Medical Image Classification
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53 papers in the last four weeks, up 8% on the four weeks before. 0.3% of all new papers.
Deep learning models for COVID-19 detection from chest CT scans generally perform well when the training and test data originate from the same institution, but they often struggle when scans are drawn from multiple centres with differing scanners, imaging protocols, and patient populations. One key reason is that existing methods treat COVID-19 classification as the sole training objective, without accounting for the data source of each scan. As a result, the learned representations tend to be biased toward centres that contribute more training data. To address this, we propose a multi-task learning approach in which the model is trained to predict both the COVID-19 diagnosis and the originating data centre. The two tasks share an EfficientNet-B7 backbone, which encourages the feature extractor to learn representations that hold across all four participating centres. Since the training data is not evenly distributed across sources, we apply a logit-adjusted cross-entropy loss [1] to the source classification head to prevent underrepresented centres from being overlooked. Our pre-processing follows the SSFL framework with KDS [2], selecting eight representative slices per scan. Our method achieves an F1 score of 0.9098 and an AUC-ROC of 0.9647 on a validation set of 308 scans. The code is publicly available at https://github.com/Purdue-M2/-multisource-covid-ct.
OkanNet: A Lightweight Deep Learning Architecture for Classification of Brain Tumor from MRI Images
Medical imaging techniques, especially Magnetic Resonance Imaging (MRI), are accepted as the gold standard in the diagnosis and treatment planning of neurological diseases. However, the manual analysis of MRI images is a time-consuming process for radiologists and is prone to human error due to fatigue. In this study, two different Deep Learning approaches were developed and analyzed comparatively for the automatic detection and classification of brain tumors (Glioma, Meningioma, Pituitary, and No Tumor). In the first approach, a custom Convolutional Neural Network (CNN) architecture named "OkanNet", which has a low computational cost and fast training time, was designed from scratch. In the second approach, the Transfer Learning method was applied using the 50-layer ResNet-50 [1] architecture, pre-trained on the ImageNet dataset. In experiments conducted on an extended dataset compiled by Masoud Nickparvar containing a total of MRI images, the Transfer Learning-based ResNet-50 model exhibited superior classification performance, achieving Accuracy and Precision. In contrast, the custom OkanNet architecture reached an accuracy rate of ; however, it proved to be a strong alternative for mobile and embedded systems with limited computational power by yielding results approximately times faster ( seconds) than ResNet-50 in terms of training time. This study demonstrates the trade-off between model depth and computational efficiency in medical image analysis through experimental data.
NeoNet: An End-to-End 3D MRI-Based Deep Learning Framework for Non-Invasive Prediction of Perineural Invasion via Generation-Driven Classification
Minimizing invasive diagnostic procedures to reduce the risk of patient injury and infection is a central goal in medical imaging. And yet, noninvasive diagnosis of perineural invasion (PNI), a critical prognostic factor involving infiltration of tumor cells along the surrounding nerve, still remains challenging, due to the lack of clear and consistent imaging criteria criteria for identifying PNI. To address this challenge, we present NeoNet, an integrated end-to-end 3D deep learning framework for PNI prediction in cholangiocarcinoma that does not rely on predefined image features. NeoNet integrates three modules: (1) NeoSeg, utilizing a Tumor-Localized ROI Crop (TLCR) algorithm; (2) NeoGen, a 3D Latent Diffusion Model (LDM) with ControlNet, conditioned on anatomical masks to generate synthetic image patches, specifically balancing the dataset to a 1:1 ratio; and (3) NeoCls, the final prediction module. For NeoCls, we developed the PNI-Attention Network (PattenNet), which uses the frozen LDM encoder and specialized 3D Dual Attention Blocks (DAB) designed to detect subtle intensity variations and spatial patterns indicative of PNI. In 5-fold cross-validation, NeoNet outperformed baseline 3D models and achieved the highest performance with a maximum AUC of 0.7903.
Retinal Malady Classification using AI: A novel ViT-SVM combination architecture
Macular Holes, Central serous retinopathy and Diabetic Retinopathy are one of the most widespread maladies of the eyes responsible for either partial or complete vision loss, thus making it clear that early detection of the mentioned defects is detrimental for the well-being of the patient. This study intends to introduce the application of Vision Transformer and Support Vector Machine based hybrid architecture (ViT-SVM) and analyse its performance to classify the optical coherence topography (OCT) Scans with the intention to automate the early detection of these retinal defects.
Prototype-Enhanced Multi-View Learning for Thyroid Nodule Ultrasound Classification
Thyroid nodule classification using ultrasound imaging is essential for early diagnosis and clinical decision-making; however, despite promising performance on in-distribution data, existing deep learning methods often exhibit limited robustness and generalisation when deployed across different ultrasound devices or clinical environments. This limitation is mainly attributed to the pronounced heterogeneity of thyroid ultrasound images, which can lead models to capture spurious correlations rather than reliable diagnostic cues. To address this challenge, we propose PEMV-thyroid, a Prototype-Enhanced Multi-View learning framework that accounts for data heterogeneity by learning complementary representations from multiple feature perspectives and refining decision boundaries through a prototype-based correction mechanism with mixed prototype information. By integrating multi-view representations with prototype-level guidance, the proposed approach enables more stable representation learning under heterogeneous imaging conditions. Extensive experiments on multiple thyroid ultrasound datasets demonstrate that PEMV-thyroid consistently outperforms state-of-the-art methods, particularly in cross-device and cross-domain evaluation scenarios, leading to improved diagnostic accuracy and generalisation performance in real-world clinical settings. The source code is available at https://github.com/chenyangmeii/Prototype-Enhanced-Multi-View-Learning.
DinoDental: Benchmarking DINOv3 as a Unified Vision Encoder for Dental Image Analysis
The scarcity and high cost of expert annotations in dental imaging present a significant challenge for the development of AI in dentistry. DINOv3, a state-of-the-art, self-supervised vision foundation model pre-trained on 1.7 billion images, offers a promising pathway to mitigate this issue. However, its reliability when transferred to the dental domain, with its unique imaging characteristics and clinical subtleties, remains unclear. To address this, we introduce DinoDental, a unified benchmark designed to systematically evaluate whether DINOv3 can serve as a reliable, off-the-shelf encoder for comprehensive dental image analysis without requiring domain-specific pre-training. Constructed from multiple public datasets, DinoDental covers a wide range of tasks, including classification, detection, and instance segmentation on both panoramic radiographs and intraoral photographs. We further analyze the model's transfer performance by scaling its size and input resolution, and by comparing different adaptation strategies, including frozen features, full fine-tuning, and the parameter-efficient Low-Rank Adaptation (LoRA) method. Our experiments show that DINOv3 can serve as a strong unified encoder for dental image analysis across both panoramic radiographs and intraoral photographs, remaining competitive across tasks while showing particularly clear advantages for intraoral image understanding and boundary-sensitive dense prediction. Collectively, DinoDental provides a systematic framework for comprehensively evaluating DINOv3 in dental analysis, establishing a foundational benchmark to guide efficient and effective model selection and adaptation for the dental AI community.
Synergizing Discriminative Exemplars and Self-Refined Experience for MLLM-based In-Context Learning in Medical Diagnosis
General Multimodal Large Language Models (MLLMs) often underperform in capturing domain-specific nuances in medical diagnosis, trailing behind fully supervised baselines. Although fine-tuning provides a remedy, the high costs of expert annotation and massive computational overhead limit its scalability. To bridge this gap without updating the weights of the pre-trained backbone of the MLLM, we propose a Clinician Mimetic Workflow. This is a novel In-Context Learning (ICL) framework designed to synergize Discriminative Exemplar Coreset Selection (DECS) and Self-Refined Experience Summarization (SRES). Specifically, DECS simulates a clinician's ability to reference "anchor cases" by selecting discriminative visual coresets from noisy data at the computational level; meanwhile, SRES mimics the cognition and reflection in clinical diagnosis by distilling diverse rollouts into a dynamic textual Experience Bank. Extensive evaluation across all 12 datasets of the MedMNIST 2D benchmark demonstrates that our method outperforms zero-shot general and medical MLLMs. Simultaneously, it achieves performance levels comparable to fully supervised vision models and domain-specific fine-tuned MLLMs, setting a new benchmark for parameter-efficient medical in-context learning. Our code is available at an anonymous repository: https://anonymous.4open.science/r/Synergizing-Discriminative-Exemplars-and-Self-Refined-Experience-ED74.
Automated multi-class wound assessment using dedicated instance segmentation models for boundary detection and classification
Accurate wound classification (WC) and boundary segmentation are essential for guiding clinical decisions in chronic and acute wound management. However, most existing artificial intelligence (AI) models are limited, focusing on a narrow set of wound types, limited variations in wound severity, or a single task (segmentation or classification), which reduces their clinical applicability. This study presents two dedicated instance segmentation models based on You Only Look Once (YOLO)v11 that perform wound boundary segmentation (WBS) and WC across five clinically relevant wound types: burn injury (BI), pressure injury, diabetic foot ulcer, vascular ulcer, and surgical wound. A wound-type balanced dataset of 2,963 annotated images was created to train the models for both tasks, using five-fold cross-validation. Models trained on the original, non-augmented dataset performed consistently across folds, though BI detection accuracy was relatively low; augmenting the dataset with rotation, flipping, and variations in brightness, saturation, and exposure significantly improved performance, particularly for visually subtle BI cases. Among the tested variants, YOLOv11x achieved the best WBS performance (F1-score: 0.9341; mAP50: 0.9629). For WC, YOLOv11m achieved the highest mAP50 (0.9194) and mAP50-95 (0.6950), whereas YOLOv11l achieved the highest F1-score (0.8797). The lightweight YOLOv11n provided comparable accuracy at lower computational cost, making it suitable for resource-constrained deployments. Supported by confusion matrices and visual detection outputs, the results confirm robustness against complex backgrounds and high intra-class variability, demonstrating the potential of YOLOv11-based architectures for accurate, real-time wound analysis in clinical and remote care settings.
EcoFair: Energy-Efficient Inference Routing for Edge AI under Data Degradation
Medical edge-AI systems must operate under a difficult tension: delivering reliable diagnostic inference while running on devices with limited battery capacity, memory, and compute. In dermatology, this problem is amplified by real-world image degradation caused by smartphone capture, poor lighting, blur, compression, and heterogeneous edge sensors. To handle these degraded inputs, deploying a heavyweight model can improve reliability, but it rapidly increases the energy burden on resource-constrained devices. Conversely, always using a lightweight model saves energy but may be less reliable on ambiguous or degraded inputs. This paper introduces EcoFair, a vertically partitioned inference framework for dermatology classification in which image and tabular inputs remain local to edge clients while only learned modality-specific representations are transmitted for server-side fusion. EcoFair first processes each sample using a lightweight image encoder and then decides whether additional heavyweight computation is necessary. Escalation is triggered when the lightweight prediction exhibits high uncertainty, a narrow separation between safe and high-risk classes, or elevated metadata-derived risk from patient age and lesion location. Across HAM10000, BCN20000, and PAD-UFES-20, EcoFair is evaluated using multiple lightweight--heavy backbone pairings to quantify the trade-off between energy consumption, diagnostic performance, and worst-group malignant-case recall. Results show that EcoFair can reduce per-sample image-inference energy by up to 68% relative to always using the heavyweight encoder, while selectively allocating additional computation under difficult data regimes to support inference reliability. Group-level analysis further shows configuration-dependent effects, with improvements in selected model--dataset settings and mixed behaviour in others.
External Benchmarking of Lung Ultrasound Models for Pneumothorax-Related Signs: A Manifest-Based Multi-Source Study
Background and Aims: Reproducible external benchmarks for pneumothorax-related lung ultrasound (LUS) AI are scarce, and binary lung-sliding classification may obscure clinically important signs. We therefore developed a manifest-based external benchmark and used it to test both cross-domain generalization and task validity. Methods: We curated 280 clips from 190 publicly accessible LUS source videos and released a reconstruction manifest containing URLs, timestamps, crop coordinates, labels, and probe shape. Labels were normal lung sliding, absent lung sliding, lung point, and lung pulse. A previously published single-site binary classifier was evaluated on this benchmark; challenge-state analysis examined lung point and lung pulse using the predicted probability of absent sliding, P(absent). Results: The single-site comparator achieved ROC-AUC 0.9625 in-domain but 0.7050 on the heterogeneous external benchmark; restricting external evaluation to linear clips still yielded ROC-AUC 0.7212. In challenge-state analysis, mean P(absent) ranked absent (0.504) > lung point (0.313) > normal (0.186) > lung pulse (0.143). Lung pulse differed from absent clips (p=0.000470) but not from normal clips (p=0.813), indicating that the binary model treated pulse as normal-like despite absent sliding. Lung point differed from both absent (p=0.000468) and normal (p=0.000026), supporting its interpretation as an intermediate ambiguity state rather than a clean binary class. Conclusion: A manifest-based, multi-source benchmark can support reproducible external evaluation without redistributing source videos. Binary lung-sliding classification is an incomplete proxy for pneumothorax reasoning because it obscures blind-spot and ambiguity states such as lung pulse and lung point.
DeepFAN, a transformer-based deep learning model for human-artificial intelligence collaborative assessment of incidental pulmonary nodules in CT scans: a multi-reader, multi-case trial
The widespread adoption of CT has notably increased the number of detected lung nodules. However, current deep learning methods for classifying benign and malignant nodules often fail to comprehensively integrate global and local features, and most of them have not been validated through clinical trials. To address this, we developed DeepFAN, a transformer-based model trained on over 10K pathology-confirmed nodules and further conducted a multi-reader, multi-case clinical trial to evaluate its efficacy in assisting junior radiologists. DeepFAN achieved diagnostic area under the curve (AUC) of 0.939 (95% CI 0.930-0.948) on an internal test set and 0.954 (95% CI 0.934-0.973) on the clinical trial dataset involving 400 cases across three independent medical institutions. Explainability analysis indicated higher contributions from global than local features. Twelve readers' average performance significantly improved by 10.9% (95% CI 8.3%-13.5%) in AUC, 10.0% (95% CI 8.9%-11.1%) in accuracy, 7.6% (95% CI 6.1%-9.2%) in sensitivity, and 12.6% (95% CI 10.9%-14.3%) in specificity (P<0.001 for all). Nodule-level inter-reader diagnostic consistency improved from fair to moderate (overall k: 0.313 vs. 0.421; P=0.019). In conclusion, DeepFAN effectively assisted junior radiologists and may help homogenize diagnostic quality and reduce unnecessary follow-up of indeterminate pulmonary nodules. Chinese Clinical Trial Registry: ChiCTR2400084624.
An Image Dataset of Common Skin Diseases of Bangladesh and Benchmarking Performance with Machine Learning Models
Skin diseases are a major public health concern worldwide, and their detection is often challenging without access to dermatological expertise. In countries like Bangladesh, which is highly populated, the number of qualified skin specialists and diagnostic instruments is insufficient to meet the demand. Due to the lack of proper detection and treatment of skin diseases, that may lead to severe health consequences including death. Common properties of skin diseases are, changing the color, texture, and pattern of skin and in this era of artificial intelligence and machine learning, we are able to detect skin diseases by using image processing and computer vision techniques. In response to this challenge, we develop a publicly available dataset focused on common skin disease detection using machine learning techniques. We focus on five prevalent skin diseases in Bangladesh: Contact Dermatitis, Vitiligo, Eczema, Scabies, and Tinea Ringworm. The dataset consists of 1612 images (of which, 250 are distinct while others are augmented), collected directly from patients at the outpatient department of Faridpur Medical College, Faridpur, Bangladesh. The data comprises of 302, 381, 301, 316, and 312 images of Dermatitis, Eczema, Scabies, Tinea Ringworm, and Vitiligo, respectively. Although the data are collected regionally, the selected diseases are common across many countries especially in South Asia, making the dataset potentially valuable for global applications in machine learning-based dermatology. We also apply several machine learning and deep learning models on the dataset and report classification performance. We expect that this research would garner attention from machine learning and deep learning researchers and practitioners working in the field of automated disease diagnosis.
PhyDCM: A Reproducible Open-Source Framework for AI-Assisted Brain Tumor Classification from Multi-Sequence MRI
MRI-based medical imaging has become indispensable in modern clinical diagnosis, particularly for brain tumor detection. However, the rapid growth in data volume poses challenges for conventional diagnostic approaches. Although deep learning has shown strong performance in automated classification, many existing solutions are confined to closed technical architectures, limiting reproducibility and further academic development. PhyDCM is introduced as an open-source software framework that integrates a hybrid classification architecture based on MedViT with standardized DICOM processing and an interactive desktop visualization interface. The system is designed as a modular digital library that separates computational logic from the graphical interface, allowing independent modification and extension of components. Standardized preprocessing, including intensity rescaling and limited data augmentation, ensures consistency across varying MRI acquisition settings. Experimental evaluation on MRI datasets from BRISC2025 and curated Kaggle collections (FigShare, SARTAJ, and Br35H) demonstrates stable diagnostic performance, achieving over 93% classification accuracy across categories. The framework supports structured, exportable outputs and multi-planar reconstruction of volumetric data. By emphasizing transparency, modularity, and accessibility, PhyDCM provides a practical foundation for reproducible AI-driven medical image analysis, with flexibility for future integration of additional imaging modalities.
Attention-based Pin Site Image Classification in Orthopaedic Patients with External Fixators
Pin sites represent the interface where a metal pin or wire from the external environment passes through the skin into the internal environment of the limb. These pins or wires connect an external fixator to the bone to stabilize the bone segments in a patient with trauma or deformity. Because these pin sites represent an opportunity for external skin flora to enter the internal environment of the limb, infections of the pin site are common. These pin site infections are painful, annoying, and cause increased morbidity to the patients. Improving the identification and management of pin site infections would greatly enhance the patient experience when external fixators are used. For this, this paper collects and produces a dataset on pin sites wound infections and proposes a deep learning (DL) method to classify pin sites images based on their appearance: Group A displayed signs of inflammation or infection, while Group B showed no evident complications. Unlike studies that primarily focus on open wounds, our research includes potential interventions at the metal pin/skin interface. Our attention-based deep learning model addresses this complexity by emphasizing relevant regions and minimizing distractions from the pins. Moreover, we introduce an Efficient Redundant Reconstruction Convolution (ERRC) method to enhance the richness of feature maps while reducing the number of parameters. Our model outperforms baseline methods with an AUC of 0.975 and an F1-score of 0.927, requiring only 5.77 M parameters. These results highlight the potential of DL in differentiating pin sites only based on visual signs of infection, aligning with healthcare professional assessments, while further validation with more data remains essential.
Retinal Disease Classification from Fundus Images using CNN Transfer Learning
Retinal diseases remain among the leading preventable causes of visual impairment worldwide. Automated screening based on fundus image analysis has the potential to expand access to early detection, particularly in underserved populations. This paper presents a reproducible deep learning pipeline for binary retinal disease risk classification from publicly available fundus photographs. We implement and compare a baseline convolutional neural network with a transfer learning approach using a pretrained VGG16 backbone and evaluate generalization on held-out data. To address class imbalance, we apply class weighting and report standard classification metrics including accuracy, precision, recall, F1-score, confusion matrices, and ROC-AUC. The VGG16 transfer learning model achieves 90.8% test accuracy with a weighted F1-score of 0.90, substantially outperforming the baseline CNN (83.1% accuracy). Results indicate that transfer learning improves discrimination compared to a baseline CNN, while also revealing remaining challenges in sensitivity to minority disease cases. We discuss practical limitations related to dataset characteristics, class imbalance, and threshold selection, and provide guidance for reproducibility and future improvements for clinically reliable screening
Bi-CRCL: Bidirectional Conservative-Radical Complementary Learning with Pre-trained Foundation Models for Class-incremental Medical Image Analysis
Class-incremental learning (CIL) in medical image-guided diagnosis requires retaining prior diagnostic knowledge while adapting to newly emerging disease categories, which is critical for scalable clinical deployment. This problem is particularly challenging due to heterogeneous data and privacy constraints that prevent memory replay. Although pretrained foundation models (PFMs) have advanced general-domain CIL, their potential in medical imaging remains underexplored, where domain-specific adaptation is essential yet difficult due to anatomical complexity and inter-institutional heterogeneity. To address this gap, we conduct a systematic benchmark of recent PFM-based CIL methods and propose Bidirectional Conservative-Radical Complementary Learning (Bi-CRCL), a dual-learner framework inspired by complementary learning systems. Bi-CRCL integrates a conservative learner that preserves prior knowledge through stability-oriented updates and a radical learner that rapidly adapts to new categories via plasticity-oriented learning. A bidirectional interaction mechanism enables forward transfer and backward consolidation, allowing continual integration of new knowledge while mitigating catastrophic forgetting. During inference, outputs from both learners are adaptively fused for robust predictions. Experiments on five medical imaging datasets demonstrate consistent improvements over state-of-the-art methods under diverse settings, including cross-dataset shifts and varying task configurations.
FixationFormer: Direct Utilization of Expert Gaze Trajectories for Chest X-Ray Classification
Expert eye movements provide a rich, passive source of domain knowledge in radiology, offering a powerful cue for integrating diagnostic reasoning into computer-aided analysis. However, direct integration into CNN-based systems, which historically have dominated the medical image analysis domain, is challenging: gaze recordings are sequential, temporally dense yet spatially sparse, noisy, and variable across experts. As a consequence, most existing image-based models utilize reduced representations such as heatmaps. In contrast, gaze naturally aligns with transformer architectures, as both are sequential in nature and rely on attention to highlight relevant input regions. In this work, we introduce FixationFormer, a transformer-based architecture that represents expert gaze trajectories as sequences of tokens, thereby preserving their temporal and spatial structure. By modeling gaze sequences jointly with image features, our approach addresses sparsity and variability in gaze data while enabling a more direct and fine-grained integration of expert diagnostic cues through explicit cross-attention between the image and gaze token sequences. We evaluate our method on three publicly available benchmark chest X-ray datasets and demonstrate that it achieves state-of-the-art classification performance, highlighting the value of representing gaze as a sequence in transformer-based medical image analysis.
Image-Domain Poisson-Perturbation Robustness of NCCT Slice Classification
Image-domain Poisson perturbation may alter normalized NCCT appearance and downstream models. We evaluated classification of ischemic core/penumbra-bearing non-contrast CT (NCCT) slices under five simulated settings. The source cohort was CPAISD (112 hyperacute ischemic stroke patients); the test partition contained 10 patients and 809 slices. First, a fixed-checkpoint audit compared direct ResNet-18 classification (P1) with residual U-Net denoising followed by the classifier (P2). P1 average precision (AP) ranged from 0.694 to 0.901, whereas P2 AP ranged from 0.509 to 0.797 (substantially lower at settings 10-40). The fixed 0.5 threshold had 0-12.8% sensitivity for P1 and 0% for P2. Second, a prospectively locked de novo experiment compared direct noisy classification (DNC), joint denoising-classification (JDC-0), and the same joint model with privileged training-only lesion-boundary supervision (JDC-B). Across-setting mean AP was 0.861 +/- 0.028 for DNC, 0.840 +/- 0.038 for JDC-0, and 0.856 +/- 0.031 for JDC-B. Hierarchical paired-bootstrap differences were -0.021 (95% CI -0.063 to 0.019) for JDC-0 minus DNC, 0.016 (-0.019 to 0.054) for JDC-B minus JDC-0, and -0.005 (-0.041 to 0.026) for JDC-B minus DNC; none excluded zero. A frozen stress test on the 52-patient AISD partition also showed limited transportability. Thus, ordinary joint training did not demonstrate a classification benefit, and the boundary term recovered part of its point-estimate loss without a statistically supported advantage. Image fidelity, ranking, calibration, and clinical utility must be evaluated separately. This study does not validate acquired low-dose, portable, or cone-beam CT, nor patient-level stroke diagnosis.
Abnormalities and Disease Detection in Gastro-Intestinal Tract Images
Gastrointestinal (GI) tract image analysis plays a crucial role in medical diagnosis. This research addresses the challenge of accurately classifying and segmenting GI images for real-time applications, where traditional methods often struggle due to the diversity and complexity of abnormalities. The high computational demands of this domain require efficient and adaptable solutions. This PhD thesis presents a multifaceted approach to GI image analysis. Initially, texture-based feature extraction and classification methods were explored, achieving high processing speed (over 4000 FPS) and strong performance (F1-score: 0.76, Accuracy: 0.98) on the Kvasir V2 dataset. The study then transitions to deep learning, where an optimized model combined with data bagging techniques improved performance, reaching an accuracy of 0.92 and an F1-score of 0.60 on the HyperKvasir dataset, and an F1-score of 0.88 on Kvasir V2. To support real-time detection, a streamlined neural network integrating texture and local binary patterns was developed. By addressing inter-class similarity and intra-class variation through a learned threshold, the system achieved 41 FPS with high accuracy (0.99) and an F1-score of 0.91 on HyperKvasir. Additionally, two segmentation tools are proposed to enhance usability, leveraging Depth-Wise Separable Convolution and neural network ensembles for improved detection, particularly in low-FPS scenarios. Overall, this research introduces novel and adaptable methodologies, progressing from traditional texture-based techniques to deep learning and ensemble approaches, providing a comprehensive framework for advancing GI image analysis.
HamVision: Hamiltonian Dynamics as Inductive Bias for Medical Image Analysis
We present HamVision, a framework for medical image analysis that uses the damped harmonic oscillator, a fundamental building block of signal processing, as a structured inductive bias for both segmentation and classification tasks. The oscillator's phase-space decomposition yields three functionally distinct representations: position~ (feature content), momentum~ (spatial gradients that encode boundary and texture information), and energy (a parameter-free saliency map). These representations emerge from the dynamics, not from supervision, and can be exploited by different task-specific heads without any modification to the oscillator itself. For segmentation, energy gates the skip connections while momentum injects boundary information at every decoder level (HamSeg). For classification, the three representations are globally pooled and concatenated into a phase-space feature vector (HamCls). We evaluate HamVision across ten medical imaging benchmarks spanning five imaging modalities. On segmentation, HamSeg achieves state-of-the-art Dice scores on ISIC,2018 (89.38%), ISIC,2017 (88.40%), TN3K (87.05%), and ACDC (92.40%), outperforming most baselines with only 8.57M parameters. On classification, HamCls achieves state-of-the-art accuracy on BloodMNIST (98.85%) and PathMNIST (96.65%), and competitive results on the remaining MedMNIST datasets against MedMamba and MedViT. Diagnostic analysis confirms that the oscillator's momentum consistently encodes an interiorboundaryexterior gradient for segmentation and that the energy map correlates with discriminative regions for classification, properties that emerge entirely from the Hamiltonian dynamics. Code is available at https://github.com/Minds-R-Lab/hamvision.
Enhancing Brain Tumor Classification Using Vision Transformers with Colormap-Based Feature Representation on BRISC2025 Dataset
Accurate classification of brain tumors from magnetic resonance imaging (MRI) plays a critical role in early diagnosis and effective treatment planning. In this study, we propose a deep learning framework based on Vision Transformers (ViT) enhanced with colormap-based feature representation to improve multi-class brain tumor classification performance. The proposed approach leverages the ability of transformer architectures to capture long-range dependencies while incorporating color mapping techniques to emphasize important structural and intensity variations within MRI scans. Experiments are conducted on the BRISC2025 dataset, which includes four classes: glioma, meningioma, pituitary tumor, and non-tumor cases. The model is trained and evaluated using standard performance metrics such as accuracy, precision, recall, F1-score, and area under the receiver operating characteristic curve (AUC). The proposed method achieves a classification accuracy of 98.90%, outperforming baseline convolutional neural network models including ResNet50, ResNet101, and EfficientNetB2. In addition, the model demonstrates strong generalization capability with an AUC of 99.97%, indicating high discriminative performance across all classes. These results highlight the effectiveness of combining Vision Transformers with colormap-based feature enhancement for accurate and robust brain tumor classification and suggest strong potential for clinical decision support applications.
Ensemble of Small Classifiers For Imbalanced White Blood Cell Classification
Automating white blood cell classification for diagnosis of leukaemia is a promising alternative to time-consuming and resource-intensive examination of cells by expert pathologists. However, designing robust algorithms for classification of rare cell types remains challenging due to variations in staining, scanning and inter-patient heterogeneity. We propose a lightweight ensemble approach for classification of cells during Haematopoiesis, with a focus on the biology of Granulopoiesis, Monocytopoiesis and Lymphopoiesis. Through dataset expansion to alleviate some class imbalance, we demonstrate that a simple ensemble of lightweight pretrained SwinV2-Tiny, DinoBloom-Small and ConvNeXT-V2-Tiny models achieves excellent performance on this challenging dataset. We train 3 instantiations of each architecture in a stratified 3-fold cross-validation framework; for an input image, we forward-pass through all 9 models and aggregate through logit averaging. We further reason on the weaknesses of our model in confusing similar-looking myelocytes in granulopoiesis and lymphocytes in lymphopoiesis. Code: https://gitlab.com/siddharthsrivastava/wbc-bench-2026.
Less is More in Semantic Space: Intrinsic Decoupling via Clifford-M for Fundus Image Classification
Multi-label fundus diagnosis requires features that capture both fine-grained lesions and large-scale retinal structure. Many multi-scale medical vision models address this challenge through explicit frequency decomposition, but our ablation studies show that such heuristics provide limited benefit in this setting: replacing the proposed simple dual-resolution stem with Octave Convolution increased parameters by 35% and computation by a 2.23-fold increase in computation; without improving mean accuracy, while a fixed wavelet-based variant performed substantially worse. Motivated by these findings, we propose Clifford-M, a lightweight backbone that replaces both feed-forward expansion and frequency-splitting modules with sparse geometric interaction. The model is built on a Clifford-style rolling product that jointly captures alignment and structural variation with linear complexity, enabling efficient cross-scale fusion and self-refinement in a compact dual-resolution architecture. Without pre-training, Clifford-M achieves a mean AUC-ROC of 0.8142 and a mean macro-F1 (optimal threshold) of 0.5481 on ODIR-5K using only 0.85M parameters, outperforming substantially larger mid-scale CNN baselines under the same training protocol. When evaluated on RFMiD without fine-tuning, it attains 0.7425 +/- 0.0198 macro AUC and 0.7610 +/- 0.0344 micro AUC, indicating reasonable robustness to cross-dataset shift. These results suggest that competitive and efficient fundus diagnosis can be achieved without explicit frequency engineering, provided that the core feature interaction is designed to capture multi-scale structure directly.
A Multimodal Deep Learning Framework for Edema Classification Using HCT and Clinical Data
We propose AttentionMixer, a unified deep learning framework for multimodal detection of brain edema that combines structural head CT (HCT) with routine clinical metadata. While HCT provides rich spatial information, clinical variables such as age, laboratory values, and scan timing capture complementary context that might be ignored or naively concatenated. AttentionMixer is designed to fuse these heterogeneous sources in a principled and efficient manner. HCT volumes are first encoded using a self-supervised Vision Transformer Autoencoder (ViT-AE++), without requiring large labeled datasets. Clinical metadata are mapped into the same feature space and used as keys and values in a cross-attention module, where HCT-derived feature vector serves as queries. This cross-attention fusion allows the network to dynamically modulate imaging features based on patient-specific context and provides an interpretable mechanism for multimodal integration. A lightweight MLP-Mixer then refines the fused representation before final classification, enabling global dependency modeling with substantially reduced parameter overhead. Missing or incomplete metadata are handled via a learnable embedding, promoting robustness to real-world clinical data quality. We evaluate AttentionMixer on a curated brain HCT cohort with expert edema annotations using five-fold cross-validation. Compared with strong HCT-only, metadata-only, and prior multimodal baselines, AttentionMixer achieves superior performance (accuracy 87.32%, precision 92.10%, F1-score 85.37%, AUC 94.14%). Ablation studies confirm the benefit of both cross-attention and MLP-Mixer refinement, and permutation-based metadata importance analysis highlights clinically meaningful variables driving predictions. These results demonstrate that structured, interpretable multimodal fusion can substantially improve edema detection in clinical practice.
DCG-Net: Dual Cross-Attention with Concept-Value Graph Reasoning for Interpretable Medical Diagnosis
Deep learning models have achieved strong performance in medical image analysis, but their internal decision processes remain difficult to interpret. Concept Bottleneck Models (CBMs) partially address this limitation by structuring predictions through human-interpretable clinical concepts. However, existing CBMs typically overlook the contextual dependencies among concepts. To address these issues, we propose an end-to-end interpretable framework DCG-Net that integrates multimodal alignment with structured concept reasoning. DCG-Net introduces a Dual Cross-Attention module that replaces cosine similarity matching with bidirectional attention between visual tokens and canonicalized textual concept-value prototypes, enabling spatially localized evidence attribution. To capture the relational structure inherent to clinical concepts, we develop a Parametric Concept Graph initialized with Positive Pointwise Mutual Information priors and refined through sparsity-controlled message passing. This formulation models inter-concept dependencies in a manner consistent with clinical domain knowledge. Experiments on white blood cell morphology and skin lesion diagnosis demonstrate that DCG-Net achieves state-of-the-art classification performance while producing clinically interpretable diagnostic explanations.
Interpretable Prostate Cancer Detection using a Small Cohort of MRI Images
Prostate cancer is a leading cause of mortality in men, yet interpretation of T2-weighted prostate MRI remains challenging due to subtle and heterogeneous lesions. We developed an interpretable framework for automatic cancer detection using a small dataset of 162 T2-weighted images (102 cancer, 60 normal), addressing data scarcity through transfer learning and augmentation. We performed a comprehensive comparison of Vision Transformers (ViT, Swin), CNNs (ResNet18), and classical methods (Logistic Regression, SVM, HOG+SVM). Transfer-learned ResNet18 achieved the best performance (90.9% accuracy, 95.2% sensitivity, AUC 0.905) with only 11M parameters, while Vision Transformers showed lower performance despite substantially higher complexity. Notably, HOG+SVM achieved comparable accuracy (AUC 0.917), highlighting the effectiveness of handcrafted features in small datasets. Unlike state-of-the-art approaches relying on biparametric MRI (T2+DWI) and large cohorts, our method achieves competitive performance using only T2-weighted images, reducing acquisition complexity and computational cost. In a reader study of 22 cases, five radiologists achieved a mean sensitivity of 67.5% (Fleiss Kappa = 0.524), compared to 95.2% for the AI model, suggesting potential for AI-assisted screening to reduce missed cancers and improve consistency. Code and data are publicly available.
Trust the Unreliability: Inward Backward Dynamic Unreliability Driven Coreset Selection for Medical Image Classification
Efficiently managing and utilizing large-scale medical imaging datasets with limited resources presents significant challenges. While coreset selection helps reduce computational costs, its effectiveness in medical data remains limited due to inherent complexity, such as large intra-class variation and high inter-class similarity. To address this, we revisit the training process and observe that neural networks consistently produce stable confidence predictions and better remember samples near class centers in training. However, concentrating on these samples may complicate the modeling of decision boundaries. Hence, we argue that the more unreliable samples are, in fact, the more informative in helping build the decision boundary. Based on this, we propose the Dynamic Unreliability-Driven Coreset Selection(DUCS) strategy. Specifically, we introduce an inward-backward unreliability assessment perspective: 1) Inward Self-Awareness: The model introspects its behavior by analyzing the evolution of confidence during training, thereby quantifying uncertainty of each sample. 2) Backward Memory Tracking: The model reflects on its training tracking by tracking the frequency of forgetting samples, thus evaluating its retention ability for each sample. Next, we select unreliable samples that exhibit substantial confidence fluctuations and are repeatedly forgotten during training. This selection process ensures that the chosen samples are near the decision boundary, thereby aiding the model in refining the boundary. Extensive experiments on public medical datasets demonstrate our superior performance compared to state-of-the-art(SOTA) methods, particularly at high compression rates.
Early Intervention for VFM-based Multimodal Medical Image Classification
Current methods for multimodal medical image classification (M3IC) face two major challenges. First, the prevailing "fusion after unimodal image embedding" paradigm cannot fully exploit the complementary and correlated information in the multimodal data. Second, the scarcity of labeled multimodal medical images, coupled with their substantial domain shift from natural images, impedes the use of cutting-edge Vision Foundation Models (VFMs) for medical image embedding. To jointly address the challenges, we propose a novel Early Intervention (EI) framework. Treating one modality as target and the rest as reference, EI harnesses high-level semantic tokens from the reference as intervention tokens to steer the target modality's embedding process at an early stage. For parameter-efficient VFM adaptation, we introduce Mixture of varied-rank LoRAs (MoR), which employs a small set of LoRA experts with distinct ranks and a bypass-allowed router. Extensive experiments on three public datasets, covering retinal disease recognition, skin lesion recognition, and knee anomaly classification, verify the effectiveness of the proposed method against a number of competitive baselines.
Synergizing Deep Learning and Biological Heuristics for Extreme Long-Tail White Blood Cell Classification
Automated white blood cell (WBC) classification is essential for leukemia screening but remains challenged by extreme class imbalance, long-tail distributions, and domain shift, leading deep models to overfit dominant classes and fail on rare subtypes. We propose a hybrid framework for rare-class generalization that integrates a generative Pix2Pix-based restoration module for artifact removal, a Swin Transformer ensemble with MedSigLIP contrastive embeddings for robust representation learning, and a biologically-inspired refinement step using geometric spikiness and Mahalanobis-based morphological constraints to recover out-of-distribution predictions. Evaluated on the WBCBench 2026 challenge, our method achieves a Macro-F1 of 0.77139 on the private leaderboard, demonstrating strong performance under severe imbalance and highlighting the value of incorporating biological priors into deep learning for hematological image analysis. The code is available at https://github.com/trongduc-nguyen/WBCBench2026
Towards Fair and Robust Volumetric CT Classification via KL-Regularised Group Distributionally Robust Optimisation
Automated diagnosis from chest computed tomography (CT) scans faces two persistent challenges in clinical deployment: distribution shift across acquisition sites and performance disparity across demographic subgroups. We address both simultaneously across two complementary tasks: binary COVID-19 classification from multi-site CT volumes (Task 1) and four-class lung pathology recognition with gender-based fairness constraints (Task 2). Our framework combines a lightweight MobileViT-XXS slice encoder with a two-layer SliceTransformer aggregator for volumetric reasoning, and trains with a KL-regularised Group Distributionally Robust Optimisation (Group DRO) objective that adaptively upweights underperforming acquisition centres and demographic subgroups. Unlike standard Group DRO, the KL penalty prevents group weight collapse, providing a stable balance between worst-case protection and average performance. For Task 2, we define groups at the granularity of gender class, directly targeting severely underrepresented combinations such as female Squamous cell carcinoma. On Task 1, our best configuration achieves a challenge F1 of 0.835, surpassing the best published challenge entry by +5.9. On Task 2, Group DRO with α = 0.5 achieves a mean per-gender macro F1 of 0.815, outperforming the best challenge entry by +11.1 pp and improving Female Squamous F1 by +17.4 over the Focal Loss baseline.