PR3DICTR: A modular AI framework for medical 3D image-based detection and outcome prediction

Medical image processing demands specialized software that handles high-dimensional volumetric data, heterogeneous file formats, and domain-specific training procedures. Existing frameworks either provide low-level components that require substantial integration effort or impose rigid, monolithic pipelines that resist modification. We present MIP Candy (MIPCandy), a freely available, PyTorch-based framework designed specifically for medical image processing. MIPCandy provides a complete, modular pipeline spanning data loading, training, inference, and evaluation, allowing researchers to obtain a fully functional process workflow by implementing a single method, \texttt{build_network}, while retaining fine-grained control over every component. Central to the design is $\texttt{LayerT}$, a deferred configuration mechanism that enables runtime substitution of convolution, normalization, and activation modules without subclassing. The framework further offers built-in $k$-fold cross-validation, dataset inspection with automatic region-of-interest detection, deep supervision, exponential moving average, multi-frontend experiment tracking (Weights & Biases, Notion, MLflow), training state recovery, and validation score prediction via quotient regression. An extensible bundle ecosystem provides pre-built model implementations that follow a consistent trainer--predictor pattern and integrate with the core framework without modification. MIPCandy is open-source under the Apache-2.0 license and requires Python~3.12 or later. Source code and documentation are available at https://github.com/ProjectNeura/MIPCandy.

Multi-modal medical imaging enables comprehensive diagnostics, yet current foundation models process 2D (e.g. X-ray) and 3D (e.g. CT) data with separate, dimensionality-specific architectures. We present MultiMedVision, a unified framework for joint 2D/3D representation learning built on a Sparse Vision Transformer. Our model uses 3D Rotary Positional Embeddings and variable-length sequence packing to process mixed-modality batches natively within a shared latent space, without modality-specific adapters or treating 3D volumes as 2D slice sequences. Trained with a self-supervised objective on chest X-rays (MIMIC-CXR) and CT scans (CT-RATE), and using a single shared encoder with 5x less data, MultiMedVision achieves competitive performance on both 2D benchmarks (Macro AUROC 0.82 on MIMIC, 0.84 on CheXpert) and 3D tasks (0.85 on CT-RATE). Analysis of the learned representations reveals coexisting modality-specific and shared feature subspaces, demonstrating that unified cross-dimensional representation learning is feasible without sacrificing modality-specific performance.

Accurate and efficient 3D medical image segmentation is essential for clinical AI, where models must remain reliable under stringent memory, latency, and data availability constraints. Transformer-based methods achieve strong accuracy but suffer from excessive parameters, high FLOPs, and limited generalization. We propose LightMedSeg, a modular UNet-style segmentation architecture that integrates anatomical priors with adaptive context modeling. Anchor-conditioned FiLM modulation enables anatomy-aware feature calibration, while a local structural prior module and texture-aware routing dynamically allocate representational capacity to boundary-rich regions. Computational redundancy is minimized through ghost and depthwise convolutions, and multi-scale features are adaptively fused via a learned skip router with anchor-relative spatial position bias. Despite requiring only 0.48M parameters and 14.64~GFLOPs, LightMedSeg achieves segmentation accuracy within a few Dice points of heavy transformer baselines. Therefore, LightMedSeg is a deployable and data-efficient solution for 3D medical image segmentation. Code will be released publicly upon acceptance.