Medical image segmentation is a critical aspect of medical image analysis, particularly in the realm of medical image processing. While the UNet architecture is widely acknowledged for its effectiveness in medical image segmentation, it falls short in fully harnessing inherent advantages and utilising contextual data efficiently. In response, this research introduces an architecture named Deep Atrous Attention UNet (DAA-UNet), incorporating the attention module and Atrous Spatial Pyramid Pooling (ASPP) module in UNet. The primary objective is to enhance both efficiency and accuracy in the segmentation of medical images, with a specific focus on chest X-ray (CXR) images. DAA-UNet combines the integral features of UNet, ASPP, and attention mechanisms. The addition of an attention block improves the segmentation process by prioritising features from the encoding layer to the decoding layers. Our evaluation employs a tuberculosis dataset to assess the performance of the proposed model. The validation results demonstrate an average accuracy of 97.15%, an average Intersection over Union (IoU) value of 92.37%, and an average Dice Coefficient (DC) value of 93.25%. Notably, both qualitative and quantitative assessments for lung segmentation produce better outcomes than UNet and other relevant selected architectures.
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http://dx.doi.org/10.1007/s11517-025-03344-8 | DOI Listing |
Neurology
April 2025
Brain Health and Wellness Research Program, St. Michael's Hospital, Unity Health Toronto, Ontario, Canada.
Background And Objectives: Medical clearance for return to play (RTP) after sports-related concussion is based on clinical assessment. It is unknown whether brain physiology has entirely returned to preinjury baseline at the time of clearance. In this longitudinal study, we assessed whether concussed individuals show functional and structural MRI brain changes relative to preinjury levels that persist beyond medical clearance.
View Article and Find Full Text PDFEur J Cardiothorac Surg
March 2025
Department of Cardiothoracic Surgery, Radboud University Medical Center, Nijmegen, Netherlands.
Objectives: This study evaluates a staged selective hybrid approach for acute type A aortic dissection. The approach involves a zone 2 aortic arch replacement with debranching of the brachiocephalic trunk and left common carotid artery to create a landing zone for thoracic endovascular aortic repair. This repair is performed either preemptively in the subacute phase to promote remodelling or electively in the chronic phase to manage aneurysm formation.
View Article and Find Full Text PDFJ Am Acad Orthop Surg Glob Res Rev
March 2025
From the Department of Orthopaedic Surgery, Boston Medical Center Pl, Boston, MA.
Compartment syndrome is an orthopaedic emergency with moderate-to-severe sequela (pain, muscle contracture, nerve damage, infection, rhabdomyolysis, renal failure, etc.) if inadequately treated and can be difficult to diagnose in a timely fashion. Further complicating timely diagnosis are atypical presentations resulting in compartment syndrome.
View Article and Find Full Text PDFDentomaxillofac Radiol
March 2025
Radiology Center, Division of Integrated Facilities, Institute of Science Tokyo Hospital, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan.
Objective: To quantitatively and qualitatively compare directly two types of cisternography images for diagnosing trigeminal neuralgia (TN) using 3-T magnetic resonance imaging.
Methods: This prospective study recruited 64 patients with a clinical diagnosis or suspicion of TN. Patients were examined through the three-dimensional (3D) Constructive Interference in Steady State (CISS) and Sampling Perfection with Application-optimized Contrasts using different flip angle Evolutions (SPACE) sequences.
Ann Intern Med
March 2025
Massachusetts General Hospital, Boston, Massachusetts; Mbarara University of Science and Technology, Mbarara, Uganda; and Kabwohe Clinical Research Center, Kabwohe, Sheema, Uganda (S.A.).
Background: Data on the prevalence of coronary atherosclerotic disease (CAD) in the African region among people with and without HIV are lacking.
Objective: To estimate the prevalence of CAD in Uganda and determine whether well-controlled HIV infection is associated with increased presence or severity of CAD.
Design: Cross-sectional study.
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