Ontology-based knowledge representation for bone disease diagnosis: a foundation for safe and sustainable medical artificial intelligence systems

Medical artificial intelligence (AI) systems frequently lack systematic domain expertise integration, potentially compromising diagnostic reliability. This study presents an ontology-based framework for bone disease diagnosis, developed in collaboration with Ho Chi Minh City Hospital for Traumatology and Orthopedics. The framework introduces three theoretical contributions: (1) a hierarchical neural network architecture guided by bone disease ontology for segmentation-classification tasks, incorporating Visual Language Models (VLMs) through prompts, (2) an ontology-enhanced Visual Question Answering (VQA) system for clinical reasoning, and (3) a multimodal deep learning model that integrates imaging, clinical, and laboratory data through ontological relationships. The methodology maintains clinical interpretability through systematic knowledge digitization, standardized medical terminology mapping, and modular architecture design. The framework demonstrates potential for extension beyond bone diseases through its standardized structure and reusable components. While theoretical foundations are established, experimental validation remains pending due to current dataset and computational resource limitations. Future work will focus on expanding the clinical dataset and conducting comprehensive system validation.

Recent Advances in Medical Image Classification

Medical image classification is crucial for diagnosis and treatment, benefiting significantly from advancements in artificial intelligence. The paper reviews recent progress in the field, focusing on three levels of solutions: basic, specific, and applied. It highlights advances in traditional methods using deep learning models like Convolutional Neural Networks and Vision Transformers, as well as state-of-the-art approaches with Vision Language Models. These models tackle the issue of limited labeled data, and enhance and explain predictive results through Explainable Artificial Intelligence.

A Comprehensive Study on Medical Image Segmentation using Deep Neural Networks

Over the past decade, Medical Image Segmentation (MIS) using Deep Neural Networks (DNNs) has achieved significant performance improvements and holds great promise for future developments. This paper presents a comprehensive study on MIS based on DNNs. Intelligent Vision Systems are often evaluated based on their output levels, such as Data, Information, Knowledge, Intelligence, and Wisdom (DIKIW),and the state-of-the-art solutions in MIS at these levels are the focus of research. Additionally, Explainable Artificial Intelligence (XAI) has become an important research direction, as it aims to uncover the "black box" nature of previous DNN architectures to meet the requirements of transparency and ethics. The study emphasizes the importance of MIS in disease diagnosis and early detection, particularly for increasing the survival rate of cancer patients through timely diagnosis. XAI and early prediction are considered two important steps in the journey from "intelligence" to "wisdom." Additionally, the paper addresses existing challenges and proposes potential solutions to enhance the efficiency of implementing DNN-based MIS.

Unifying Global and Local Scene Entities Modelling for Precise Action Spotting

Sports videos pose complex challenges, including cluttered backgrounds, camera angle changes, small action-representing objects, and imbalanced action class distribution. Existing methods for detecting actions in sports videos heavily rely on global features, utilizing a backbone network as a black box that encompasses the entire spatial frame. However, these approaches tend to overlook the nuances of the scene and struggle with detecting actions that occupy a small portion of the frame. In particular, they face difficulties when dealing with action classes involving small objects, such as balls or yellow/red cards in soccer, which only occupy a fraction of the screen space. To address these challenges, we introduce a novel approach that analyzes and models scene entities using an adaptive attention mechanism. Particularly, our model disentangles the scene content into the global environment feature and local relevant scene entities feature. To efficiently extract environmental features while considering temporal information with less computational cost, we propose the use of a 2D backbone network with a time-shift mechanism. To accurately capture relevant scene entities, we employ a Vision-Language model in conjunction with the adaptive attention mechanism. Our model has demonstrated outstanding performance, securing the 1st place in the SoccerNet-v2 Action Spotting, FineDiving, and FineGym challenge with a substantial performance improvement of 1.6, 2.0, and 1.3 points in avg-mAP compared to the runner-up methods. Furthermore, our approach offers interpretability capabilities in contrast to other deep learning models, which are often designed as black boxes. Our code and models are released at: https://github.com/Fsoft-AIC/unifying-global-local-feature.