Md. Mehedi Hasan Shawon

Md. Sajeebul Islam Sk., Khan Enaet Hossain, Md. Mehedi Hasan Shawon

Medical images and physiological signals provide valuable information for accurate diagnosis. Developing diagnostic models often requires patient data from multiple institutions, although strict privacy regulations limit the sharing of sensitive clinical records. Federated learning enables multiple hospitals to train a shared model without exchanging raw data. However, existing methods face two problems: the information exchanged during training can reveal whether a patient's data were used, and synthetic data meant to replace real records often fail to preserve their predictive structure, which limits clinical use. To address this issue, we propose FedDP-PALD, a privacy-preserving federated latent diffusion framework for multimodal medical data synthesis under formal privacy guarantees. It jointly processes chest X-ray images and electrocardiogram (ECG) signals through gated multi-head attention with modality-availability masks, remaining effective even when a modality is missing. We also introduce Differentially Private Prototype Mixture Aggregation (DP-PMA), which clips class-level latent prototypes and adds calibrated Gaussian noise before combining them on the server to maintain $(ε, δ)$ differential privacy. We evaluate FedDP-PALD on PneumoniaMNIST, ChestMNIST, and MIT-BIH datasets, where differential privacy reduced summary-level attack AUROC from 0.6229 $\pm$ 0.0026 to between 0.5016 and 0.5093 for privacy budgets from $ε= 1$ to $ε= 8$. On the test data, synthetic-latent training achieved an F1 score of 0.8993 $\pm$ 0.0006 and an AUROC of 0.9057 $\pm$ 0.0503, close to the 0.9747 $\pm$ 0.0132 real-latent training. These results show that FedDP-PALD generates private synthetic representations that preserve useful decision performance while strongly resisting membership inference.

Imam Mohammad Zulkarnain, Shayekh Bin Islam, Md. Zami Al Zunaed Farabe et al.

Despite the existence of numerous Optical Character Recognition (OCR) tools, the lack of comprehensive open-source systems hampers the progress of document digitization in various low-resource languages, including Bengali. Low-resource languages, especially those with an alphasyllabary writing system, suffer from the lack of large-scale datasets for various document OCR components such as word-level OCR, document layout extraction, and distortion correction; which are available as individual modules in high-resource languages. In this paper, we introduce Bengali$.$AI-BRACU-OCR (bbOCR): an open-source scalable document OCR system that can reconstruct Bengali documents into a structured searchable digitized format that leverages a novel Bengali text recognition model and two novel synthetic datasets. We present extensive component-level and system-level evaluation: both use a novel diversified evaluation dataset and comprehensive evaluation metrics. Our extensive evaluation suggests that our proposed solution is preferable over the current state-of-the-art Bengali OCR systems. The source codes and datasets are available here: https://bengaliai.github.io/bbocr.

Md. Sajeebul Islam Sk., Md. Mehedi Hasan Shawon, Md. Golam Rabiul Alam

Lumbar Spinal Stenosis (LSS) diagnosis remains a critical clinical challenge, with diagnosis heavily dependent on labor-intensive manual interpretation of multi-view Magnetic Resonance Imaging (MRI), leading to substantial inter-observer variability and diagnostic delays. Existing vision-language models simultaneously fail to address the extreme class imbalance prevalent in clinical segmentation datasets while preserving spatial accuracy, primarily due to global pooling mechanisms that discard crucial anatomical hierarchies. We present an end-to-end Explainable Vision-Language Model framework designed to overcome these limitations, achieved through two principal objectives. We propose a Spatial Patch Cross-Attention module that enables precise, text-directed localization of spinal anomalies with spatial precision. A novel Adaptive PID-Tversky Loss function by integrating control theory principles dynamically further modifies training penalties to specifically address difficult, under-segmented minority instances. By incorporating foundational VLMs alongside an Automated Radiology Report Generation module, our framework demonstrates considerable performance: a diagnostic classification accuracy of 90.69%, a macro-averaged Dice score of 0.9512 for segmentation, and a CIDEr score of 92.80%. Furthermore, the framework shows explainability by converting complex segmentation predictions into radiologist-style clinical reports, thereby establishing a new benchmark for transparent, interpretable AI in clinical medical imaging that keeps essential human supervision while enhancing diagnostic capabilities.

Mst. Fahmida Sultana Naznin, Adnan Ibney Faruq, Mushfiqur Rahman et al.

Automated radiology report summarization aims to distill verbose findings into concise clinical impressions, but existing multimodal models often struggle with visual noise and fail to meaningfully improve over strong text-only baselines in the FINDINGS $\to$ IMPRESSION transformation. We challenge two prevailing assumptions: (1) that more visual input is always better, and (2) that multimodal models add limited value when findings already contain rich image-derived detail. Through controlled ablations on MIMIC-CXR benchmark, we show that selectively focusing on pathology-relevant visual patches rather than full images yields substantially better performance. We introduce ViTAS, Visual-Text Attention Summarizer, a multi-stage pipeline that combines ensemble-guided MedSAM2 lung segmentation, bidirectional cross-attention for multi-view fusion, Shapley-guided adaptive patch clustering, and hierarchical visual tokenization feeding a ViT. ViTAS achieves SOTA results with 29.25% BLEU-4 and 69.83% ROUGE-L, improved factual alignment in qualitative analysis, and the highest expert-rated human evaluation scores. Our findings demonstrate that less but more relevant visual input is not only sufficient but superior for multimodal radiology summarization.

Mst. Fahmida Sultana Naznin, Adnan Ibney Faruq, Mostafa Rifat Tazwar et al.

A radiology report comprises several sections, including the Findings and Impression of the diagnosis. Automatically generating the Impression from the Findings is crucial for reducing radiologists' workload and improving diagnostic accuracy. Pretrained models that excel in common abstractive summarization problems encounter challenges when applied to specialized medical domains largely due to the complex terminology and the necessity for accurate clinical context. Such tasks in medical domains demand extracting core information, avoiding context shifts, and maintaining proper flow. Misuse of medical terms can lead to drastic clinical errors. To address these issues, we introduce a sequential transfer learning that ensures key content extraction and coherent summarization. Sequential transfer learning often faces challenges like initial parameter decay and knowledge loss, which we resolve with the Fisher matrix regularization. Using MIMIC-CXR and Open-I datasets, our model, CSTRL - Context-driven Sequential TRansfer Learning - achieved state-of-the-art performance, showing 56.2% improvement in BLEU-1, 40.5% in BLEU-2, 84.3% in BLEU-3, 28.9% in ROUGE-1, 41.0% in ROUGE-2 and 26.5% in ROGUE-3 score over benchmark studies. We also analyze factual consistency scores while preserving the medical context. Our code is publicly available at https://github.com/fahmidahossain/Report_Summarization.

Md Jobayer, Md Mehedi Hasan Shawon, Tasfin Mahmud et al.

Sleep stages play an important role in identifying sleep patterns and diagnosing sleep disorders. In this study, we present an automated sleep stage classifier called the Attentive Dilated Convolutional Neural Network (AttDiCNN), which uses deep learning methodologies to address challenges related to data heterogeneity, computational complexity, and reliable and automatic sleep staging. We employed a force-directed layout based on the visibility graph to capture the most significant information from the EEG signals, thereby representing the spatial-temporal features. The proposed network consists of three modules: the Localized Spatial Feature Extraction Network (LSFE), Spatio-Temporal-Temporal Long Retention Network (S2TLR), and Global Averaging Attention Network (G2A). The LSFE captures spatial information from sleep data, the S2TLR is designed to extract the most pertinent information in long-term contexts, and the G2A reduces computational overhead by aggregating information from the LSFE and S2TLR. We evaluated the performance of our model on three comprehensive and publicly accessible datasets, achieving state-of-the-art accuracies of 98.56%, 99.66%, and 99.08% for the EDFX, HMC, and NCH datasets, respectively, while maintaining a low computational complexity with 1.4 M parameters. Our proposed architecture surpasses existing methodologies in several performance metrics, thereby proving its potential as an automated tool for clinical settings.

Tayab Uddin Wara, Ababil Hossain Fahad, Adri Shankar Das et al.

Sleep is vital for people's physical and mental health, and sound sleep can help them focus on daily activities. Therefore, a sleep study that includes sleep patterns and sleep disorders is crucial to enhancing our knowledge about individuals' health status. This study aims to provide a comprehensive, systematic review of the recent literature to analyze the different approaches and their outcomes in sleep studies, which includes works on "sleep stages classification" and "sleep disorder detection" using AI. In this review, 183 articles were initially selected from different journals, among which 80 records were enlisted for explicit review, ranging from 2016 to 2023. Brain waves were the most commonly employed body parameters for sleep staging and disorder studies (almost 29% of the research used brain activity signals exclusively, and 77% combined with the other signals). The convolutional neural network (CNN), the most widely used of the 34 distinct artificial intelligence models, comprised 27%. The other models included the long short-term memory (LSTM), support vector machine (SVM), random forest (RF), and recurrent neural network (RNN), which consisted of 11%, 6%, 6%, and 5% sequentially. For performance metrics, accuracy was widely used for a maximum of 83.75% of the cases, the F1 score of 45%, Kappa of 36.25%, Sensitivity of 31.25%, and Specificity of 30% of cases, along with the other metrics. This article would help physicians and researchers get the gist of AI's contribution to sleep studies and the feasibility of their intended work.

Md Jobayer, Md. Mehedi Hasan Shawon, Md Rakibul Hasan et al.

Objective: Heart murmurs are abnormal sounds caused by turbulent blood flow within the heart. Several diagnostic methods are available to detect heart murmurs and their severity, such as cardiac auscultation, echocardiography, phonocardiogram (PCG), etc. However, these methods have limitations, including extensive training and experience among healthcare providers, cost and accessibility of echocardiography, as well as noise interference and PCG data processing. This study aims to develop a novel end-to-end real-time heart murmur detection approach using traditional and depthwise separable convolutional networks. Methods: Continuous wavelet transform (CWT) was applied to extract meaningful features from the PCG data. The proposed network has three parts: the Squeeze net, the Bottleneck, and the Expansion net. The Squeeze net generates a compressed data representation, whereas the Bottleneck layer reduces computational complexity using a depthwise-separable convolutional network. The Expansion net is responsible for up-sampling the compressed data to a higher dimension, capturing tiny details of the representative data. Results: For evaluation, we used four publicly available datasets and achieved state-of-the-art performance in all datasets. Furthermore, we tested our proposed network on two resource-constrained devices: a Raspberry PI and an Android device, stripping it down into a tiny machine learning model (TinyML), achieving a maximum of 99.70%. Conclusion: The proposed model offers a deep learning framework for real-time accurate heart murmur detection within limited resources. Significance: It will significantly result in more accessible and practical medical services and reduced diagnosis time to assist medical professionals. The code is publicly available at TBA.

Ummy Maria Muna, Md Mehedi Hasan Shawon, Md Jobayer et al.

The automated analysis of phonocardiograms is vital for the early diagnosis of cardiovascular disease, yet supervised deep learning is often constrained by the scarcity of expert-annotated data. In this paper, we propose the Self-Supervised Dual-Path Prototypical Network (SS-DPPN), a foundation model for cardiac audio representation and classification from unlabeled data. The framework introduces a dual-path contrastive learning based architecture that simultaneously processes 1D waveforms and 2D spectrograms using a novel hybrid loss. For the downstream task, a metric-learning approach using a Prototypical Network was used that enhances sensitivity and produces well-calibrated and trustworthy predictions. SS-DPPN achieves state-of-the-art performance on four cardiac audio benchmarks. The framework demonstrates exceptional data efficiency with a fully supervised model on three-fold reduction in labeled data. Finally, the learned representations generalize successfully across lung sound classification and heart rate estimation. Our experiments and findings validate SS-DPPN as a robust, reliable, and scalable foundation model for physiological signals.

Ummay Maria Muna, Md. Mehedi Hasan Shawon, Md Jobayer et al.

Brain-computer interfaces (BCI) in electroencephalography (EEG)-based motor imagery classification offer promising solutions in neurorehabilitation and assistive technologies by enabling communication between the brain and external devices. However, the non-stationary nature of EEG signals and significant inter-subject variability cause substantial challenges for developing robust cross-subject classification models. This paper introduces a novel Spatial-Spectral-Temporal Attention Fusion (SSTAF) Transformer specifically designed for upper-limb motor imagery classification. Our architecture consists of a spectral transformer and a spatial transformer, followed by a transformer block and a classifier network. Each module is integrated with attention mechanisms that dynamically attend to the most discriminative patterns across multiple domains, such as spectral frequencies, spatial electrode locations, and temporal dynamics. The short-time Fourier transform is incorporated to extract features in the time-frequency domain to make it easier for the model to obtain a better feature distinction. We evaluated our SSTAF Transformer model on two publicly available datasets, the EEGMMIDB dataset, and BCI Competition IV-2a. SSTAF Transformer achieves an accuracy of 76.83% and 68.30% in the data sets, respectively, outperforms traditional CNN-based architectures and a few existing transformer-based approaches.