The Inference Report

Lissajous confocal laser endomicroscopy (CLE) is a promising solution for high speed in vivo optical biopsy for handheld scenarios. However, Lissajous scanning traces a resonant trajectory and samples only the visited pixels per frame; at high frame rates, many pixels remain unvisited, creating structured holes. In this work, we introduce the first benchmark for high-rate Lissajous CLE, consisting of low-quality video clips paired with high-quality reference images. The reference images are wide-FOV mosaics obtained by stitching stabilized, slow-scan frames of the same tissue, enabling temporally aligned supervision. Using this dataset, we propose MIRA, a lightweight recurrent framework for Lissajous CLE restoration that iteratively aggregates temporal context through feature reuse and displacement alignment. Our experiments demonstrate that MIRA outperforms both lightweight and high-complexity baselines in restoration quality while maintaining a favorable computational efficiency suitable for clinical deployment.

Federated learning (FL) holds great potential for medical applications. However, statistical heterogeneity across healthcare institutions poses a major challenge for FL, as the global model struggles both to generalize across unseen patient populations and to adapt to the unique data distributions of individual hospitals. This heterogeneity also exacerbates forgetting at both the global and local level, resulting in previous learned patient patterns to be misclassified after model updates. While prior work has largely treated generalization and personalization as separate challenges, we show that a better balance between the two can be achieved through selective alignment with the global model and a modified aggregation scheme, which together mitigate the effects of statistical heterogeneity. Specifically, we introduce FedKPer, which introduces knowledge personalization into the training stage of each local device. Afterwards, generalization is considered via the global model aggregation process, where local updates that are reliable and label-diverse are emphasized. We evaluate the performance of FedKPer, devising additional metrics that relate to common consequences of forgetting. Overall, we demonstrate FedKPer improves the generalization-personalization trade-off without sacrificing retention.

With the development of deep learning, medical image processing has been widely used to assist clinical research. This paper focuses on the denoising problem of low-dose computed tomography using deep learning. Although low-dose computed tomography reduces radiation exposure to patients, it also introduces more noise, which may interfere with visual interpretation by physicians and affect diagnostic results. To address this problem, inspired by Cycle-GAN for unsupervised learning, this paper proposes an end-to-end unsupervised low-dose computed tomography denoising framework. The proposed framework combines a U-Net structure for multi-scale feature extraction, an attention mechanism for feature fusion, and a residual network for feature transformation. It also introduces perceptual loss to improve the network for the characteristics of medical images. In addition, we construct a real low-dose computed tomography dataset and design a large number of comparative experiments to validate the proposed method, using both image-based evaluation metrics and medical evaluation criteria. Compared with classical methods, the main advantage of this paper is that it addresses the limitation that real clinical data cannot be directly used for supervised learning, while still achieving excellent performance. The experimental results are also professionally evaluated by imaging physicians and meet clinical needs.

Deep learning models for 12-lead electrocardiogram (ECG) analysis achieve high diagnostic performance but lack the intuitive interpretability required for clinical integration. Standard feature attribution methods are limited by the inherent difficulty in mapping abstract waveform fluctuations to physical anatomical pathologies. To resolve this, we propose a cross-modal method that projects feature attributions from high-performance 12-lead ECG models onto the CineECG 3D anatomical space. Our study reveals that while models trained directly on CineECG signals suffer from reduced accuracy and incoherent attributions, the proposed mapping mechanism effectively recovers clinically relevant feature rankings. Validated against a ground-truth dataset of 20 cases annotated by domain experts, the mapped explanations yield a Dice score of 0.56, significantly outperforming the 0.47 baseline of standard 12-lead attributions. These findings indicate that cross-modal averaging mapping effectively filters attribution instability and improves the localization of pathological features, combining the diagnostic expressiveness of standard ECG with the intuitive clarity of anatomical visualization.

Joint image compression and wireless transmission remain relatively underexplored compared to generic image restoration, despite its importance in practical communication systems. We formulate this problem under an equivalent linear model, and propose Diffusion-OAMP, a training-free reconstruction framework that embeds a pre-trained diffusion model into the OAMP algorithm. In Diffusion-OAMP, the OAMP linear estimator produces pseudo-AWGN observations, while the diffusion model serves as a nonlinear estimator under an SNR-matching rule. This framework offers a way to incorporate multiple generative priors into OAMP. Experiments with varying compression ratios and noise levels show that Diffusion-OAMP performs favorably against classic methods in the evaluated settings.

The escalating climate crisis and ecosystem degradation demand intelligent, low-cost sensors capable of robust, long-term monitoring in real-world environments. Absolute dissolved oxygen (DO) concentration is a key parameter for predicting climate tipping points. Inexpensive optoelectronic sensors based on microstructured polymer films doped with phosphorescent dyes could be readily deployable; however, signal drift and marine biofouling remain major challenges. Here, we introduce a sensing paradigm that combines camera-based DO sensors with a visual transformer (ViT)-based physics-informed neural network (PINN) for high-fidelity sensing under biofouling conditions. Training and testing data were obtained from an algae-laden water tank over 14 days to capture accelerated biofouling. The ViT-PINN, which embeds the Stern-Volmer (SV) equation into the loss function, reduces mean average error (MAE) by 92% and 89% compared to classical statistical and ML approaches, achieving ~2 umol/L absolute error. A deep ensemble further quantifies predictive uncertainty, enabling self-diagnostic sensing.

In pathology, the spatial distribution and proportions of tissue types are key indicators of disease progression, and are more readily available than fine-grained annotations. However, these assessments are rarely mapped to pixel-wise segmentation. The task is fundamentally underdetermined, as many spatially distinct segmentations can satisfy the same global proportions in the absence of pixel-wise constraints. To address this, we introduce Variational Segmentation from Label Proportions (VSLP), a two-stage framework that infers dense segmentations from global label proportions, without any pixel-level annotations. This framework first leverages a pre-trained transformer model with test-time augmentation to produce a pixel-wise confidence estimate. In the second stage, these estimates are fused by solving a variational optimization problem that incorporates a Wasserstein data fidelity term alongside a learned regularizer. Unlike end-to-end networks, our variational method can visualize the fidelity-regularization energy, resulting in more interpretable segmentation. We validate our approach on two public datasets, achieving superior performance over existing weakly supervised and unsupervised methods. For one of these datasets, proportions have been estimated by an experienced pathologist to provide a realistic benchmark to the community. Furthermore, the method scales to an in-house dataset with noisy pathologist labels, severely outperforming state-of-the-art methods, thereby demonstrating practical applicability. The code and data will be made publicly available upon acceptance at https://github.com/xiaoliangpi/VSLP.

The emergence of large-scale pretrained foundation models has transformed computer vision, enabling strong performance across diverse downstream tasks. However, their potential for physics-based inverse problems, such as accelerated cardiac MRI reconstruction, remains largely underexplored. In this work, we investigate whether natural-domain foundation models can serve as effective image priors for accelerated cardiac MRI reconstruction, and compare the performance obtained against domain-specific counterparts such as BiomedCLIP. We propose an unrolled reconstruction framework that incorporates pretrained, frozen visual encoders, such as CLIP, DINOv2, and BiomedCLIP, within each cascade to guide the reconstruction process. Through extensive experiments, we show that while task-specific state-of-the-art reconstruction models such as E2E-VarNet achieve superior performance in standard in-distribution settings, foundation-model-based approaches remain competitive. More importantly, in challenging cross-domain scenarios, where models are trained on cardiac MRI and evaluated on anatomically distinct knee and brain datasets--foundation models exhibit improved robustness, particularly under high acceleration factors and limited low-frequency sampling. We further observe that natural-image-pretrained models, such as CLIP, learn highly transferable structural representations, while domain-specific pretraining (BiomedCLIP) provides modest additional gains in more ill-posed regimes. Overall, our results suggest that pretrained foundation models offer a promising source of transferable priors, enabling improved robustness and generalization in accelerated MRI reconstruction.

We study whether deep networks for medical imaging learn useful nonrobust features - predictive input patterns that are not human interpretable and highly susceptible to small adversarial perturbations - and how these features impact test performance. We show that models trained only on nonrobust features achieve well above chance accuracy across five MedMNIST classification tasks, confirming their predictive value in-distribution. Conversely, adversarially trained models that primarily rely on robust features sacrifice in-distribution accuracy but yield markedly better performance under controlled distribution shifts (MedMNIST-C). Overall, nonrobust features boost standard accuracy yet degrade out-of-distribution performance, revealing a practical robustness-accuracy trade-off in medical imaging classification tasks that should be tailored to the requirements of the deployment setting.

Multi-look acquisition is a widely used strategy for reducing speckle noise in coherent imaging systems such as digital holography. By acquiring multiple measurements, speckle can be suppressed through averaging or joint reconstruction, typically under the assumption that speckle realizations across looks are statistically independent. In practice, however, hardware constraints limit measurement diversity, leading to inter-look correlation that degrades the performance of conventional methods. In this work, we study the reconstruction of speckle-free reflectivity from complex-valued multi-look measurements in the presence of correlated speckle. We model the inter-look dependence using a first-order Markov process and derive the corresponding likelihood under a first-order Markov approximation, resulting in a constrained maximum likelihood estimation problem. To solve this problem, we develop an efficient projected gradient descent framework that combines gradient-based updates with implicit regularization via deep image priors, and leverages Monte Carlo approximation and matrix-free operators for scalable computation. Simulation results demonstrate that the proposed approach remains robust under strong inter-look correlation, achieving performance close to the ideal independent-look scenario and consistently outperforming methods that ignore such dependencies. These results highlight the importance of explicitly modeling inter-look correlation and provide a practical framework for multi-look holographic reconstruction under realistic acquisition conditions. Our code is available at: https://github.com/Computational-Imaging-RU/MLE-Holography-Markov.

We study the deep image prior (DIP) framework applied to photoacoustic tomography (PAT) as an unsupervised reconstruction approach to mitigate limited-view artifacts and noise commonly encountered in experimental settings. Efficient implementation is achieved by employing recently published fast forward and adjoint algorithms for circular measurement geometries. Initialization via a fast inverse and total variation (TV) regularization are applied to further suppress noise and mitigate overfitting. For comparison, we compute a classical TV reconstruction. Our experiments comprise simulated PAT measurements under limited-view geometries and varying levels of added noise as well as experimental measurements together with using a digital twin for quality assessment. Our findings suggest that DIP framework provides an effective unsupervised strategy for robust PAT reconstruction even in the challenging case of a limited view geometry providing improvement in several quantitative measures over total variation reconstructions.

The scarcity of labeled clinical data in oncology makes Few-Shot Learning (FSL) a critical framework for Computer Aided Diagnostics, but we observed that standard Prototypical Networks often struggle with the "prototype instability" caused by morphological noise and high intra-class variance in brain tumor scans. Our work attempts to minimize this by integrating a non-linear Logistic Chaos Module into a fine-tuned ResNet-18 backbone creating the Chaos-Enhanced ProtoNet(CE-ProtoNet). Using the deterministic ergodicity of the logistic chaos map we inject controlled perturbations into support features during episodic training-essentially for "stress testing" the embedding space. This process makes the model to converge on noise-invariant representations without increasing computational overhead. Testing this on a 4-way 5-shot brain tumor classification task, we found that a 15% chaotic injection level worked efficiently to stabilize high-dimensional clusters and reduce class dispersion. Our method achieved a peak test accuracy of 84.52%, outperforming standard ProtoNet. Our results suggest the idea of using chaotic perturbation as an efficient, low-overhead regularization tool, for the data-scarce regimes.

Accurate automatic brain tumor segmentation in Low and Middle-Income (LMIC) countries is challenging due to the lack of defined national imaging protocols, diverse imaging data, extensive use of low-field Magnetic Resonance Imaging (MRI) scanners and limited health-care resources. As part of the Brain Tumor Segmentation (BraTS) Africa 2025 Challenge, we applied topology refinement to the state-of-the-art segmentation models like nnU-Net, MedNeXt, and a combination of both. Since the BraTS-Africa dataset has low MRI image quality, we incorporated the BraTS 2025 challenge data of pre-treatment adult glioma (Task 1) to pre-train the segmentation model and use it to fine-tune on the BraTS-Africa dataset. We added an extra topology refinement module to address the issue of deformation in prediction that arose due to topological error. With the introduction of this module, we achieved a better Normalized Surface Distance (NSD) of 0.810, 0.829, and 0.895 on Surrounding Non-Enhancing FLAIR Hyperintensity (SNFH) , Non-Enhancing Tumor Core (NETC) and Enhancing tumor (ET).

Lung cancer remains one of the leading causes of cancer-related mortality worldwide. Conventional computed tomography (CT) imaging, while essential for detection and staging, has limitations in distinguishing benign from malignant lesions and providing interpretable diagnostic insights. To address this challenge, this study proposes a dual-modal artificial intelligence framework that integrates CT radiology with hematoxylin and eosin (H&E) histopathology for lung cancer diagnosis and subtype classification. The system employs convolutional neural networks to extract radiologic and histopathologic features and incorporates clinical metadata to improve robustness. Predictions from both modalities are fused using a weighted decision-level integration mechanism to classify adenocarcinoma, squamous cell carcinoma, large cell carcinoma, small cell lung cancer, and normal tissue. Explainable AI techniques including Grad-CAM, Grad-CAM++, Integrated Gradients, Occlusion, Saliency Maps, and SmoothGrad are applied to provide visual interpretability. Experimental results show strong performance with accuracy up to 0.87, AUROC above 0.97, and macro F1-score of 0.88. Grad-CAM++ achieved the highest faithfulness and localization accuracy, demonstrating strong correspondence with expert-annotated tumor regions. These results indicate that multimodal fusion of radiology and histopathology can improve diagnostic performance while maintaining model transparency, suggesting potential for future clinical decision support systems in precision oncology.

Immunohistochemistry (IHC) is essential for assessing specific immune biomarkers like Human Epidermal growth-factor Receptor 2 (HER2) in breast cancer. However, the traditional protocols of obtaining IHC stains are resource-intensive, time-consuming, and prone to structural damages. Virtual staining has emerged as a scalable alternative, but it faces significant challenges in preserving fine-grained cellular structures while accurately translating biochemical expressions. Current state-of-the-art methods still rely on Generative Adversarial Networks (GANs) or standard convolutional U-Net diffusion models that often struggle with "structure and staining trade-offs". The generated samples are either structurally relevant but blurry, or texturally realistic but have artifacts that compromise their diagnostic use. In this paper, we introduce HistDiT, a novel latent conditional Diffusion Transformer (DiT) architecture that establishes a new benchmark for visual fidelity in virtual histological staining. The novelty introduced in this work is, a) the Dual-Stream Conditioning strategy that explicitly maintains a balance between spatial constraints via VAE-encoded latents and semantic phenotype guidance via UNI embeddings; b) the multi-objective loss function that contributes to sharper images with clear morphological structure; and c) the use of the Structural Correlation Metric (SCM) to focus on the core morphological structure for precise assessment of sample quality. Consequently, our model outperforms existing baselines, as demonstrated through rigorous quantitative and qualitative evaluations.

Large volumes of medical data remain underutilized because centralizing distributed data is often infeasible due to strict privacy regulations and institutional constraints. In addition, models trained in centralized settings frequently fail to generalize across clinical sites because of heterogeneity in imaging protocols and continuously evolving data distributions arising from differences in scanners, acquisition parameters, and patient populations. Federated learning offers a promising solution by enabling collaborative model training without sharing raw data. However, incorporating differential privacy into federated learning, while essential for privacy guarantees, often leads to degraded accuracy, unstable convergence, and reduced generalization. In this work, we propose an adaptive differentially private federated learning (ADP-FL) framework for medical image segmentation that dynamically adjusts privacy mechanisms to better balance the privacy-utility trade-off. The proposed approach stabilizes training, significantly improves Dice scores and segmentation boundary quality, and maintains rigorous privacy guarantees. We evaluated ADP-FL across diverse imaging modalities and segmentation tasks, including skin lesion segmentation in dermoscopic images, kidney tumor segmentation in 3D CT scans, and brain tumor segmentation in multi-parametric MRI. Compared with conventional federated learning and standard differentially private federated learning, ADP-FL consistently achieves higher accuracy, improved boundary delineation, faster convergence, and greater training stability, with performance approaching that of non-private federated learning under the same privacy budgets. These results demonstrate the practical viability of ADP-FL for high-performance, privacy-preserving medical image segmentation in real-world federated settings.

High-dimensional hyperspectral imaging (HSI) enables the visualization of ultrafast molecular dynamics and complex, heterogeneous spectra. However, applying this capability to resolve spatially varying vibrational couplings in two-dimensional infrared (2DIR) spectroscopy, a type of coherent multidimensional spectroscopy (CMDS), necessitates prohibitively long data acquisition, driven by dense Nyquist sampling requirements and the need for extensive signal accumulation. To address this challenge, we introduce a physics-informed neural representation approach that efficiently reconstructs dense spatially-resolved 2DIR hyperspectral images from sparse experimental measurements. In particular, we used a multilayer perceptron (MLP) to model the relationship between the sub-sampled 4D coordinates and their corresponding spectral intensities, and recover densely sampled 4D spectra from limited observations. The reconstruction results demonstrate that our method, using a fraction of the samples, faithfully recovers both oscillatory and non-oscillatory spectral dynamics in experimental measurement. Moreover, we develop a loss-aware adaptive sampling method to progressively introduce potentially informative samples for iterative data collection while conducting experiments. Experimental results show that the proposed approach achieves high-fidelity spectral recovery using only $1/32$ of the sampling budget, as opposed to exhaustive sampling, effectively reducing total experiment time by up to 32-fold. This framework offers a scalable solution for accelerating any experiments with hypercube data, including multidimensional spectroscopy and hyperspectral imaging, paving the way for rapid chemical imaging of transient biological and material systems.

Microcalcification (MC) analysis is clinically important in screening mammography because clustered puncta can be an early sign of malignancy, yet dense MC segmentation remains challenging: targets are extremely small and sparse, dense pixel-level labels are expensive and ambiguous, and cross-site shift often induces texture-driven false positives and missed puncta in dense tissue. We propose MC-GenRef, a real dense-label-free framework that combines high-fidelity synthetic supervision with test-time generative posterior refinement (TT-GPR). During training, real negative mammogram patches are used as backgrounds, and physically plausible MC patterns are injected through a lightweight image formation model with local contrast modulation and blur, yielding exact image-mask pairs without real dense annotation. Using only these synthetic labeled pairs, MC-GenRef trains a base segmentor and a seed-conditioned rectified-flow (RF) generator that serves as a controllable generative prior. During inference, TT-GPR treats segmentation as approximate posterior inference: it derives a sparse seed from the current prediction, forms seed-consistent RF projections, converts them into case-specific surrogate targets through the frozen segmentor, and iteratively refines the logits with overlap-consistent and edge-aware regularization. On INbreast, the synthetic-only initializer achieved the best Dice without real dense annotations, while TT-GPR improved miss-sensitive performance to Recall and FNR, with strong class-balanced behavior (Bal.Acc., G-Mean). On an external private Yonsei cohort ( n=50 ), TT-GPR consistently improved the synthetic-only initializer under cross-site shift, increasing Dice and Recall while reducing FNR. These results suggest that test-time generative posterior refinement is a practical route to reduce MC misses and improve robustness without additional real dense labeling.

The rapid rise of LLMs over the last few years has promoted growing experimentation with LLM-driven AI tutors. However, the details of implementation, as well as the benefit in a teaching environment, are still in the early days of exploration. This article addresses these issues in the context of implementation of an AI Teaching Assistant (AI-TA) using Retrieval Augmented Generation (RAG) for Trinity College Dublin's Master's Motion Picture Engineering (MPE) course. We provide details of our implementation (including the prompt to the LLM, and code), and highlight how we designed and tuned our RAG pipeline to meet course needs. We describe our survey instrument and report on the impact of the AI-TA through a number of quantitative metrics. The scale of our experiment (43 students, 296 sessions, 1,889 queries over 7 weeks) was sufficient to have confidence in our findings. Unlike previous studies, we experimented with allowing the use of the AI-TA in open-book examinations. Statistical analysis across three exams showed no performance differences regardless of AI-TA access (p > 0.05), demonstrating that thoughtfully designed assessments can maintain academic validity. Student feedback revealed that the AI-TA was beneficial (mean = 4.22/5), while students had mixed feelings about preferring it over human tutoring (mean = 2.78/5).

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 $7,023$ MRI images, the Transfer Learning-based ResNet-50 model exhibited superior classification performance, achieving $96.49\%$ Accuracy and $0.963$ Precision. In contrast, the custom OkanNet architecture reached an accuracy rate of $88.10\%$; however, it proved to be a strong alternative for mobile and embedded systems with limited computational power by yielding results approximately $3.2$ times faster ($311$ 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.

Chest X-ray (CXR) segmentation is an important step in computer-aided diagnosis, yet deploying large foundation models in clinical settings remains challenging due to computational constraints. We propose AdaLoRA-QAT, a two-stage fine-tuning framework that combines adaptive low-rank encoder adaptation with full quantization-aware training. Adaptive rank allocation improves parameter efficiency, while selective mixed-precision INT8 quantization preserves structural fidelity crucial for clinical reliability. Evaluated across large-scale CXR datasets, AdaLoRA-QAT achieves 95.6% Dice, matching full-precision SAM decoder fine-tuning while reducing trainable parameters by 16.6\times and yielding 2.24\times model compression. A Wilcoxon signed-rank test confirms that quantization does not significantly degrade segmentation accuracy. These results demonstrate that AdaLoRA-QAT effectively balances accuracy, efficiency, and structural trust-worthiness, enabling compact and deployable foundation models for medical image segmentation. Code and pretrained models are available at: https://prantik-pdeb.github.io/adaloraqat.github.io/

Polarization imaging captures the polarization state of light, revealing information invisible to the human eye yet valuable in domains such as biomedical diagnostics, autonomous driving, and remote sensing. However, conventional polarization cameras are often expensive, bulky, or both, limiting their practical use. Lensless imaging offers a compact, low-cost alternative by replacing the lens with a simple optical element like a diffuser and performing computational reconstruction, but existing lensless polarization systems suffer from limited reconstruction quality. To overcome these limitations, we introduce a RGB-guided lensless polarization imaging system that combines a compact polarization-RGB sensor with an auxiliary, widely available conventional RGB camera providing structural guidance. We reconstruct multi-angle polarization images for each RGB color channel through a two-stage pipeline: a physics-based inversion recovers an initial polarization image, followed by a Transformer-based fusion network that refines this reconstruction using the RGB guidance image from the conventional RGB camera. Our two-stage method significantly improves reconstruction quality and fidelity over lensless-only baselines, generalizes across datasets and imaging conditions, and achieves high-quality real-world results on our physical prototype lensless camera without any fine-tuning.

Accurate MRI-to-CT synthesis could enable MR-only pelvic workflows by providing CT-like images with bone details while avoiding additional ionizing radiation. In this work, we investigate recently proposed drifting models for synthesizing pelvis CT images from MRI and benchmark them against convolutional neural networks (UNet, VAE), a generative adversarial network (WGAN-GP), a physics-inspired probabilistic model (PPFM), and diffusion-based methods (FastDDPM, DDIM, DDPM). Experiments are performed on two complementary datasets: Gold Atlas Male Pelvis and the SynthRAD2023 pelvis subset. Image fidelity and structural consistency are evaluated with SSIM, PSNR, and RMSE, complemented by qualitative assessment of anatomically critical regions such as cortical bone and pelvic soft-tissue interfaces. Across both datasets, the proposed drifting model achieves high SSIM and PSNR and low RMSE, surpassing strong diffusion baselines and conventional CNN-, VAE-, GAN-, and PPFM-based methods. Visual inspection shows sharper cortical bone edges, improved depiction of sacral and femoral head geometry, and reduced artifacts or over-smoothing, particularly at bone-air-soft tissue boundaries. Moreover, the drifting model attains these gains with one-step inference and inference times on the order of milliseconds, yielding a more favorable accuracy-efficiency trade-off than iterative diffusion sampling while remaining competitive in image quality. These findings suggest that drifting models are a promising direction for fast, high-quality pelvic synthetic CT generation from MRI and warrant further investigation for downstream applications such as MRI-only radiotherapy planning and PET/MR attenuation correction.

Low-field (LF) magnetic resonance imaging (MRI) improves accessibility and reduces costs but generally has lower signal-to-noise ratios and degraded contrast compared to high field (HF) MRI, limiting its clinical utility. Simulating LF MRI from HF MRI enables virtual evaluation of novel imaging devices and development of LF algorithms. Existing low field simulators rely on noise injection and smoothing, which fail to capture the contrast degradation seen in LF acquisitions. To this end, we introduce an end-to-end LF-MRI synthesis framework that learns HF to LF image degradation directly from a small number of paired HF-LF MRIs. Specifically, we introduce a novel HF to LF coordinate-image decoupled neural operator (H2LO) to model the underlying degradation process, and tailor it to capture high-frequency noise textures and image structure. Experimental results in T1w and T2w MRI demonstrate that H2LO produces more faithful simulated low-field images than existing parameterized noise synthesis models and popular image-to-image translation models. Furthermore, it improves performance in downstream image enhancement tasks, showcasing its potential to enhance LF MRI diagnostic capabilities.

Multi-modal Satellite Image Time Series (SITS) analysis faces significant computational challenges for live land monitoring applications. While Transformer architectures excel at capturing temporal dependencies and fusing multi-modal data, their quadratic computational complexity and the need to reprocess entire sequences for each new acquisition limit their deployment for regular, large-area monitoring. This paper studies various dual-form attention mechanisms for efficient multi-modal SITS analysis, that enable parallel training while supporting recurrent inference for incremental processing. We compare linear attention and retention mechanisms within a multi-modal spectro-temporal encoder. To address SITS-specific challenges of temporal irregularity and unalignment, we develop temporal adaptations of dual-form mechanisms that compute token distances based on actual acquisition dates rather than sequence indices. Our approach is evaluated on two tasks using Sentinel-1 and Sentinel-2 data: multi-modal SITS forecasting as a proxy task, and real-world solar panel construction monitoring. Experimental results demonstrate that dual-form mechanisms achieve performance comparable to standard Transformers while enabling efficient recurrent inference. The multimodal framework consistently outperforms mono-modal approaches across both tasks, demonstrating the effectiveness of dual mechanisms for sensor fusion. The results presented in this work open new opportunities for operational land monitoring systems requiring regular updates over large geographic areas.

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.

Deformable image registration plays a fundamental role in medical image analysis by enabling spatial alignment of anatomical structures across subjects. While recent deep learning-based approaches have significantly improved computational efficiency, many existing methods remain limited in capturing long-range anatomical correspondence and maintaining deformation consistency. In this work, we present a cycle inverse-consistent transformer-based framework for deformable brain MRI registration. The model integrates a Swin-UNet architecture with bidirectional consistency constraints, enabling the joint estimation of forward and backward deformation fields. This design allows the framework to capture both local anatomical details and global spatial relationships while improving deformation stability. We conduct a comprehensive evaluation of the proposed framework on a large multi-center dataset consisting of 2851 T1-weighted brain MRI scans aggregated from 13 public datasets. Experimental results demonstrate that the proposed framework achieves strong and balanced performance across multiple quantitative evaluation metrics while maintaining stable and physically plausible deformation fields. Detailed quantitative comparisons with baseline methods, including ANTs, ICNet, and VoxelMorph, are provided in the appendix. Experimental results demonstrate that CICTM achieves consistently strong performance across multiple evaluation criteria while maintaining stable and physically plausible deformation fields. These properties make the proposed framework suitable for large-scale neuroimaging datasets where both accuracy and deformation stability are critical.

The increasing use of marine spaces by offshore infrastructure, including oil and gas platforms, underscores the need for consistent, scalable monitoring. Offshore development has economic, environmental, and regulatory implications, yet maritime areas remain difficult to monitor systematically due to their inaccessibility and spatial extent. This study presents an automated approach to the spatiotemporal detection of offshore oil and gas platforms based on freely available Earth observation data. Leveraging Sentinel-1 archive data and deep learning-based object detection, a consistent quarterly time series of platform locations for three major production regions: the North Sea, the Gulf of Mexico, and the Persian Gulf, was created for the period 2017-2025. In addition, platform size, water depth, distance to the coast, national affiliation, and installation and decommissioning dates were derived. 3,728 offshore platforms were identified in 2025, 356 in the North Sea, 1,641 in the Gulf of Mexico, and 1,731 in the Persian Gulf. While expansion was observed in the Persian Gulf until 2024, the Gulf of Mexico and the North Sea saw a decline in platform numbers from 2018-2020. At the same time, a pronounced dynamic was apparent. More than 2,700 platforms were installed or relocated to new sites, while a comparable number were decommissioned or relocated. Furthermore, the increasing number of platforms with short lifespans points to a structural change in the offshore sector associated with the growing importance of mobile offshore units such as jack-ups or drillships. The results highlighted the potential of freely available Earth observation data and deep learning for consistent, long-term monitoring of marine infrastructure. The derived dataset is public and provides a basis for offshore monitoring, maritime planning, and analyses of the transformation of the offshore energy sector.

Foundation models promise to unify multiple clinical tasks within a single framework, but recent ultrasound studies report that unified models can underperform task-specific baselines. We hypothesize that this degradation arises not from model capacity limitations, but from task aggregation strategies that ignore interactions between task heterogeneity and available training data scale. In this work, we systematically analyze when heterogeneous ultrasound tasks can be jointly learned without performance loss, establishing practical criteria for task aggregation in unified clinical imaging models. We introduce M2DINO, a multi-organ, multi-task framework built on DINOv3 with task-conditioned Mixture-of-Experts blocks for adaptive capacity allocation. We systematically evaluate 27 ultrasound tasks spanning segmentation, classification, detection, and regression under three paradigms: task-specific, clinically-grouped, and all-task unified training. Our results show that aggregation effectiveness depends strongly on training data scale. While clinically-grouped training can improve performance in data-rich settings, it may induce substantial negative transfer in low-data settings. In contrast, all-task unified training exhibits more consistent performance across clinical groups. We further observe that task sensitivity varies by task type in our experiments: segmentation shows the largest performance drops compared with regression and classification. These findings provide practical guidance for ultrasound foundation models, emphasizing that aggregation strategies should jointly consider training data availability and task characteristics rather than relying on clinical taxonomy alone.

Accurate segmentation of tissues and instruments in surgical scenes is annotation-intensive due to irregular shapes, thin structures, specularities, and frequent occlusions. While SAM models support point, box, and mask prompts, points are often too sparse and boxes too coarse to localize such challenging targets. We present SCISSR, a scribble-promptable framework for interactive surgical scene segmentation. It introduces a lightweight Scribble Encoder that converts freehand scribbles into dense prompt embeddings compatible with the mask decoder, enabling iterative refinement for a target object by drawing corrective strokes on error regions. Because all added modules (the Scribble Encoder, Spatial Gated Fusion, and LoRA adapters) interact with the backbone only through its standard embedding interfaces, the framework is not tied to a single model: we build on SAM 2 in this work, yet the same components transfer to other prompt-driven segmentation architectures such as SAM 3 without structural modification. To preserve pre-trained capabilities, we train only these lightweight additions while keeping the remaining backbone frozen. Experiments on EndoVis 2018 demonstrate strong in-domain performance, while evaluation on the out-of-distribution CholecSeg8k further confirms robustness across surgical domains. SCISSR achieves 95.41% Dice on EndoVis 2018 with five interaction rounds and 96.30% Dice on CholecSeg8k with three interaction rounds, outperforming iterative point prompting on both benchmarks.