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PGMNet: a polyp segmentation network based on bit-plane slicing and multi-scale adaptive fusion. PGMNet:基于位平面切片和多尺度自适应融合的多边形分割网络。
IF 1.6 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-01-05 DOI: 10.1088/2057-1976/ae300a
Dong Wang, Shan Lin Liu, Shuai Li, Hai Sha Liu, Yu Ling Heng Wang

Accurate detection and segmentation of polyps during colonoscopy are of great significance for the early prevention and treatment of colorectal cancer. However, due to the considerable variations in polyp size and shape, as well as their blurred boundaries with surrounding tissues, polyps are often difficult to detect, making precise segmentation a challenging task. Although numerous deep learning (DL) based segmentation methods have been proposed in recent years and achieved certain progress, their results remain unstable and often unsatisfactory. To address these challenges, we propose PGMNet, an accurate and efficient network for polyp segmentation, which consists of a PVTv2 encoder, a Global-Local Interactive Relation Module (GLIRM), and a Multi-stage Feature Aggregation Module (MFAM). The PVTv2 encoder is capable of capturing both fine-grained details and global semantic representations, making it well-suited for complex medical image segmentation tasks. GLIRM performs multi-scale information fusion during upsampling to restore fine-grained details and global semantic context, while simultaneously introducing a bit-slice mechanism to effectively suppress noise. MFAM leverages a gating mechanism to efficiently aggregate GLIRM information from different stages, thereby improving the quality of the final predictions.Extensive experiments were conducted on five publicly available polyp datasets, and the results demonstrate that PGMNet achieved very promising performance in terms of segmentation accuracy and generalization ability. In particular, on the challenging ETIS dataset, PGMNet achieved an mDice of 82.33% and an mIoU of 74.29%, highlighting its superior performance.

结肠镜检查中对息肉的准确发现和分割对结直肠癌的早期预防和治疗具有重要意义。然而,由于息肉大小和形状的巨大变化,以及它们与周围组织的模糊边界,息肉通常难以检测,使得精确分割成为一项具有挑战性的任务。尽管近年来提出了许多基于深度学习(DL)的分割方法,并取得了一定进展,但其结果仍然不稳定,往往令人不满意。为了解决这些问题,我们提出了一种精确高效的息肉分割网络PGMNet,它由PVTv2编码器、全局-局部交互关系模块(GLIRM)和多阶段特征聚合模块(MFAM)组成。PVTv2编码器能够捕获细粒度细节和全局语义表示,使其非常适合复杂的医学图像分割任务。GLIRM在上采样过程中进行多尺度信息融合,恢复细粒度细节和全局语义上下文,同时引入位片机制,有效抑制噪声。MFAM利用一种门控机制来有效地聚合来自不同阶段的GLIRM信息,从而提高最终预测的质量。在5个公开的息肉数据集上进行了大量的实验,结果表明PGMNet在分割精度和泛化能力方面取得了很好的效果。特别是在具有挑战性的ETIS数据集上,PGMNet实现了82.33%的mdevice和74.29%的mIoU,突出了其优越的性能。
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引用次数: 0
Hybrid BCI-based instruction set for dual robotic arm control using EEG and eye movement signals. 基于脑电和眼动信号的混合bci双机械臂控制指令集。
IF 1.6 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-12-29 DOI: 10.1088/2057-1976/ae2c8f
Lingyue Zhang, Baojiang Li, Xingbin Shi, Cheng Peng

A brain-computer interface (BCI) establishes a pathway for information transmission between a human (or animal) and an external device. It can be used to control devices such as prosthetic limbs and robotic arms, which in turn assist, rehabilitate, and enhance human limb function. At present, although most studies focus on brain signal acquisition, feature extraction and recognition, and further explore the use of brain signals to control external devices, the features obtained via noninvasive approaches are fewer and less robust, which makes it difficult to directly control devices with more degrees of freedom such as robotic arms. To address these issues, we propose an extended instruction set based on motor imagery that fuses eye-movement signals and electroencephalogram (EEG) signals for motion control of a dual collaborative robotic arm. The method incorporates spatio-temporal convolution and attention mechanisms for brain-signal classification. Starting from a small base of control commands, the hybrid BCI combining eye-movement signals and EEG expands the command set, enabling motion control of the dual cooperative manipulator. On the Webots simulation platform, we carried out kinematic control and three-dimensional motion simulation of a dual 6-degree-of-freedom collaborative robotic arm (UR3e). The experimental results demonstrate the feasibility of the proposed method. Our algorithm achieves an average accuracy of 83.8% with only 8.8k parameters, and the simulation results are within the expected range. The results demonstrate that the proposed extended instruction set based on motor imagery is effective not only for controlling dual collaborative robotic arms to perform grasping tasks in complex scenarios, but also for operating other multi-degree-of-freedom peripheral devices.

脑机接口(BCI)为人(或动物)与外部设备之间的信息传递建立了一条途径。它可以用来控制假肢和机械臂等设备,从而辅助、康复和增强人体肢体功能。目前,虽然大多数研究都集中在脑信号的采集、特征提取和识别上,并进一步探索利用脑信号控制外部设备,但通过无创方式获得的特征较少,鲁棒性较差,这给机械臂等自由度较大的设备的直接控制带来了困难。为了解决这些问题,我们提出了一个基于运动图像的扩展指令集,该指令集融合了眼动信号和脑电图(EEG)信号,用于双协作机械臂的运动控制。该方法结合了时空卷积和注意机制对脑信号进行分类。结合眼动信号和脑电信号的混合脑机接口从较小的控制指令基数出发,扩展了指令集,实现了双协同机械手的运动控制。在Webots仿真平台上,对双6自由度协作机械臂(UR3e)进行了运动学控制和三维运动仿真。实验结果证明了该方法的可行性。该算法仅使用8.8k个参数,平均准确率达到83.8%,仿真结果在预期范围内。结果表明,基于运动意象的扩展指令集不仅能有效控制双协作机械臂执行复杂场景下的抓取任务,还能有效操作其他多自由度周边设备。
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引用次数: 0
SDMFFN: a novel specular detection median filtering fusion network for specular reflection removal in endoscopic images. SDMFFN:一种用于内镜图像镜面反射去除的新型镜面检测中值滤波融合网络。
IF 1.6 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-12-29 DOI: 10.1088/2057-1976/ae291d
Jian Zhang, Ze Ji, Changdong Zhao, Meng Huang, Ming Li, Heng Zhang

Objective. Endoscopic imaging is vital in Minimally Invasive Surgery (MIS), but its utility is often compromised by specular reflections that obscure important details and hinder diagnostic accuracy. Existing methods to address these reflections face limitations, particularly those relying on color-based thresholding and the underutilization of deep learning for highlight detection.Approach. To tackle these challenges, we propose the Specular Detection Median Filtering Fusion Network (SDMFFN), a novel framework designed to detect and remove specular reflections in endoscopic images. The SDMFFN employs a two-stage process: detection and removal. In the detection phase, we utilize the enhanced Specular Transformer Unet (S-TransUnet) model integrating Atrous Spatial Pyramid Pooling (ASPP), Information Bottleneck (IB) and Convolutional Block Attention Module (CBAM) to optimize multi-scale feature extraction, which helps to achieve accurate highlight detection. In the removal phase, we improve the advanced median filtering to smooth reflective areas and integrate color information for a natural restoration.Main results. Experimental results show that our proposed SDMFFN has outperformed other methods. Our method improves visual clarity and diagnostic precision, ultimately enhancing surgical outcomes and reducing the risk of misdiagnosis by delivering high-quality, reflection-free endoscopic images.Significance. The robust performance of SDMFFN suggests its adaptability to other medical imaging modalities, paving the way for broader clinical and research applications in robotic surgery, diagnostic endoscopy and telemedicine. To promote further progress in the research, we will make the code publicly available at:https://github.com/jize123457/SDMFFN.

内窥镜成像在微创手术(MIS)中是至关重要的,但它的效用经常受到镜面反射的影响,这些反射模糊了重要的细节,阻碍了诊断的准确性。解决这些反射的现有方法面临局限性,特别是那些依赖于基于颜色的阈值和深度学习对高光检测的利用不足的方法。为了解决这些挑战,我们提出了一种新的框架——镜面检测中值滤波融合网络(SDMFFN),用于检测和去除内窥镜图像中的镜面反射。SDMFFN采用两个阶段的过程:检测和去除。在检测阶段,我们利用增强的Specular Transformer Unet (S-TransUnet)模型集成了空间金字塔池(ASPP)、信息瓶颈(IB)和卷积块注意模块(CBAM)来优化多尺度特征提取,有助于实现准确的高光检测。在去除阶段,我们改进了先进的中值滤波以平滑反射区域并整合颜色信息以实现自然恢复。实验结果表明,我们提出的SDMFFN优于其他方法。我们的方法通过提供高质量、无反射的内窥镜图像,提高了视觉清晰度和诊断精度,最终提高了手术效果,降低了误诊风险。SDMFFN的强大性能表明其对其他医学成像模式的适应性,为机器人手术、诊断内窥镜和远程医疗等更广泛的临床和研究应用铺平了道路。为了促进研究的进一步进展,我们将在https://github.com/jize123457/SDMFFN上公开代码。
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引用次数: 0
Design of a analog front-end for high-precision acquiring excitatory postsynaptic field potentials in the hippocampal Schaffer-CA1 neuronal pathway. 海马Schaffer-CA1神经元通路中高精度获取兴奋性突触后场电位的模拟前端设计。
IF 1.6 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-12-24 DOI: 10.1088/2057-1976/ae2ae2
Yu Zheng, Jiayi Pang, Rujuan Song, Qiwen Liu, Jiayi Wang, Lei Dong

The field excitatory postsynaptic potentials (fEPSPs) plays a crucial role in neural signal transmission and synaptic plasticity. Achieving high-precision acquisition and long-term reliable recording of neuronal fEPSPs is a key challenge. This paper presents the design of a analog front-end (AFE) system for the Schaffer-CA1 pyramidal neurons in the hippocampus, based on FPGA. The system employs a capacitance-free chopper front-end amplifier with a current-balanced architecture and a digitally controlled two-stage amplifier to achieve dynamic gain adjustment. A combination of a digital FIR filter and the filtfilt algorithm is used to implement zero-phase filtering. Experimental evaluations of long-term stability, frequency response, and dynamic response were conducted, demonstrating that the AFE can accurately acquire weak signals in the range of 160-360 μV. It achieves a high gain of 72-74 dB within the 1-300 Hz frequency band, with a theoretical gain error of less than 2.5%. Based on this system, fEPSPs acquisition experiments were conducted on synapses of Schaffer-CA1 neurons inex vivohippocampal slices. The results show that the AFE accurately captures fEPSPs and long-term potentiation (LTP) before and after induction. Compared with commercial MEA systems, the normalized amplitude difference was less than 5%, the correlation coefficient was greater than 0.82, and the normalized mean square error was less than 0.01. These results confirm that the designed AFE meets the requirements for precise acquisition and stable long-term recording of neuronal fEPSPs signals.

场兴奋性突触后电位(fepsp)在神经信号传递和突触可塑性中起着至关重要的作用。实现神经元fepsp的高精度采集和长期可靠记录是一个关键的挑战。本文介绍了一种基于FPGA的海马Schaffer-CA1锥体神经元模拟前端系统的设计。该系统采用电流平衡结构的无电容斩波前端放大器和数字控制两级放大器实现动态增益调节。采用数字FIR滤波器和filfilt算法相结合的方法实现零相位滤波。长期稳定性、频率响应和动态响应的实验评价表明,该AFE能够准确采集160 ~ 360 μV范围内的微弱信号。在1-300 Hz频段内实现72-74 dB的高增益,理论增益误差小于2.5%。基于该系统,在离体海马Schaffer-CA1神经元突触上进行fEPSPs获取实验。结果表明,在诱导前后,AFE能准确捕获fepps和长期增强(LTP)。与商用MEA系统相比,归一化幅度差小于5%,相关系数大于0.82,归一化均方误差小于0.01。这些结果证实了所设计的AFE能够满足神经元fepps信号的精确采集和长期稳定记录的要求。
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引用次数: 0
Early detection of paroxysmal atrial fibrillation from non-episodic ECG data using cardiac dynamics features and different classification models. 利用心脏动力学特征和不同的分类模型从非发作性心电图数据中早期发现阵发性心房颤动。
IF 1.6 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-12-24 DOI: 10.1088/2057-1976/ae2b76
Kengren Chen, Muqing Deng, Dehua Huang, Dandan Liang, Yanjiao Wang, Xiaoyu Huang

Objective.Intelligent computer-aided diagnosis techniques enable inspection of invisible electrocardiogram (ECG) pathological changes for early detection of latent heart diseases. This study concentrates on latent pathological changes within non-episodic ECG data, describes a cardiac dynamics based methodology for the detection of paroxysmal atrial fibrillation (PAF).Approach.Three-dimensional dominated components of routine 12-lead ECG signals are extracted without complex signal segmentation operations. Cardiac dynamics features are captured using deterministic learning algorithm and represented as the three-dimensional graphic. This kind of nonlinear dynamics representation is shown to have high discriminative power for PAF detection even before pathologic changes can be observed visibly in ECG signals. Nonlinear dynamics measures are extracted and finally fed into different machine learning methods for the PAF detection task. Suspected PAF patients undergoing Holter monitoring are studied. Cardiac dynamics measures are calcuated simultaneously with routine rest ECG examination, in which Holter monitoring results are collected as the gold standard.Main results.The proposed method yielded a sensitivity of 97%, a specificity of 91%, and an overall accuracy of 92%.Significance.Abnormal cardiac dynamics induced by PAF can be detected using cardiac dynamics features and different classification models before obvious pathological changes are present. The proposed method is expected to provide a complementary tool to the commonly used ECG examination for PAF detection, which are crucial for identifying patients at risk of latent PAF.

目的:利用智能计算机辅助诊断技术检测不可见的心电图病理变化,早期发现潜伏性心脏病。本研究集中于非发作性心电图数据中的潜在病理变化,描述了一种基于心脏动力学的阵发性心房颤动(PAF)检测方法。方法:提取常规12导联心电信号的三维主导分量,无需进行复杂的信号分割操作。使用确定性学习算法捕获心脏动力学,并表示为三维图形。这种非线性动态表征在心电信号中观察到明显的病理变化之前,对PAF检测具有很高的判别能力。非线性动力学测量被提取并最终被输入到不同的机器学习方法中,用于PAF检测任务。对接受动态心电图监测的疑似PAF患者进行研究。心脏动力学测量与常规休息心电图检查同时进行,其中动态心电图监测结果作为金标准。主要结果:该方法的灵敏度为97%,特异性为91%,总体准确度为92%。意义:PAF引起的心脏动力学异常在出现明显的病理改变之前,可以通过心脏动力学特征和不同的分类模型来检测。该方法有望为常用的心电图检查提供PAF检测的补充工具,这对于识别潜在PAF风险的患者至关重要。
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引用次数: 0
Electrospun gelatin/PCL nanofibers incorporating curcumin loaded hydroxyapatite: a dual function antibacterial wound dressing for controlled drug release and accelerated skin repair. 含有姜黄素负载羟基磷灰石的电纺丝明胶/PCL纳米纤维:一种控制药物释放和加速皮肤修复的双重功能抗菌伤口敷料。
IF 1.6 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-12-24 DOI: 10.1088/2057-1976/ae2c8d
Diba Dadkhah, Homeira Zare Chavoshy, Negar Nasri, Razieh Ghasemi

In the present study, electrospinning was used to create a new wound dressing consisting of hydroxyapatite nanoparticles, in which curcumin was encapsulated and prepared as a nanocomposite in gelatin and polycaprolactone solution. Physicochemical and biological properties of the prepared wound dressing were evaluated under laboratory conditions. The findings demonstrated that curcumin-HA increases the tensile strength and elongation at break while decreasing elastic modulus. In contrast, when the curcumin-HA structure was added to PCL, swelling capacity and degradation rate were significantly improved. In addition, a disk diffusion test onStaphylococcus aureusandEscherichia coliconfirmed the effectiveness of the antibacterial properties of this wound dressing. In addition, sustained release of curcumin for up to 15 days was achieved in Gel (curcumin-HA)/PCL nanofibers which could be a positive option in the performance of this wound dressing. According toin vitrocell viability tests conducted on the L929 fibroblast cell line, the (curcumin-HA)/PCL gel nanofibers not only did not have cytotoxicity but also improved the cell repair process within three days, confirming their potential for use as wound dressings.

在本研究中,采用静电纺丝技术制备了一种新型的由羟基磷灰石纳米颗粒组成的伤口敷料,并将姜黄素包被在明胶和聚己内酯溶液中作为纳米复合材料制备。在实验室条件下对制备的创面敷料进行了理化和生物学性能评价。结果表明,姜黄素- ha提高了材料的抗拉强度和断裂伸长率,降低了材料的弹性模量。相比之下,在PCL中加入姜黄素- ha结构后,其溶胀能力和降解率均显著提高。此外,通过对金黄色葡萄球菌和大肠杆菌的纸片扩散试验,证实了该创面敷料抗菌性能的有效性。此外,在凝胶(姜黄素- ha)/PCL纳米纤维中实现了长达15天的姜黄素持续释放,这可能是这种伤口敷料性能的一个积极选择。根据对L929成纤维细胞系进行的体外细胞活力测试,(姜黄素- ha)/PCL凝胶纳米纤维不仅没有细胞毒性,而且在3天内改善了细胞修复过程,证实了其作为伤口敷料的潜力。
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引用次数: 0
SSMCE: A semi-supervised learning framework for myocardial segmentation in myocardial contrast echocardiography. 心肌超声造影中心肌分割的半监督学习框架。
IF 1.6 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-12-22 DOI: 10.1088/2057-1976/ae2b77
Yuxiang Duan, Jili Long, Shunyi Zhao, Hao Wang, Jun Qian

Accurate myocardial segmentation in myocardial contrast echocardiography (MCE) images remains challenging due to the scarcity of publicly available labeled datasets and the pervasive presence of speckle noise.Currently, echocardiographers must manually delineate myocardial contours, a clinical workflow step that is both labor-intensive and prone to variability. To address these limitations, we propose SSMCE, a novel semi-supervised learning framework specifically designed for myocardial segmentation in MCE images. The proposed framework adopts a tri-model architecture comprising two structurally distinct student models and an adaptively assembled teacher model. This design inherently introduces model-level perturbations to promote output diversity, thereby reducing overfitting and improving generalization performance. In addition, a specialized loss function is designed to guide the model's self-correction behavior by increasing uncertainty in misclassified bias regions and reinforcing confidence in accurate ones, facilitating convergence. Experimental results on our self-constructed dataset demonstrate that the proposed loss function improves the primary evaluation metric by 1.75%. Furthermore, the proposed method achieves state-of-the-art performance when compared with existing approaches. The results demonstrate that SSMCE provides a robust and efficient approach for rapid myocardial detection and precise segmentation, offering significant potential to streamline clinical workflows in MCE imaging.

由于缺乏公开可用的标记数据集和普遍存在的斑点噪声,在心肌对比超声心动图(MCE)图像中进行准确的心肌分割仍然具有挑战性。目前,超声心动图医师必须手动描绘心肌轮廓,这是一个临床工作流程步骤,既劳动密集型又容易发生变化。为了解决这些限制,我们提出了SSMCE,一种专门为MCE图像中的心肌分割设计的新型半监督学习框架。该框架采用三模型架构,包括两个结构不同的学生模型和一个自适应组装的教师模型。这种设计固有地引入模型级扰动来促进输出多样性,从而减少过拟合并提高泛化性能。此外,设计了一个专门的损失函数,通过增加错误分类偏差区域的不确定性和增强准确偏差区域的置信度来指导模型的自校正行为,从而促进收敛。在自建数据集上的实验结果表明,所提出的损失函数将主要评价指标提高了1.75%。此外,与现有方法相比,所提出的方法达到了最先进的性能。结果表明,SSMCE为快速心肌检测和精确分割提供了一种强大而有效的方法,为简化MCE成像的临床工作流程提供了巨大的潜力。
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引用次数: 0
Biomaterials to biofabrication: advanced scaffold technologies for regenerative endodontics. 生物材料到生物制造:再生牙髓学的先进支架技术。
IF 1.6 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-12-22 DOI: 10.1088/2057-1976/ae2b75
Arun Mayya, Akshatha Chatra, Vinita Dsouza, Raviraja N Seetharam, Shashi Rashmi Acharya, Kirthanashri S Vasanthan

Scaffold systems are fundamental to regenerative endodontics, functioning as structural frameworks and delivery vehicles for bioactive cues essential to tissue regeneration. This review comprehensively examines scaffold types, functions, and translational challenges in endodontic regeneration. Scaffolds are classified into natural, synthetic, and hybrid matrices with unique mechanical and biological profiles. Advances in nanotechnology, 3D and 4D bioprinting, and smart biomaterials have significantly improved scaffold functionality. Smart scaffolds enable the controlled release of growth factors, antimicrobial agents, and gene-functionalized molecules, facilitating angiogenesis, stem cell differentiation, and infection control. Hybrid scaffolds, such as those combining collagen and gelatin methacryloyl (GelMA), provide customized degradation, biocompatibility, and mechanical strength. Innovative systems such as magnetic nanoparticle-triggered release and responsive hydrogels address vascularization and immune modulation limitations. Clinically, platelet-rich fibrin (PRF), concentrated growth factor (CGF), and decellularized extracellular matrix (dECM) have shown success in promoting root development, pulp vitality, and periapical healing. Despite these advances, obstacles remain, including regulatory hurdles, standardization of protocols, and long-term clinical validation. Integrating AI-driven scaffold design, digital twin simulations, and organ-on-chip models holds promise for personalized therapies. Establishing scaffold-based regeneration as a standard clinical approach will require harmonized practices, scalable biomaterial production, and robust clinical outcome assessments.

支架系统是再生牙髓学的基础,作为组织再生所必需的生物活性线索的结构框架和递送载体。这篇综述全面探讨了支架的类型、功能和在牙髓再生中的翻译挑战。支架分为天然基质、合成基质和混合基质,具有独特的力学和生物学特征。纳米技术、3D和4D生物打印以及智能生物材料的进步显著改善了支架的功能。智能支架能够控制生长因子、抗菌剂和基因功能化分子的释放,促进血管生成、干细胞分化和感染控制。混合支架,如结合胶原蛋白和明胶甲基丙烯酰(GelMA)的支架,提供定制的降解、生物相容性和机械强度。创新的系统,如磁性纳米颗粒触发释放和反应性水凝胶解决了血管化和免疫调节的局限性。临床研究表明,富血小板纤维蛋白(PRF)、浓缩生长因子(CGF)和脱细胞细胞外基质(dECM)在促进根发育、牙髓活力和根尖周愈合方面取得了成功。尽管取得了这些进展,但障碍仍然存在,包括监管障碍、方案标准化和长期临床验证。将人工智能驱动的支架设计、数字双胞胎模拟和器官芯片模型相结合,有望实现个性化治疗。建立基于支架的再生作为标准的临床方法将需要统一的实践、可扩展的生物材料生产和可靠的临床结果评估。
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引用次数: 0
A teacherless lightweight classification framework for benign and malignant pulmonary nodules based on GAS. 基于GAS的肺良恶性结节无教师轻量级分类框架。
IF 1.6 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-12-19 DOI: 10.1088/2057-1976/ae268a
Qian Zhang, Zeya Sun, Longxin Yan, Haibin Sun

Deep learning methods have been widely adopted for classifying benign and malignant pulmonary nodules. However, existing models often suffer from high memory usage, computational cost, and large parameter counts. As a result, the development of lightweight classification methods for pulmonary nodules has become a major research focus. This paper proposes a lightweight classification framework specifically designed to distinguish between benign and malignant pulmonary nodules. The model contains only 119,245 parameters and occupies just 0.45 MB, offering significant advantages in terms of computational efficiency. The proposed approach integrates an attention mechanism, residual learning, and an improved DWSGhost module to construct the GAS (Ghost-Attention Separation) network. A teacher-free knowledge distillation strategy is employed to build a lightweight classification model based on GAS. Extensive experiments were conducted on three datasets-LIDC-IDRI, LungX Challenge, and Zhengzhou Ninth People's Hospital-which demonstrated the model's effectiveness in classifying pulmonary nodules. The proposed method exhibits strong competitiveness among lightweight models and achieves promising classification performance. By incorporating depthwise separable convolutions and teacher-free knowledge distillation, along with attention mechanisms and residual learning, the model achieves enhanced performance in terms of lightweight design, discriminative power, adaptability, and generalization ability.The full code is available inhttps://github.com/s1371897388-ctrl/GAS-Pulmonary-Nodule-Classification.

深度学习方法已被广泛用于肺结节良恶性分类。然而,现有的模型通常存在高内存使用、计算成本和大参数计数的问题。因此,开发轻量级的肺结节分类方法已成为一个重要的研究热点。本文提出了一个轻量级的分类框架,专门用于区分良性和恶性肺结节。该模型仅包含119,245个参数,仅占用0.45 MB,在计算效率方面具有显著优势。该方法集成了注意机制、残差学习和改进的DWSGhost模块,构建了鬼-注意分离(Ghost-Attention Separation)网络。采用无教师知识蒸馏策略,建立了基于GAS的轻量级分类模型。在lidc - idri、LungX Challenge和郑州市第九人民医院三个数据集上进行了大量实验,证明了该模型在肺结节分类方面的有效性。该方法在轻量化模型中具有较强的竞争力,取得了较好的分类性能。通过引入深度可分卷积和无教师知识蒸馏,以及注意机制和残差学习,该模型在轻量化设计、判别能力、适应性和泛化能力等方面实现了增强的性能。完整的代码可在url{https://github.com/s1371897388-ctrl/GAS-Pulmonary-Nodule-Classification}中获得。
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引用次数: 0
Flexible state space modelling for accurate and efficient 3D lung nodule detection. 灵活的状态空间建模用于准确高效的三维肺结节检测。
IF 1.6 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-12-18 DOI: 10.1088/2057-1976/ae2a37
Wenjia Song, Fangfang Tang, Henry Marshall, Kwun M Fong, Feng Liu

Early and accurate detection of pulmonary nodules in computed tomography (CT) scans is critical for reducing lung cancer mortality. While convolutional neural networks (CNNs) and Transformer-based architectures have been widely used for this task, they often suffer from insufficient global context awareness, quadratic complexity, and dependence on post-processing steps such as non-maximum suppression (NMS). This study aims to develop a novel 3D lung nodule detection framework that balances local and global contextual awareness with low computational complexity, while minimizing reliance on manual threshold tuning and redundant post-processing. We propose FCMamba, a flexible connected visual state-space model adapted from the recently introduced Mamba architecture. To enhance spatial modelling, we introduce a flexible path encoding strategy that reorders 3D feature sequences adaptively based on input relevance. In addition, a Top Query Matcher, guided by the Hungarian matching algorithm, is integrated into the training process to replace traditional NMS and enable end-to-end one-to-one nodule matching. The model is trained and evaluated using 10-fold cross-validation on the LIDC-IDRI dataset, which contains 888 CT scans. FCMamba outperforms several state-of-the-art methods, including CNN, Transformer, and hybrid models, across seven predefined false positives per scan (FPs/scan) levels. It achieves a sensitivity improvement of 2.6% to 20.3% at low FPs/scan (0.125) and delivers the highest CPM and FROC-AUC scores. The proposed method demonstrates balanced performance across nodule sizes, reduced false positives, and improved robustness, particularly in high-confidence predictions. FCMamba provides an efficient, scalable and accurate solution for 3D lung nodule detection. Its flexible spatial modeling and elimination of post-processing make it well-suited for clinical usage and adaptable to other medical imaging tasks.

在计算机断层扫描(CT)中早期和准确地发现肺结节对于降低肺癌死亡率至关重要。虽然卷积神经网络(cnn)和基于transformer的架构已被广泛用于该任务,但它们通常存在全局上下文感知不足、二次复杂度和对非最大抑制(NMS)等后处理步骤的依赖等问题。本研究旨在开发一种新的3D肺结节检测框架,该框架可以在低计算复杂度的情况下平衡局部和全局上下文感知,同时最大限度地减少对手动阈值调整和冗余后处理的依赖。我们提出FCMamba,这是一个灵活的连接可视化状态空间模型,改编自最近引入的Mamba架构。为了增强空间建模,我们引入了一种灵活的路径编码策略,该策略基于输入相关性自适应地重新排序3D特征序列。此外,在训练过程中集成了一个Top Query Matcher,以匈牙利匹配算法为指导,取代传统NMS,实现端到端一对一的模块匹配。该模型在包含888个CT扫描的LIDC-IDRI数据集上使用10倍交叉验证进行训练和评估。FCMamba优于几种最先进的方法,包括CNN、Transformer和混合模型,每次扫描(FPs/scan)级别有7个预定义的误报。它在低FPs/scan(0.125)下实现了2.6%至20.3%的灵敏度提高,并提供了最高的CPM和FROC-AUC分数。所提出的方法在不同的结节大小中表现出平衡的性能,减少了误报,并提高了鲁棒性,特别是在高置信度预测中。FCMamba为三维肺结节检测提供了高效、可扩展和准确的解决方案。其灵活的空间建模和消除后处理使其非常适合临床使用和适应其他医学成像任务。
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Biomedical Physics & Engineering Express
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