Dongmei Yu

Ruitao Zhang, Xueying Han, Ijaz Gul et al.

Acute leukemia is a type of blood cancer with a high mortality rate. Current therapeutic methods include bone marrow transplantation, supportive therapy, and chemotherapy. Although a satisfactory remission of the disease can be achieved, the risk of recurrence is still high. Therefore, novel treatments are demanding. Chimeric antigen receptor-T (CAR-T) therapy has emerged as a promising approach to treat and cure acute leukemia. To harness the therapeutic potential of CAR-T cell therapy for blood diseases, reliable cell morphological identification is crucial. Nevertheless, the identification of CAR-T cells is a big challenge posed by their phenotypic similarity with other blood cells. To address this substantial clinical challenge, herein we first construct a CAR-T dataset with 500 original microscopy images after staining. Following that, we create a novel integrated model called RCMNet (ResNet18 with CBAM and MHSA) that combines the convolutional neural network (CNN) and Transformer. The model shows 99.63% top-1 accuracy on the public dataset. Compared with previous reports, our model obtains satisfactory results for image classification. Although testing on the CAR-T cells dataset, a decent performance is observed, which is attributed to the limited size of the dataset. Transfer learning is adapted for RCMNet and a maximum of 83.36% accuracy has been achieved, which is higher than other SOTA models. The study evaluates the effectiveness of RCMNet on a big public dataset and translates it to a clinical dataset for diagnostic applications.

Yang Liu, Ersi Zhang, Lulu Xu et al.

Deep learning techniques have shown great potential in medical image processing, particularly through accurate and reliable image segmentation on magnetic resonance imaging (MRI) scans or computed tomography (CT) scans, which allow the localization and diagnosis of lesions. However, training these segmentation models requires a large number of manually annotated pixel-level labels, which are time-consuming and labor-intensive, in contrast to image-level labels that are easier to obtain. It is imperative to resolve this problem through weakly-supervised semantic segmentation models using image-level labels as supervision since it can significantly reduce human annotation efforts. Most of the advanced solutions exploit class activation mapping (CAM). However, the original CAMs rarely capture the precise boundaries of lesions. In this study, we propose the strategy of multi-scale inference to refine CAMs by reducing the detail loss in single-scale reasoning. For segmentation, we develop a novel model named Mixed-UNet, which has two parallel branches in the decoding phase. The results can be obtained after fusing the extracted features from two branches. We evaluate the designed Mixed-UNet against several prevalent deep learning-based segmentation approaches on our dataset collected from the local hospital and public datasets. The validation results demonstrate that our model surpasses available methods under the same supervision level in the segmentation of various lesions from brain imaging.

Muhammad Hassan, Haifei Guan, Aikaterini Melliou et al.

Neural networks have been rapidly expanding in recent years, with novel strategies and applications. However, challenges such as interpretability, explainability, robustness, safety, trust, and sensibility remain unsolved in neural network technologies, despite the fact that they will unavoidably be addressed for critical applications. Attempts have been made to overcome the challenges in neural network computing by representing and embedding domain knowledge in terms of symbolic representations. Thus, the neuro-symbolic learning (NeSyL) notion emerged, which incorporates aspects of symbolic representation and bringing common sense into neural networks (NeSyL). In domains where interpretability, reasoning, and explainability are crucial, such as video and image captioning, question-answering and reasoning, health informatics, and genomics, NeSyL has shown promising outcomes. This review presents a comprehensive survey on the state-of-the-art NeSyL approaches, their principles, advances in machine and deep learning algorithms, applications such as opthalmology, and most importantly, future perspectives of this emerging field.

Zhicheng Du, Chenyao Jiang, Xi Yuan et al.

The timely identification of mental disorders in adolescents is a global public health challenge.Single factor is difficult to detect the abnormality due to its complex and subtle nature. Additionally, the generalized multimodal Computer-Aided Screening (CAS) systems with interactive robots for adolescent mental disorders are not available. Here, we design an android application with mini-games and chat recording deployed in a portable robot to screen 3,783 middle school students and construct the multimodal screening dataset, including facial images, physiological signs, voice recordings, and textual transcripts.We develop a model called GAME (Generalized Model with Attention and Multimodal EmbraceNet) with novel attention mechanism that integrates cross-modal features into the model. GAME evaluates adolescent mental conditions with high accuracy (73.34%-92.77%) and F1-Score (71.32%-91.06%).We find each modality contributes dynamically to the mental disorders screening and comorbidities among various mental disorders, indicating the feasibility of explainable model. This study provides a system capable of acquiring multimodal information and constructs a generalized multimodal integration algorithm with novel attention mechanisms for the early screening of adolescent mental disorders.

Joongwon Chae, Lihui Luo, Yang Liu et al.

Feature-based anomaly detection is widely adopted in industrial inspection due to the strong representational power of large pre-trained vision encoders. While most existing methods focus on improving within-category anomaly scoring, practical deployments increasingly require task-agnostic operation under continual category expansion, where the category identity is unknown at test time. In this setting, overall performance is often dominated by expert selection, namely routing an input to an appropriate normality model before any head-specific scoring is applied. However, routing rules that compare head-specific anomaly scores across independently constructed heads are unreliable in practice, as score distributions can differ substantially across categories in scale and tail behavior. We propose GCR, a lightweight mixture-of-experts framework for stabilizing task-agnostic continual anomaly detection through geometry-consistent routing. GCR routes each test image directly in a shared frozen patch-embedding space by minimizing an accumulated nearest-prototype distance to category-specific prototype banks, and then computes anomaly maps only within the routed expert using a standard prototype-based scoring rule. By separating cross-head decision making from within-head anomaly scoring, GCR avoids cross-head score comparability issues without requiring end-to-end representation learning. Experiments on MVTec AD and VisA show that geometry-consistent routing substantially improves routing stability and mitigates continual performance collapse, achieving near-zero forgetting while maintaining competitive detection and localization performance. These results indicate that many failures previously attributed to representation forgetting can instead be explained by decision-rule instability in cross-head routing. Code is available at https://github.com/jw-chae/GCR

Dongmei Yu, Gehao Zhang, Cairong Chen et al.

An inverse-free neural network model with mixed delays is proposed for solving the absolute value equation (AVE) $Ax -|x| - b =0$, which includes an inverse-free neural network model with discrete delay as a special case. By using the Lyapunov-Krasovskii theory and the linear matrix inequality (LMI) method, the developed neural network models are proved to be exponentially convergent to the solution of the AVE. Compared with the existing neural network models for solving the AVE, the proposed models feature the ability of solving a class of AVE with $\|A^{-1}\|>1$. Numerical simulations are given to show the effectiveness of the two delayed neural network models.

Chenyao Jiang, Shiyao Zhai, Hengrui Song et al.

Dental caries is one of the most common oral diseases that, if left untreated, can lead to a variety of oral problems. It mainly occurs inside the pits and fissures on the occlusal/buccal/palatal surfaces of molars and children are a high-risk group for pit and fissure caries in permanent molars. Pit and fissure sealing is one of the most effective methods that is widely used in prevention of pit and fissure caries. However, current detection of pits and fissures or caries depends primarily on the experienced dentists, which ordinary parents do not have, and children may miss the remedial treatment without timely detection. To address this issue, we present a method to autodetect caries and pit and fissure sealing requirements using oral photos taken by smartphones. We use the YOLOv5 and YOLOX models and adopt a tiling strategy to reduce information loss during image pre-processing. The best result for YOLOXs model with tiling strategy is 72.3 mAP.5, while the best result without tiling strategy is 71.2. YOLOv5s6 model with/without tiling attains 70.9/67.9 mAP.5, respectively. We deploy the pre-trained network to mobile devices as a WeChat applet, allowing in-home detection by parents or children guardian.

Shunkai Shi, Yuqi Wang, Qihui Ye et al.

In Traditional Chinese Medicine, the tooth marks on the tongue, stemming from prolonged dental pressure, serve as a crucial indicator for assessing qi (yang) deficiency, which is intrinsically linked to visceral health. Manual diagnosis of tooth-marked tongue solely relies on experience. Nonetheless, the diversity in shape, color, and type of tooth marks poses a challenge to diagnostic accuracy and consistency. To address these problems, herein we propose a multi-task joint learning model named Ammonia-Net. This model employs a convolutional neural network-based architecture, specifically designed for multi-class segmentation and classification of tongue images. Ammonia-Net performs semantic segmentation of tongue images to identify tongue and tooth marks. With the assistance of segmentation output, it classifies the images into the desired number of classes: healthy tongue, light tongue, moderate tongue, and severe tongue. As far as we know, this is the first attempt to apply the semantic segmentation results of tooth marks for tooth-marked tongue classification. To train Ammonia-Net, we collect 856 tongue images from 856 subjects. After a number of extensive experiments, the experimental results show that the proposed model achieves 99.06% accuracy in the two-class classification task of tooth-marked tongue identification and 80.02%. As for the segmentation task, mIoU for tongue and tooth marks amounts to 71.65%.

Joongwon Chae, Lihui Luo, Yang Liu et al.

Max pooling is the de facto standard for converting anomaly score maps into image-level decisions in memory-bank-based unsupervised anomaly detection (UAD). However, because it relies on a single extreme response, it discards most information about how anomaly evidence is distributed and structured across the image, often causing normal and anomalous scores to overlap. We propose StructCore, a training-free, structure-aware image-level scoring method that goes beyond max pooling. Given an anomaly score map, StructCore computes a low-dimensional structural descriptor phi(S) that captures distributional and spatial characteristics, and refines image-level scoring via a diagonal Mahalanobis calibration estimated from train-good samples, without modifying pixel-level localization. StructCore achieves image-level AUROC scores of 99.6% on MVTec AD and 98.4% on VisA, demonstrating robust image-level anomaly detection by exploiting structural signatures missed by max pooling.

Joongwon Chae, Runming Wang, Chen Xiong et al.

Effective surveillance of hand, foot and mouth disease (HFMD) requires forecasts accounting for epidemiological patterns and contextual drivers like school calendars and weather. While classical models and recent foundation models (e.g., Chronos, TimesFM) incorporate covariates, they often lack the semantic reasoning to interpret the causal interplay between conflicting drivers. In this work, we propose a two-agent framework decoupling contextual interpretation from probabilistic forecasting. An LLM "event interpreter" processes heterogeneous signals-including school schedules, meteorological summaries, and reports-into a scalar transmission-impact signal. A neuro-symbolic core then combines this with historical case counts to produce calibrated probabilistic forecasts. We evaluate the framework on real-world HFMD datasets from Hong Kong (2023-2024) and Lishui, China (2024). Compared to traditional and foundation-model baselines, our approach achieves competitive point forecasting accuracy while providing robust 90% prediction intervals (coverage 0.85-1.00) and human-interpretable rationales. Our results suggest that structurally integrating domain knowledge through LLMs can match state-of-the-art performance while yielding context-aware forecasts that align with public health workflows. Code is available at https://github.com/jw-chae/forecast_MED .

Joongwon Chae, Lihui Luo, Xi Yuan et al.

Accurate tongue segmentation is crucial for reliable TCM analysis. Supervised models require large annotated datasets, while SAM-family models remain prompt-driven. We present Memory-SAM, a training-free, human-prompt-free pipeline that automatically generates effective prompts from a small memory of prior cases via dense DINOv3 features and FAISS retrieval. Given a query image, mask-constrained correspondences to the retrieved exemplar are distilled into foreground/background point prompts that guide SAM2 without manual clicks or model fine-tuning. We evaluate on 600 expert-annotated images (300 controlled, 300 in-the-wild). On the mixed test split, Memory-SAM achieves mIoU 0.9863, surpassing FCN (0.8188) and a detector-to-box SAM baseline (0.1839). On controlled data, ceiling effects above 0.98 make small differences less meaningful given annotation variability, while our method shows clear gains under real-world conditions. Results indicate that retrieval-to-prompt enables data-efficient, robust segmentation of irregular boundaries in tongue imaging. The code is publicly available at https://github.com/jw-chae/memory-sam.

Boyuan Peng, Jiaju Chen, P. Bilha Githinji et al.

Cell segmentation is essential in biomedical research for analyzing cellular morphology and behavior. Deep learning methods, particularly convolutional neural networks (CNNs), have revolutionized cell segmentation by extracting intricate features from images. However, the robustness of these methods under microscope optical aberrations remains a critical challenge. This study evaluates cell image segmentation models under optical aberrations from fluorescence and bright field microscopy. By simulating different types of aberrations, including astigmatism, coma, spherical aberration, trefoil, and mixed aberrations, we conduct a thorough evaluation of various cell instance segmentation models using the DynamicNuclearNet (DNN) and LIVECell datasets, representing fluorescence and bright field microscopy cell datasets, respectively. We train and test several segmentation models, including the Otsu threshold method and Mask R-CNN with different network heads (FPN, C3) and backbones (ResNet, VGG, Swin Transformer), under aberrated conditions. Additionally, we provide usage recommendations for the Cellpose 2.0 Toolbox on complex cell degradation images. The results indicate that the combination of FPN and SwinS demonstrates superior robustness in handling simple cell images affected by minor aberrations. In contrast, Cellpose 2.0 proves effective for complex cell images under similar conditions. Furthermore, we innovatively propose the Point Spread Function Image Label Classification Model (PLCM). This model can quickly and accurately identify aberration types and amplitudes from PSF images, assisting researchers without optical training. Through PLCM, researchers can better apply our proposed cell segmentation guidelines.

Joongwon Chae, Zhenyu Wang, Lian Zhang et al.

Recent advances in multimodal models have demonstrated impressive capabilities in object recognition and scene understanding. However, these models often struggle with precise spatial localization - a critical capability for real-world applications. Inspired by how humans use grid-based references like chess boards and maps, we propose introducing explicit visual position encoding through a simple grid overlay approach. By adding a 9x9 black grid pattern onto input images, our method provides visual spatial guidance analogous to how positional encoding works in transformers, but in an explicit, visual form. Experiments on the COCO 2017 dataset demonstrate that our grid-based approach achieves significant improvements in localization accuracy, with a 107.4% increase in IoU (from 0.27 to 0.56) and a 194.4% improvement in GIoU (from 0.18 to 0.53) compared to baseline performance. Through attention visualization analysis, we show how this visual position encoding helps models better ground spatial relationships. Our method's simplicity and effectiveness make it particularly valuable for applications requiring accurate spatial reasoning, such as robotic manipulation, medical imaging, and autonomous navigation.

Muhammad Akmal Raheem, Muhammad Ajwad Rahim, Ijaz Gul et al.

SARS-CoV-2, the highly contagious pathogen responsible for the COVID-19 pandemic, has persistent effects that begin four weeks after initial infection and last for an undetermined duration. These chronic effects are more harmful than acute ones. This review explores the long-term impact of the virus on various human organs, including the pulmonary, cardiovascular, neurological, reproductive, gastrointestinal, musculoskeletal, endocrine, and lymphoid systems, particularly in older adults. Regarding diagnosis, RT-PCR is the gold standard for detecting COVID-19, though it requires specialized equipment, skilled personnel, and considerable time to produce results. To address these limitations, artificial intelligence in imaging and microfluidics technologies offers promising alternatives for diagnosing COVID-19 efficiently. Pharmacological and non-pharmacological strategies are effective in mitigating the persistent impacts of COVID-19. These strategies enhance immunity in post-COVID-19 patients by reducing cytokine release syndrome, improving T cell response, and increasing the circulation of activated natural killer and CD8 T cells in blood and tissues. This, in turn, alleviates symptoms such as fever, nausea, fatigue, muscle weakness, and pain. Vaccines, including inactivated viral, live attenuated viral, protein subunit, viral vectored, mRNA, DNA, and nanoparticle vaccines, significantly reduce the adverse long-term effects of the virus. However, no vaccine has been reported to provide lifetime protection against COVID-19. Consequently, protective measures such as physical distancing, mask usage, and hand hygiene remain essential strategies. This review offers a comprehensive understanding of the persistent effects of COVID-19 on individuals of varying ages, along with insights into diagnosis, treatment, vaccination, and future preventative measures against the spread of SARS-CoV-2.

P. Bilha Githinji, Xi Yuan, Zhenglin Chen et al.

Realizing sufficient separability between the distributions of healthy and pathological samples is a critical obstacle for pathology detection convolutional models. Moreover, these models exhibit a bias for contrast-based images, with diminished performance on texture-based medical images. This study introduces the notion of a population-level context for pathology detection and employs a graph theoretic approach to model and incorporate it into the latent code of an autoencoder via a refinement module we term PopuSense. PopuSense seeks to capture additional intra-group variations inherent in biomedical data that a local or global context of the convolutional model might miss or smooth out. Proof-of-concept experiments on contrast-based and texture-based images, with minimal adaptation, encounter the existing preference for intensity-based input. Nevertheless, PopuSense demonstrates improved separability in contrast-based images, presenting an additional avenue for refining representations learned by a model.