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In the field of medical image analysis, there is a substantial need for high-resolution (HR) images to improve diagnostic accuracy. However, It is a challenging task to obtain HR medical images, as it requires advanced instruments and significant time. Deep learning-based super-resolution methods can help to improve the resolution and perceptual quality of low-resolution (LR) medical images. Recently, Generative Adversarial Network (GAN) based methods have shown remarkable performance among deep learning-based super-resolution methods. Real-Enhanced Super-Resolution Generative Adversarial Network (Real-ESRGAN) is a practical model for recovering HR images from real-world LR images. In our proposed approach, we use transfer learning technique and fine-tune the pre-trained Real-ESRGAN model using medical image datasets. This technique helps in improving the performance of the model. The focus of this paper is on enhancing the resolution and perceptual quality of chest X-ray and retinal images. We use the Tuberculosis chest X-ray (Shenzhen) dataset and the STARE dataset of retinal images for fine-tuning the model. The proposed model achieves superior perceptual quality compared to the Real-ESRGAN model, effectively preserving fine details and generating images with more realistic textures.

Multimodal medical data fusion has emerged as a transformative approach in smart healthcare, enabling a comprehensive understanding of patient health and personalized treatment plans. In this paper, a journey from data to information to knowledge to wisdom (DIKW) is explored through multimodal fusion for smart healthcare. We present a comprehensive review of multimodal medical data fusion focused on the integration of various data modalities. The review explores different approaches such as feature selection, rule-based systems, machine learning, deep learning, and natural language processing, for fusing and analyzing multimodal data. This paper also highlights the challenges associated with multimodal fusion in healthcare. By synthesizing the reviewed frameworks and theories, it proposes a generic framework for multimodal medical data fusion that aligns with the DIKW model. Moreover, it discusses future directions related to the four pillars of healthcare: Predictive, Preventive, Personalized, and Participatory approaches. The components of the comprehensive survey presented in this paper form the foundation for more successful implementation of multimodal fusion in smart healthcare. Our findings can guide researchers and practitioners in leveraging the power of multimodal fusion with the state-of-the-art approaches to revolutionize healthcare and improve patient outcomes.

We introduce a new neural architecture for solving visual abstract reasoning tasks inspired by human cognition, specifically by observations that human abstract reasoning often interleaves perceptual and conceptual processing as part of a flexible, iterative, and dynamic cognitive process. Inspired by this principle, our architecture models visual abstract reasoning as an iterative, self-contrasting learning process that pursues consistency between perceptual and conceptual processing of visual stimuli. We explain how this new Contrastive Perceptual-Conceptual Network (CPCNet) works using matrix reasoning problems in the style of the well-known Raven's Progressive Matrices intelligence test. Experiments on the machine learning dataset RAVEN show that CPCNet achieves higher accuracy than all previously published models while also using the weakest inductive bias. We also point out a substantial and previously unremarked class imbalance in the original RAVEN dataset, and we propose a new variant of RAVEN -- AB-RAVEN -- that is more balanced in terms of abstract concepts.

The lack of annotated medical images limits the performance of deep learning models, which usually need large-scale labelled datasets. Few-shot learning techniques can reduce data scarcity issues and enhance medical image analysis, especially with meta-learning. This systematic review gives a comprehensive overview of few-shot learning in medical imaging. We searched the literature systematically and selected 80 relevant articles published from 2018 to 2023. We clustered the articles based on medical outcomes, such as tumour segmentation, disease classification, and image registration; anatomical structure investigated (i.e. heart, lung, etc.); and the meta-learning method used. For each cluster, we examined the papers' distributions and the results provided by the state-of-the-art. In addition, we identified a generic pipeline shared among all the studies. The review shows that few-shot learning can overcome data scarcity in most outcomes and that meta-learning is a popular choice to perform few-shot learning because it can adapt to new tasks with few labelled samples. In addition, following meta-learning, supervised learning and semi-supervised learning stand out as the predominant techniques employed to tackle few-shot learning challenges in medical imaging and also best performing. Lastly, we observed that the primary application areas predominantly encompass cardiac, pulmonary, and abdominal domains. This systematic review aims to inspire further research to improve medical image analysis and patient care.

Deep learning in medical imaging has the potential to minimize the risk of diagnostic errors, reduce radiologist workload, and accelerate diagnosis. Training such deep learning models requires large and accurate datasets, with annotations for all training samples. However, in the medical imaging domain, annotated datasets for specific tasks are often small due to the high complexity of annotations, limited access, or the rarity of diseases. To address this challenge, deep learning models can be pre-trained on large image datasets without annotations using methods from the field of self-supervised learning. After pre-training, small annotated datasets are sufficient to fine-tune the models for a specific task. The most popular self-supervised pre-training approaches in medical imaging are based on contrastive learning. However, recent studies in natural image processing indicate a strong potential for masked autoencoder approaches. Our work compares state-of-the-art contrastive learning methods with the recently introduced masked autoencoder approach "SparK" for convolutional neural networks (CNNs) on medical images. Therefore we pre-train on a large unannotated CT image dataset and fine-tune on several CT classification tasks. Due to the challenge of obtaining sufficient annotated training data in medical imaging, it is of particular interest to evaluate how the self-supervised pre-training methods perform when fine-tuning on small datasets. By experimenting with gradually reducing the training dataset size for fine-tuning, we find that the reduction has different effects depending on the type of pre-training chosen. The SparK pre-training method is more robust to the training dataset size than the contrastive methods. Based on our results, we propose the SparK pre-training for medical imaging tasks with only small annotated datasets.

Recent developments in large language models (LLMs) have unlocked new opportunities for healthcare, from information synthesis to clinical decision support. These new LLMs are not just capable of modeling language, but can also act as intelligent "agents" that interact with stakeholders in open-ended conversations and even influence clinical decision-making. Rather than relying on benchmarks that measure a model's ability to process clinical data or answer standardized test questions, LLM agents should be assessed for their performance on real-world clinical tasks. These new evaluation frameworks, which we call "Artificial-intelligence Structured Clinical Examinations" ("AI-SCI"), can draw from comparable technologies where machines operate with varying degrees of self-governance, such as self-driving cars. High-fidelity simulations may also be used to evaluate interactions between users and LLMs within a clinical workflow, or to model the dynamic interactions of multiple LLMs. Developing these robust, real-world clinical evaluations will be crucial towards deploying LLM agents into healthcare.

Due to their increasing spread, confidence in neural network predictions became more and more important. However, basic neural networks do not deliver certainty estimates or suffer from over or under confidence. Many researchers have been working on understanding and quantifying uncertainty in a neural network's prediction. As a result, different types and sources of uncertainty have been identified and a variety of approaches to measure and quantify uncertainty in neural networks have been proposed. This work gives a comprehensive overview of uncertainty estimation in neural networks, reviews recent advances in the field, highlights current challenges, and identifies potential research opportunities. It is intended to give anyone interested in uncertainty estimation in neural networks a broad overview and introduction, without presupposing prior knowledge in this field. A comprehensive introduction to the most crucial sources of uncertainty is given and their separation into reducible model uncertainty and not reducible data uncertainty is presented. The modeling of these uncertainties based on deterministic neural networks, Bayesian neural networks, ensemble of neural networks, and test-time data augmentation approaches is introduced and different branches of these fields as well as the latest developments are discussed. For a practical application, we discuss different measures of uncertainty, approaches for the calibration of neural networks and give an overview of existing baselines and implementations. Different examples from the wide spectrum of challenges in different fields give an idea of the needs and challenges regarding uncertainties in practical applications. Additionally, the practical limitations of current methods for mission- and safety-critical real world applications are discussed and an outlook on the next steps towards a broader usage of such methods is given.

We propose a novel attention gate (AG) model for medical imaging that automatically learns to focus on target structures of varying shapes and sizes. Models trained with AGs implicitly learn to suppress irrelevant regions in an input image while highlighting salient features useful for a specific task. This enables us to eliminate the necessity of using explicit external tissue/organ localisation modules of cascaded convolutional neural networks (CNNs). AGs can be easily integrated into standard CNN architectures such as the U-Net model with minimal computational overhead while increasing the model sensitivity and prediction accuracy. The proposed Attention U-Net architecture is evaluated on two large CT abdominal datasets for multi-class image segmentation. Experimental results show that AGs consistently improve the prediction performance of U-Net across different datasets and training sizes while preserving computational efficiency. The code for the proposed architecture is publicly available.

Image segmentation is considered to be one of the critical tasks in hyperspectral remote sensing image processing. Recently, convolutional neural network (CNN) has established itself as a powerful model in segmentation and classification by demonstrating excellent performances. The use of a graphical model such as a conditional random field (CRF) contributes further in capturing contextual information and thus improving the segmentation performance. In this paper, we propose a method to segment hyperspectral images by considering both spectral and spatial information via a combined framework consisting of CNN and CRF. We use multiple spectral cubes to learn deep features using CNN, and then formulate deep CRF with CNN-based unary and pairwise potential functions to effectively extract the semantic correlations between patches consisting of three-dimensional data cubes. Effective piecewise training is applied in order to avoid the computationally expensive iterative CRF inference. Furthermore, we introduce a deep deconvolution network that improves the segmentation masks. We also introduce a new dataset and experimented our proposed method on it along with several widely adopted benchmark datasets to evaluate the effectiveness of our method. By comparing our results with those from several state-of-the-art models, we show the promising potential of our method.