailed expert medical records with initial diagnoses and follow-up documentation. All CBCT scans are conducted under the guidance of professional physicians, and all patient records are reviewed by senior doctors. To the best of our knowledge, this is the first and largest dataset containing 3D CBCT images of teeth with corresponding medical records. Furthermore, we provide a comprehensive analysis of the dataset by exploring patient demographics, prevalence of various dental conditions, and the disease distribution across age groups. We believe this work will be beneficial for further advancements in dental intelligent treatment.

Accurate prognosis of non-small cell lung cancer (NSCLC) patients undergoing immunotherapy is essential for personalized treatment planning, enabling informed patient decisions, and improving both treatment outcomes and quality of life. However, the lack of large, relevant datasets and effective multi-modal feature fusion strategies pose significant challenges in this domain. To address these challenges, we present a large-scale dataset and introduce a novel framework for multi-modal feature fusion aimed at enhancing the accuracy of survival prediction. The dataset comprises 3D CT images and corresponding clinical records from NSCLC patients treated with immune checkpoint inhibitors (ICI), along with progression-free survival (PFS) and overall survival (OS) data. We further propose a cross-modality masked learning approach for medical feature fusion, consisting of two distinct branches, each tailored to its respective modality: a Slice-Depth Transformer for extracting 3D features from CT images and a graph-based Transformer for learning node features and relationships among clinical variables in tabular data. The fusion process is guided by a masked modality learning strategy, wherein the model utilizes the intact modality to reconstruct missing components. This mechanism improves the integration of modality-specific features, fostering more effective inter-modality relationships and feature interactions. Our approach demonstrates superior performance in multi-modal integration for NSCLC survival prediction, surpassing existing methods and setting a new benchmark for prognostic models in this context.

Critical retained foreign objects (RFOs), including surgical instruments like sponges and needles, pose serious patient safety risks and carry significant financial and legal implications for healthcare institutions. Detecting critical RFOs using artificial intelligence remains challenging due to their rarity and the limited availability of chest X-ray datasets that specifically feature critical RFOs cases. Existing datasets only contain non-critical RFOs, like necklace or zipper, further limiting their utility for developing clinically impactful detection algorithms. To address these limitations, we introduce "Hopkins RFOs Bench", the first and largest dataset of its kind, containing 144 chest X-ray images of critical RFO cases collected over 18 years from the Johns Hopkins Health System. Using this dataset, we benchmark several state-of-the-art object detection models, highlighting the need for enhanced detection methodologies for critical RFO cases. Recognizing data scarcity challenges, we further explore image synthetic methods to bridge this gap. We evaluate two advanced synthetic image methods, DeepDRR-RFO, a physics-based method, and RoentGen-RFO, a diffusion-based method, for creating realistic radiographs featuring critical RFOs. Our comprehensive analysis identifies the strengths and limitations of each synthetic method, providing insights into effectively utilizing synthetic data to enhance model training. The Hopkins RFOs Bench and our findings significantly advance the development of reliable, generalizable AI-driven solutions for detecting critical RFOs in clinical chest X-rays.

Biomedical image classification is of paramount importance in enhancing diagnostic precision and improving patient outcomes across diverse medical disciplines. In recent years, the advent of deep learning methodologies has significantly transformed this domain by facilitating notable advancements in image analysis and classification endeavors. This paper provides a thorough overview of the application of deep learning techniques in biomedical image classification, encompassing various types of healthcare data, including medical images derived from modalities such as mammography, histopathology, and radiology. A detailed discourse on deep learning architectures, including convolutional neural networks (CNNs), recurrent neural networks (RNNs), and advanced models such as generative adversarial networks (GANs), is presented. Additionally, we delineate the distinctions between supervised, unsupervised, and reinforcement learning approaches, along with their respective roles within the context of biomedical imaging. This study systematically investigates 50 deep learning methodologies employed in the healthcare sector, elucidating their effectiveness in various tasks, including disease detection, image segmentation, and classification. It particularly emphasizes models that have been trained on publicly available datasets, thereby highlighting the significant role of open-access data in fostering advancements in AI-driven healthcare innovations. Furthermore, this review accentuates the transformative potential of deep learning in the realm of biomedical image analysis and delineates potential avenues for future research within this rapidly evolving field.

Synthetic images are an option for augmenting limited medical imaging datasets to improve the performance of various machine learning models. A common metric for evaluating synthetic image quality is the Fr\'echet Inception Distance (FID) which measures the similarity of two image datasets. In this study we evaluate the relationship between this metric and the improvement which synthetic images, generated by a Progressively Growing Generative Adversarial Network (PGGAN), grant when augmenting Diabetes-related Macular Edema (DME) intraretinal fluid segmentation performed by a U-Net model with limited amounts of training data. We find that the behaviour of augmenting with standard and synthetic images agrees with previously conducted experiments. Additionally, we show that dissimilar (high FID) datasets do not improve segmentation significantly. As FID between the training and augmenting datasets decreases, the augmentation datasets are shown to contribute to significant and robust improvements in image segmentation. Finally, we find that there is significant evidence to suggest that synthetic and standard augmentations follow separate log-normal trends between FID and improvements in model performance, with synthetic data proving more effective than standard augmentation techniques. Our findings show that more similar datasets (lower FID) will be more effective at improving U-Net performance, however, the results also suggest that this improvement may only occur when images are sufficiently dissimilar.

Ovarian tumor, as a common gynecological disease, can rapidly deteriorate into serious health crises when undetected early, thus posing significant threats to the health of women. Deep neural networks have the potential to identify ovarian tumors, thereby reducing mortality rates, but limited public datasets hinder its progress. To address this gap, we introduce a vital ovarian tumor pathological recognition dataset called \textbf{ViTaL} that contains \textbf{V}isual, \textbf{T}abular and \textbf{L}inguistic modality data of 496 patients across six pathological categories. The ViTaL dataset comprises three subsets corresponding to different patient data modalities: visual data from 2216 two-dimensional ultrasound images, tabular data from medical examinations of 496 patients, and linguistic data from ultrasound reports of 496 patients. It is insufficient to merely distinguish between benign and malignant ovarian tumors in clinical practice. To enable multi-pathology classification of ovarian tumor, we propose a ViTaL-Net based on the Triplet Hierarchical Offset Attention Mechanism (THOAM) to minimize the loss incurred during feature fusion of multi-modal data. This mechanism could effectively enhance the relevance and complementarity between information from different modalities. ViTaL-Net serves as a benchmark for the task of multi-pathology, multi-modality classification of ovarian tumors. In our comprehensive experiments, the proposed method exhibited satisfactory performance, achieving accuracies exceeding 90\% on the two most common pathological types of ovarian tumor and an overall performance of 85\%. Our dataset and code are available at https://github.com/GGbond-study/vitalnet.

In China, there is a lack of standardised clinical imaging databases for multidimensional evaluation of cardiopulmonary diseases. To address this gap, this study protocol launched a project to build a clinical imaging technology integration and a multicentre database for early warning and stratification of cardiopulmonary dysfunction in the elderly. This study employs a cross-sectional design, enrolling over 6000 elderly participants from five regions across China to evaluate cardiopulmonary function and related diseases. Based on clinical criteria, participants are categorized into three groups: a healthy cardiopulmonary function group, a functional decrease group and an established cardiopulmonary diseases group. All subjects will undergo comprehensive assessments including chest CT scans, echocardiography, and laboratory examinations. Additionally, at least 50 subjects will undergo cardiopulmonary exercise testing (CPET). By leveraging artificial intelligence technology, multimodal data will be integrated to establish reference ranges for cardiopulmonary function in the elderly population, as well as to develop early-warning models and severity grading standard models. The study has been approved by the local ethics committee of Shanghai Changzheng Hospital (approval number: 2022SL069A). All the participants will sign the informed consent. The results will be disseminated through peer-reviewed publications and conferences.

Recent "segment anything" efforts show promise by learning from large-scale data, but adapting such models directly to medical images remains challenging due to the complexity of medical data, noisy annotations, and continual learning requirements across diverse modalities and anatomical structures. In this work, we propose SAMed-2, a new foundation model for medical image segmentation built upon the SAM-2 architecture. Specifically, we introduce a temporal adapter into the image encoder to capture image correlations and a confidence-driven memory mechanism to store high-certainty features for later retrieval. This memory-based strategy counters the pervasive noise in large-scale medical datasets and mitigates catastrophic forgetting when encountering new tasks or modalities. To train and evaluate SAMed-2, we curate MedBank-100k, a comprehensive dataset spanning seven imaging modalities and 21 medical segmentation tasks. Our experiments on both internal benchmarks and 10 external datasets demonstrate superior performance over state-of-the-art baselines in multi-task scenarios. The code is available at: https://github.com/ZhilingYan/Medical-SAM-Bench.

Image quality assessment (IQA) is crucial in the evaluation stage of novel algorithms operating on images, including traditional and machine learning based methods. Due to the lack of available quality-rated medical images, most commonly used IQA methods employing reference images (i.e. full-reference IQA) have been developed and tested for natural images. Reported application inconsistencies arising when employing such measures for medical images are not surprising, as they rely on different properties than natural images. In photoacoustic imaging (PAI), especially, standard benchmarking approaches for assessing the quality of image reconstructions are lacking. PAI is a multi-physics imaging modality, in which two inverse problems have to be solved, which makes the application of IQA measures uniquely challenging due to both, acoustic and optical, artifacts. To support the development and testing of full- and no-reference IQA measures we assembled PhotIQA, a data set consisting of 1134 reconstructed photoacoustic (PA) images that were rated by 2 experts across five quality properties (overall quality, edge visibility, homogeneity, inclusion and background intensity), where the detailed rating enables usage beyond PAI. To allow full-reference assessment, highly characterised imaging test objects were used, providing a ground truth. Our baseline experiments show that HaarPSI$_{med}$ significantly outperforms SSIM in correlating with the quality ratings (SRCC: 0.83 vs. 0.62). The dataset is publicly available at https://doi.org/10.5281/zenodo.13325196.

Despite the progress of radiology report generation (RRG), existing works face two challenges: 1) The performances in clinical efficacy are unsatisfactory, especially for lesion attributes description; 2) the generated text lacks explainability, making it difficult for radiologists to trust the results. To address the challenges, we focus on a trustworthy RRG model, which not only generates accurate descriptions of abnormalities, but also provides basis of its predictions. To this end, we propose a framework named chain of diagnosis (CoD), which maintains a chain of diagnostic process for clinically accurate and explainable RRG. It first generates question-answer (QA) pairs via diagnostic conversation to extract key findings, then prompts a large language model with QA diagnoses for accurate generation. To enhance explainability, a diagnosis grounding module is designed to match QA diagnoses and generated sentences, where the diagnoses act as a reference. Moreover, a lesion grounding module is designed to locate abnormalities in the image, further improving the working efficiency of radiologists. To facilitate label-efficient training, we propose an omni-supervised learning strategy with clinical consistency to leverage various types of annotations from different datasets. Our efforts lead to 1) an omni-labeled RRG dataset with QA pairs and lesion boxes; 2) a evaluation tool for assessing the accuracy of reports in describing lesion location and severity; 3) extensive experiments to demonstrate the effectiveness of CoD, where it outperforms both specialist and generalist models consistently on two RRG benchmarks and shows promising explainability by accurately grounding generated sentences to QA diagnoses and images.