Yanting Li

Fubao Zhu, Jinyu Zhao, Chen Zhao et al.

Background: The assessment of left ventricular (LV) function by myocardial perfusion SPECT (MPS) relies on accurate myocardial segmentation. The purpose of this paper is to develop and validate a new method incorporating deep learning with shape priors to accurately extract the LV myocardium for automatic measurement of LV functional parameters. Methods: A segmentation architecture that integrates a three-dimensional (3D) V-Net with a shape deformation module was developed. Using the shape priors generated by a dynamic programming (DP) algorithm, the model output was then constrained and guided during the model training for quick convergence and improved performance. A stratified 5-fold cross-validation was used to train and validate our models. Results: Results of our proposed method agree well with those from the ground truth. Our proposed model achieved a Dice similarity coefficient (DSC) of 0.9573(0.0244), 0.9821(0.0137), and 0.9903(0.0041), a Hausdorff distances (HD) of 6.7529(2.7334) mm, 7.2507(3.1952) mm, and 7.6121(3.0134) mm in extracting the endocardium, myocardium, and epicardium, respectively. Conclusion: Our proposed method achieved a high accuracy in extracting LV myocardial contours and assessing LV function.

Ni Yao, Hang Hu, Kaicong Chen et al.

Objectives To develop and validate a deep learning-based diagnostic model incorporating uncertainty estimation so as to facilitate radiologists in the preoperative differentiation of the pathological subtypes of renal cell carcinoma (RCC) based on CT images. Methods Data from 668 consecutive patients, pathologically proven RCC, were retrospectively collected from Center 1. By using five-fold cross-validation, a deep learning model incorporating uncertainty estimation was developed to classify RCC subtypes into clear cell RCC (ccRCC), papillary RCC (pRCC), and chromophobe RCC (chRCC). An external validation set of 78 patients from Center 2 further evaluated the model's performance. Results In the five-fold cross-validation, the model's area under the receiver operating characteristic curve (AUC) for the classification of ccRCC, pRCC, and chRCC was 0.868 (95% CI: 0.826-0.923), 0.846 (95% CI: 0.812-0.886), and 0.839 (95% CI: 0.802-0.88), respectively. In the external validation set, the AUCs were 0.856 (95% CI: 0.838-0.882), 0.787 (95% CI: 0.757-0.818), and 0.793 (95% CI: 0.758-0.831) for ccRCC, pRCC, and chRCC, respectively. Conclusions The developed deep learning model demonstrated robust performance in predicting the pathological subtypes of RCC, while the incorporated uncertainty emphasized the importance of understanding model confidence, which is crucial for assisting clinical decision-making for patients with renal tumors. Clinical relevance statement Our deep learning approach, integrated with uncertainty estimation, offers clinicians a dual advantage: accurate RCC subtype predictions complemented by diagnostic confidence references, promoting informed decision-making for patients with RCC.

Yachun Mi, Xingyang He, Shixin Sun et al.

In the digital age, advanced image editing tools pose a serious threat to the integrity of visual content, making image forgery detection and localization a key research focus. Most existing Image Manipulation Localization (IML) methods rely on discriminative learning and require large, high-quality annotated datasets. However, current datasets lack sufficient scale and diversity, limiting model performance in real-world scenarios. To overcome this, recent studies have explored Constrained IML (CIML), which generates pixel-level annotations through algorithmic supervision. However, existing CIML approaches often depend on complex multi-stage pipelines, making the annotation process inefficient. In this work, we propose a novel generative framework based on diffusion models, named UGD-IML, which for the first time unifies both IML and CIML tasks within a single framework. By learning the underlying data distribution, generative diffusion models inherently reduce the reliance on large-scale labeled datasets, allowing our approach to perform effectively even under limited data conditions. In addition, by leveraging a class embedding mechanism and a parameter-sharing design, our model seamlessly switches between IML and CIML modes without extra components or training overhead. Furthermore, the end-to-end design enables our model to avoid cumbersome steps in the data annotation process. Extensive experimental results on multiple datasets demonstrate that UGD-IML outperforms the SOTA methods by an average of 9.66 and 4.36 in terms of F1 metrics for IML and CIML tasks, respectively. Moreover, the proposed method also excels in uncertainty estimation, visualization and robustness.