Matteo Tortora

Irene Iele, Giulia Romoli, Daniele Molino et al.

Short-term forecasting of vegetation dynamics is a key enabler for data-driven decision support in precision agriculture. Normalized Difference Vegetation Index (NDVI) forecasting from satellite observations, however, remains challenging due to sparse and irregular sampling caused by cloud masking, as well as the heterogeneous climatic conditions under which crops evolve. In this work, we propose a probabilistic forecasting framework for field-level NDVI prediction under sparse, irregular clear-sky acquisitions. The architecture separates the encoding of historical NDVI and meteorological observations from future exogenous covariates, fusing both representations for multi-step quantile prediction. To address irregular revisit patterns and horizon-dependent uncertainty, we introduce a temporal-distance weighted quantile loss that aligns the training objective with the effective forecasting horizon. In addition, we incorporate cumulative and extreme-weather feature engineering to capture delayed meteorological effects relevant to vegetation response. Experiments on European satellite data show that the proposed approach outperforms statistical, deep learning, and time-series baselines on both pointwise and probabilistic evaluation metrics. Ablation studies confirm that target history is the primary driver of performance, with meteorological covariates providing additional gains in the full multimodal setting. The code is available at https://github.com/arco-group/ndvi-forecasting.

Matteo Tortora, Ermanno Cordelli, Rosa Sicilia et al.

The current cancer treatment practice collects multimodal data, such as radiology images, histopathology slides, genomics and clinical data. The importance of these data sources taken individually has fostered the recent raise of radiomics and pathomics, i.e. the extraction of quantitative features from radiology and histopathology images routinely collected to predict clinical outcomes or to guide clinical decisions using artificial intelligence algorithms. Nevertheless, how to combine them into a single multimodal framework is still an open issue. In this work we therefore develop a multimodal late fusion approach that combines hand-crafted features computed from radiomics, pathomics and clinical data to predict radiation therapy treatment outcomes for non-small-cell lung cancer patients. Within this context, we investigate eight different late fusion rules (i.e. product, maximum, minimum, mean, decision template, Dempster-Shafer, majority voting, and confidence rule) and two patient-wise aggregation rules leveraging the richness of information given by computer tomography images and whole-slide scans. The experiments in leave-one-patient-out cross-validation on an in-house cohort of 33 patients show that the proposed multimodal paradigm with an AUC equal to $90.9\%$ outperforms each unimodal approach, suggesting that data integration can advance precision medicine. As a further contribution, we also compare the hand-crafted representations with features automatically computed by deep networks, and the late fusion paradigm with early fusion, another popular multimodal approach. In both cases, the experiments show that the proposed multimodal approach provides the best results.

Matteo Tortora, Francesco Conte, Gianluca Natrella et al.

Accurate forecasting of renewable generation is crucial to facilitate the integration of RES into the power system. Focusing on PV units, forecasting methods can be divided into two main categories: physics-based and data-based strategies, with AI-based models providing state-of-the-art performance. However, while these AI-based models can capture complex patterns and relationships in the data, they ignore the underlying physical prior knowledge of the phenomenon. Therefore, in this paper we propose MATNet, a novel self-attention transformer-based architecture for multivariate multi-step day-ahead PV power generation forecasting. It consists of a hybrid approach that combines the AI paradigm with the prior physical knowledge of PV power generation of physics-based methods. The model is fed with historical PV data and historical and forecast weather data through a multi-level joint fusion approach. The effectiveness of the proposed model is evaluated using the Ausgrid benchmark dataset with different regression performance metrics. The results show that our proposed architecture significantly outperforms the current state-of-the-art methods. These findings demonstrate the potential of MATNet in improving forecasting accuracy and suggest that it could be a promising solution to facilitate the integration of PV energy into the power grid.

Elena Mulero Ayllón, Linlin Shen, Pierangelo Veltri et al.

Accurate lung tumor segmentation is vital for improving diagnosis and treatment planning, and effectively combining anatomical and functional information from PET and CT remains a major challenge. In this study, we propose vMambaX, a lightweight multimodal framework integrating PET and CT scan images through a Context-Gated Cross-Modal Perception Module (CGM). Built on the Visual Mamba architecture, vMambaX adaptively enhances inter-modality feature interaction, emphasizing informative regions while suppressing noise. Evaluated on the PCLT20K dataset, the model outperforms baseline models while maintaining lower computational complexity. These results highlight the effectiveness of adaptive cross-modal gating for multimodal tumor segmentation and demonstrate the potential of vMambaX as an efficient and scalable framework for advanced lung cancer analysis. The code is available at https://github.com/arco-group/vMambaX.

Massimiliano Mantegna, Elena Mulero Ayllón, Alice Natalina Caragliano et al.

Predicting tumor evolution during radiotherapy is a clinically critical challenge, particularly when longitudinal changes are driven by both anatomy and treatment. In this work, we introduce a Virtual Treatment (VT) framework that formulates non-small cell lung cancer (NSCLC) progression as a dose-aware multimodal conditional image-to-image translation problem. Given a CT scan, baseline clinical variables, and a specified radiation dose increment, VT aims to synthesize plausible follow-up CT images reflecting treatment-induced anatomical changes. We evaluate the proposed framework on a longitudinal dataset of 222 stage III NSCLC patients, comprising 895 CT scans acquired during radiotherapy under irregular clinical schedules. The generative process is conditioned on delivered dose increments together with demographic and tumor-related clinical variables. Representative GAN-based and diffusion-based models are benchmarked across 2D and 2.5D configurations. Quantitative and qualitative results indicate that diffusion-based models benefit more consistently from multimodal, dose-aware conditioning and produce more stable and anatomically plausible tumor evolution trajectories than GAN-based baselines, supporting the potential of VT as a tool for in-silico treatment monitoring and adaptive radiotherapy research in NSCLC.

Omar Coser, Christian Tamantini, Matteo Tortora et al.

Wearable robotics for lower-limb assistance have become a pivotal area of research, aiming to enhance mobility for individuals with physical impairments or augment the performance of able-bodied users. Accurate and adaptive control systems are essential to ensure seamless interaction between the wearer and the robotic device, particularly when navigating diverse and dynamic terrains. Despite the recent advances in neural networks for time series analysis, no attempts have been directed towards the classification of ground conditions, categorized into five classes and subsequently determining the ramp's slope and stair's height. In this respect, this paper presents an experimental comparison between eight deep neural network backbones to predict high-level locomotion parameters across diverse terrains. All the models are trained on the publicly available CAMARGO 2021 dataset. IMU-only data equally or outperformed IMU+EMG inputs, promoting a cost-effective and efficient design. Indeeds, using three IMU sensors, the LSTM achieved high terrain classification accuracy (0.94 +- 0.04) and precise ramp slope (1.95 +- 0.58°) and the CNN-LSTM a stair height (15.65 +- 7.40 mm) estimations. As a further contribution, SHAP analysis justified sensor reduction without performance loss, ensuring a lightweight setup. The system operates with ~2 ms inference time, supporting real-time applications. The code is code available at https://github.com/cosbidev/Human-Locomotion-Identification.

Elena Mulero Ayllón, Massimiliano Mantegna, Linlin Shen et al.

Accurate lung tumor segmentation is crucial for improving diagnosis, treatment planning, and patient outcomes in oncology. However, the complexity of tumor morphology, size, and location poses significant challenges for automated segmentation. This study presents a comprehensive benchmarking analysis of deep learning-based segmentation models, comparing traditional architectures such as U-Net and DeepLabV3, self-configuring models like nnUNet, and foundation models like MedSAM, and MedSAM~2. Evaluating performance across two lung tumor segmentation datasets, we assess segmentation accuracy and computational efficiency under various learning paradigms, including few-shot learning and fine-tuning. The results reveal that while traditional models struggle with tumor delineation, foundation models, particularly MedSAM~2, outperform them in both accuracy and computational efficiency. These findings underscore the potential of foundation models for lung tumor segmentation, highlighting their applicability in improving clinical workflows and patient outcomes.

Irene Iele, Floriano Caprio, Paolo Soda et al.

Forecasting physiological signals can support proactive monitoring and timely clinical intervention by anticipating critical changes in patient status. In this work, we address multivariate multi-horizon forecasting of physiological time series by jointly predicting heart rate, oxygen saturation, pulse rate, and respiratory rate at forecasting horizons of 15, 30, and 60 seconds. We propose a hybrid quantum-classical architecture that integrates a Variational Quantum Circuit (VQC) within a recurrent neural backbone. A GRU encoder summarizes the historical observation window into a latent representation, which is then projected into quantum angles used to parameterize the VQC. The quantum layer acts as a learnable non-linear feature mixer, modeling cross-variable interactions before the final prediction stage. We evaluate the proposed approach on the BIDMC PPG and Respiration dataset under a Leave-One-Patient-Out protocol. The results show competitive accuracy compared with classical and deep learning baselines, together with greater robustness to noise and missing inputs. These findings suggest that hybrid quantum layers can provide useful inductive biases for physiological time series forecasting in small-cohort clinical settings.