Guoping Cai

Guoping Cai, Houjin Chen, Yanfeng Li et al.

Breast ultrasound (BUS) image segmentation plays a vital role in assisting clinical diagnosis and early tumor screening. However, challenges such as speckle noise, imaging artifacts, irregular lesion morphology, and blurred boundaries severely hinder accurate segmentation. To address these challenges, this work aims to design a robust and efficient model capable of automatically segmenting breast tumors in BUS images.We propose a novel segmentation network named WDFFU-Mamba, which integrates wavelet-guided enhancement and dual-attention feature fusion within a U-shaped Mamba architecture. A Wavelet-denoised High-Frequency-guided Feature (WHF) module is employed to enhance low-level representations through noise-suppressed high-frequency cues. A Dual Attention Feature Fusion (DAFF) module is also introduced to effectively merge skip-connected and semantic features, improving contextual consistency.Extensive experiments on two public BUS datasets demonstrate that WDFFU-Mamba achieves superior segmentation accuracy, significantly outperforming existing methods in terms of Dice coefficient and 95th percentile Hausdorff Distance (HD95).The combination of wavelet-domain enhancement and attention-based fusion greatly improves both the accuracy and robustness of BUS image segmentation, while maintaining computational efficiency.The proposed WDFFU-Mamba model not only delivers strong segmentation performance but also exhibits desirable generalization ability across datasets, making it a promising solution for real-world clinical applications in breast tumor ultrasound analysis.

Gesa Mittmann, Sara Laiouar-Pedari, Hendrik A. Mehrtens et al.

The aggressiveness of prostate cancer, the most common cancer in men worldwide, is primarily assessed based on histopathological data using the Gleason scoring system. While artificial intelligence (AI) has shown promise in accurately predicting Gleason scores, these predictions often lack inherent explainability, potentially leading to distrust in human-machine interactions. To address this issue, we introduce a novel dataset of 1,015 tissue microarray core images, annotated by an international group of 54 pathologists. The annotations provide detailed localized pattern descriptions for Gleason grading in line with international guidelines. Utilizing this dataset, we develop an inherently explainable AI system based on a U-Net architecture that provides predictions leveraging pathologists' terminology. This approach circumvents post-hoc explainability methods while maintaining or exceeding the performance of methods trained directly for Gleason pattern segmentation (Dice score: 0.713 $\pm$ 0.003 trained on explanations vs. 0.691 $\pm$ 0.010 trained on Gleason patterns). By employing soft labels during training, we capture the intrinsic uncertainty in the data, yielding strong results in Gleason pattern segmentation even in the context of high interobserver variability. With the release of this dataset, we aim to encourage further research into segmentation in medical tasks with high levels of subjectivity and to advance the understanding of pathologists' reasoning processes.

Zhang Li, Zheyu Hu, Jiaolong Xu et al.

Aim: Early detection and correct diagnosis of lung cancer are the most important steps in improving patient outcome. This study aims to assess which deep learning models perform best in lung cancer diagnosis. Methods: Non-small cell lung carcinoma and small cell lung carcinoma biopsy specimens were consecutively obtained and stained. The specimen slides were diagnosed by two experienced pathologists (over 20 years). Several deep learning models were trained to discriminate cancer and non-cancer biopsies. Result: Deep learning models give reasonable AUC from 0.8810 to 0.9119. Conclusion: The deep learning analysis could help to speed up the detection process for the whole-slide image (WSI) and keep the comparable detection rate with human observer.