Dual-Modality Computational Ophthalmic Imaging with Deep Learning and Coaxial Optical Design

The growing burden of myopia and retinal diseases necessitates more accessible and efficient eye screening solutions. This study presents a compact, dual-function optical device that integrates fundus photography and refractive error detection into a unified platform. The system features a coaxial optical design using dichroic mirrors to separate wavelength-dependent imaging paths, enabling simultaneous alignment of fundus and refraction modules. A Dense-U-Net-based algorithm with customized loss functions is employed for accurate pupil segmentation, facilitating automated alignment and focusing. Experimental evaluations demonstrate the system's capability to achieve high-precision pupil localization (EDE = 2.8 px, mIoU = 0.931) and reliable refractive estimation with a mean absolute error below 5%. Despite limitations due to commercial lens components, the proposed framework offers a promising solution for rapid, intelligent, and scalable ophthalmic screening, particularly suitable for community health settings.

DBF-UNet: A Two-Stage Framework for Carotid Artery Segmentation with Pseudo-Label Generation

Medical image analysis faces significant challenges due to limited annotation data, particularly in three-dimensional carotid artery segmentation tasks, where existing datasets exhibit spatially discontinuous slice annotations with only a small portion of expert-labeled slices in complete 3D volumetric data. To address this challenge, we propose a two-stage segmentation framework. First, we construct continuous vessel centerlines by interpolating between annotated slice centroids and propagate labels along these centerlines to generate interpolated annotations for unlabeled slices. The slices with expert annotations are used for fine-tuning SAM-Med2D, while the interpolated labels on unlabeled slices serve as prompts to guide segmentation during inference. In the second stage, we propose a novel Dense Bidirectional Feature Fusion UNet (DBF-UNet). This lightweight architecture achieves precise segmentation of complete 3D vascular structures. The network incorporates bidirectional feature fusion in the encoder and integrates multi-scale feature aggregation with dense connectivity for effective feature reuse. Experimental validation on public datasets demonstrates that our proposed method effectively addresses the sparse annotation challenge in carotid artery segmentation while achieving superior performance compared to existing approaches. The source code is available at https://github.com/Haoxuanli-Thu/DBF-UNet.

HCMA-UNet: A Hybrid CNN-Mamba UNet with Inter-Slice Self-Attention for Efficient Breast Cancer Segmentation

Breast cancer lesion segmentation in DCE-MRI remains challenging due to heterogeneous tumor morphology and indistinct boundaries. To address these challenges, this study proposes a novel hybrid segmentation network, HCMA-UNet, for lesion segmentation of breast cancer. Our network consists of a lightweight CNN backbone and a Multi-view Inter-Slice Self-Attention Mamba (MISM) module. The MISM module integrates Visual State Space Block (VSSB) and Inter-Slice Self-Attention (ISSA) mechanism, effectively reducing parameters through Asymmetric Split Channel (ASC) strategy to achieve efficient tri-directional feature extraction. Our lightweight model achieves superior performance with 2.87M parameters and 126.44 GFLOPs. A Feature-guided Region-aware loss function (FRLoss) is proposed to enhance segmentation accuracy. Extensive experiments on one private and two public DCE-MRI breast cancer datasets demonstrate that our approach achieves state-of-the-art performance while maintaining computational efficiency. FRLoss also exhibits good cross-architecture generalization capabilities. The source code and dataset is available on this link.

SJTU:Spatial judgments in multimodal models towards unified segmentation through coordinate detection

Despite advances in vision-language understanding, implementing image segmentation within multimodal architectures remains a fundamental challenge in modern artificial intelligence systems. Existing vision-language models, which primarily rely on backbone architectures or CLIP-based embedding learning, demonstrate inherent limitations in fine-grained spatial localization and operational capabilities. This paper introduces SJTU: Spatial Judgments in multimodal models - Towards Unified segmentation through coordinate detection, a novel framework that leverages spatial coordinate understanding to bridge vision-language interaction and precise segmentation, enabling accurate target identification through natural language instructions. The framework proposes a novel approach for integrating segmentation techniques with vision-language models based on multimodal spatial inference. By leveraging normalized coordinate detection for bounding boxes and translating it into actionable segmentation outputs, we explore the possibility of integrating multimodal spatial and language representations. Based on the proposed technical approach, the framework demonstrates superior performance on various benchmark datasets as well as accurate object segmentation. Results on the COCO 2017 dataset for general object detection and Pascal VOC datasets for semantic segmentation demonstrate the generalization capabilities of the framework.

Grid-augmented vision: A simple yet effective approach for enhanced spatial understanding in multi-modal agents

Recent advances in multimodal models have demonstrated impressive capabilities in object recognition and scene understanding. However, these models often struggle with precise spatial localization - a critical capability for real-world applications. Inspired by how humans use grid-based references like chess boards and maps, we propose introducing explicit visual position encoding through a simple grid overlay approach. By adding a 9x9 black grid pattern onto input images, our method provides visual spatial guidance analogous to how positional encoding works in transformers, but in an explicit, visual form. Experiments on the COCO 2017 dataset demonstrate that our grid-based approach achieves significant improvements in localization accuracy, with a 107.4% increase in IoU (from 0.27 to 0.56) and a 194.4% improvement in GIoU (from 0.18 to 0.53) compared to baseline performance. Through attention visualization analysis, we show how this visual position encoding helps models better ground spatial relationships. Our method's simplicity and effectiveness make it particularly valuable for applications requiring accurate spatial reasoning, such as robotic manipulation, medical imaging, and autonomous navigation.

COVID-19: post infection implications in different age groups, mechanism, diagnosis, effective prevention, treatment, and recommendations

SARS-CoV-2, the highly contagious pathogen responsible for the COVID-19 pandemic, has persistent effects that begin four weeks after initial infection and last for an undetermined duration. These chronic effects are more harmful than acute ones. This review explores the long-term impact of the virus on various human organs, including the pulmonary, cardiovascular, neurological, reproductive, gastrointestinal, musculoskeletal, endocrine, and lymphoid systems, particularly in older adults. Regarding diagnosis, RT-PCR is the gold standard for detecting COVID-19, though it requires specialized equipment, skilled personnel, and considerable time to produce results. To address these limitations, artificial intelligence in imaging and microfluidics technologies offers promising alternatives for diagnosing COVID-19 efficiently. Pharmacological and non-pharmacological strategies are effective in mitigating the persistent impacts of COVID-19. These strategies enhance immunity in post-COVID-19 patients by reducing cytokine release syndrome, improving T cell response, and increasing the circulation of activated natural killer and CD8 T cells in blood and tissues. This, in turn, alleviates symptoms such as fever, nausea, fatigue, muscle weakness, and pain. Vaccines, including inactivated viral, live attenuated viral, protein subunit, viral vectored, mRNA, DNA, and nanoparticle vaccines, significantly reduce the adverse long-term effects of the virus. However, no vaccine has been reported to provide lifetime protection against COVID-19. Consequently, protective measures such as physical distancing, mask usage, and hand hygiene remain essential strategies. This review offers a comprehensive understanding of the persistent effects of COVID-19 on individuals of varying ages, along with insights into diagnosis, treatment, vaccination, and future preventative measures against the spread of SARS-CoV-2.

External Prompt Features Enhanced Parameter-efficient Fine-tuning for Salient Object Detection

Salient object detection (SOD) aims at finding the most salient objects in images and outputs pixel-level binary masks. Transformer-based methods achieve promising performance due to their global semantic understanding, crucial for identifying salient objects. However, these models tend to be large and require numerous training parameters. To better harness the potential of transformers for SOD, we propose a novel parameter-efficient fine-tuning method aimed at reducing the number of training parameters while enhancing the salient object detection capability. Our model, termed EXternal Prompt features Enhanced adapteR Tuning (ExPert), features an encoder-decoder structure with adapters and injectors interspersed between the layers of a frozen transformer encoder. The adapter modules adapt the pre-trained backbone to SOD while the injector modules incorporate external prompt features to enhance the awareness of salient objects. Comprehensive experiments demonstrate the superiority of our method. Surpassing former state-of-the-art (SOTA) models across five SOD datasets, ExPert achieves 0.215 mean absolute error (MAE) in ECSSD dataset with 80.2M trained parameters, 21% better than transformer-based SOTA model and 47% better than CNN-based SOTA model.

Benchmarking the Cell Image Segmentation Models Robustness under the Microscope Optical Aberrations

Cell segmentation is essential in biomedical research for analyzing cellular morphology and behavior. Deep learning methods, particularly convolutional neural networks (CNNs), have revolutionized cell segmentation by extracting intricate features from images. However, the robustness of these methods under microscope optical aberrations remains a critical challenge. This study comprehensively evaluates the performance of cell instance segmentation models under simulated aberration conditions using the DynamicNuclearNet (DNN) and LIVECell datasets. Aberrations, including Astigmatism, Coma, Spherical, and Trefoil, were simulated using Zernike polynomial equations. Various segmentation models, such as Mask R-CNN with different network heads (FPN, C3) and backbones (ResNet, VGG19, SwinS), were trained and tested under aberrated conditions. Results indicate that FPN combined with SwinS demonstrates superior robustness in handling simple cell images affected by minor aberrations. Conversely, Cellpose2.0 proves effective for complex cell images under similar conditions. Our findings provide insights into selecting appropriate segmentation models based on cell morphology and aberration severity, enhancing the reliability of cell segmentation in biomedical applications. Further research is warranted to validate these methods with diverse aberration types and emerging segmentation models. Overall, this research aims to guide researchers in effectively utilizing cell segmentation models in the presence of minor optical aberrations.

Pneumonia App: a mobile application for efficient pediatric pneumonia diagnosis using explainable convolutional neural networks (CNN)

Mycoplasma pneumoniae pneumonia (MPP) poses significant diagnostic challenges in pediatric healthcare, especially in regions like China where it's prevalent. We introduce PneumoniaAPP, a mobile application leveraging deep learning techniques for rapid MPP detection. Our approach capitalizes on convolutional neural networks (CNNs) trained on a comprehensive dataset comprising 3345 chest X-ray (CXR) images, which includes 833 CXR images revealing MPP and additionally augmented with samples from a public dataset. The CNN model achieved an accuracy of 88.20% and an AUROC of 0.9218 across all classes, with a specific accuracy of 97.64% for the mycoplasma class, as demonstrated on the testing dataset. Furthermore, we integrated explainability techniques into PneumoniaAPP to aid respiratory physicians in lung opacity localization. Our contribution extends beyond existing research by targeting pediatric MPP, emphasizing the age group of 0-12 years, and prioritizing deployment on mobile devices. This work signifies a significant advancement in pediatric pneumonia diagnosis, offering a reliable and accessible tool to alleviate diagnostic burdens in healthcare settings.

LAMPER: LanguAge Model and Prompt EngineeRing for zero-shot time series classification

This study constructs the LanguAge Model with Prompt EngineeRing (LAMPER) framework, designed to systematically evaluate the adaptability of pre-trained language models (PLMs) in accommodating diverse prompts and their integration in zero-shot time series (TS) classification. We deploy LAMPER in experimental assessments using 128 univariate TS datasets sourced from the UCR archive. Our findings indicate that the feature representation capacity of LAMPER is influenced by the maximum input token threshold imposed by PLMs.