BAT-RM: A Boundary-Aware Transformer with Region-Aware Multi-Directional Mamba for Clinically Deployed Cervical Cancer Radiotherapy Auto-Contouring

We present a clinically deployed end-to-end auto-contouring system for cervical cancer radiotherapy planning, anchored by the Boundary-Aware Transformer with Region-Aware Mamba (BAT-RM), a hybrid architecture that integrates Sobel-gated boundary attention, a linear-time, multi-directional Mamba module for long-range context, and a boundary-skeleton-guided fusion gate. This design achieves linear-time complexity for long-range context modeling, avoiding the quadratic cost of full spatial self-attention. The full pipeline spans multi-institutional data collection, rigorous inter-rater quality assurance, external validation in an independent cohort, and a web-based clinical interface natively compatible with Varian, RayStation, and Monaco. Against four baselines, BAT-RM achieves superior performance across seven anatomical classes, with statistically significant improvements in target volumes, including GTV and CTV, and in organs at risk such as the rectum and bladder. A prospective multi-center reader study involving 13 radiation oncologists demonstrated that AI assistance elevates junior oncologists' IoU from 0.899 to 0.965, approaching senior-level accuracy, while reducing contouring time by more than 80%. The system also reduced expert consultation rates and improved inter-reader consistency, reflecting gains in both efficiency and quality assurance. Following clinical deployment at a partner hospital, the system reduced patient wait times from days to hours without additional staffing, enabling same-day or next-day initiation of treatment for routine cases. BAT-RM demonstrates that a rigorous research pipeline, from data curation to clinical deployment, can translate directly into measurable patient benefit in resource-constrained settings where the demand for radiotherapy far exceeds specialist capacity.

STM32-Based Smart Waste Bin for Hygienic Disposal Using Embedded Sensing and Automated Control

The increasing demand for hygienic and contactless solutions in public and private environments has encouraged the development of automated systems for everyday applications. This paper presents the design and implementation of a motion- sensing automatic waste bin using an STM32 microcontroller, ultrasonic sensors, and a servo motor. The system detects user presence through ultrasonic sensing and automatically opens the bin lid using a servo motor controlled by the microcontroller. An additional ultrasonic sensor is used to monitor the internal waste level of the bin, while an OLED display provides real- time feedback regarding system status. The proposed system offers a low-cost, reliable, and easily deployable solution for touch-free waste disposal. Experimental evaluation demonstrates fast response time, stable sensing performance, and smooth mechanical operation. The system can be effectively deployed in homes, educational institutions, hospitals, and public facilities to improve hygiene and user convenience.