Gliomas are the most common malignant primary brain tumors in adults and one of the deadliest types of cancer. There are many challenges in treatment and monitoring due to the genetic diversity and high intrinsic heterogeneity in appearance, shape, histology, and treatment response. Treatments include surgery, radiation, and systemic therapies, with magnetic resonance imaging (MRI) playing a key role in treatment planning and post-treatment longitudinal assessment. The 2024 Brain Tumor Segmentation (BraTS) challenge on post-treatment glioma MRI will provide a community standard and benchmark for state-of-the-art automated segmentation models based on the largest expert-annotated post-treatment glioma MRI dataset. Challenge competitors will develop automated segmentation models to predict four distinct tumor sub-regions consisting of enhancing tissue (ET), surrounding non-enhancing T2/fluid-attenuated inversion recovery (FLAIR) hyperintensity (SNFH), non-enhancing tumor core (NETC), and resection cavity (RC). Models will be evaluated on separate validation and test datasets using standardized performance metrics utilized across the BraTS 2024 cluster of challenges, including lesion-wise Dice Similarity Coefficient and Hausdorff Distance. Models developed during this challenge will advance the field of automated MRI segmentation and contribute to their integration into clinical practice, ultimately enhancing patient care.

Timely diagnosis of Intracranial hemorrhage (ICH) on Computed Tomography (CT) scans remains a clinical priority, yet the development of robust Artificial Intelligence (AI) solutions is still hindered by fragmented public data. To close this gap, we introduce Hemorica, a publicly available collection of 372 head CT examinations acquired between 2012 and 2024. Each scan has been exhaustively annotated for five ICH subtypes-epidural (EPH), subdural (SDH), subarachnoid (SAH), intraparenchymal (IPH), and intraventricular (IVH)-yielding patient-wise and slice-wise classification labels, subtype-specific bounding boxes, two-dimensional pixel masks and three-dimensional voxel masks. A double-reading workflow, preceded by a pilot consensus phase and supported by neurosurgeon adjudication, maintained low inter-rater variability. Comprehensive statistical analysis confirms the clinical realism of the dataset. To establish reference baselines, standard convolutional and transformer architectures were fine-tuned for binary slice classification and hemorrhage segmentation. With only minimal fine-tuning, lightweight models such as MobileViT-XS achieved an F1 score of 87.8% in binary classification, whereas a U-Net with a DenseNet161 encoder reached a Dice score of 85.5% for binary lesion segmentation that validate both the quality of the annotations and the sufficiency of the sample size. Hemorica therefore offers a unified, fine-grained benchmark that supports multi-task and curriculum learning, facilitates transfer to larger but weakly labelled cohorts, and facilitates the process of designing an AI-based assistant for ICH detection and quantification systems.

Sepsis is a major cause of ICU mortality, where early recognition and effective interventions are essential for improving patient outcomes. However, the vasoactive-inotropic score (VIS) varies dynamically with a patient's hemodynamic status, complicated by irregular medication patterns, missing data, and confounders, making sepsis prediction challenging. To address this, we propose a novel Teacher-Student multitask framework with self-supervised VIS pretraining via a Masked Autoencoder (MAE). The teacher model performs mortality classification and severity-score regression, while the student distills robust time-series representations, enhancing adaptation to heterogeneous VIS data. Compared to LSTM-based methods, our approach achieves an AUROC of 0.82 on MIMIC-IV 3.0 (9,476 patients), outperforming the baseline (0.74). SHAP analysis revealed that SOFA score (0.147) had the greatest impact on ICU mortality, followed by LODS (0.033), single marital status (0.031), and Medicaid insurance (0.023), highlighting the role of sociodemographic factors. SAPSII (0.020) also contributed significantly. These findings suggest that both clinical and social factors should be considered in ICU decision-making. Our novel multitask and distillation strategies enable earlier identification of high-risk patients, improving prediction accuracy and disease management, offering new tools for ICU decision support.

Background: Patients with both diabetes mellitus (DM) and atrial fibrillation (AF) face elevated mortality in intensive care units (ICUs), yet models targeting this high-risk group remain limited. Objective: To develop an interpretable machine learning (ML) model predicting 28-day mortality in ICU patients with concurrent DM and AF using early-phase clinical data. Methods: A retrospective cohort of 1,535 adult ICU patients with DM and AF was extracted from the MIMIC-IV database. Data preprocessing involved median/mode imputation, z-score normalization, and early temporal feature engineering. A two-step feature selection pipeline-univariate filtering (ANOVA F-test) and Random Forest-based multivariate ranking-yielded 19 interpretable features. Seven ML models were trained with stratified 5-fold cross-validation and SMOTE oversampling. Interpretability was assessed via ablation and Accumulated Local Effects (ALE) analysis. Results: Logistic regression achieved the best performance (AUROC: 0.825; 95% CI: 0.779-0.867), surpassing more complex models. Key predictors included RAS, age, bilirubin, and extubation. ALE plots showed intuitive, non-linear effects such as age-related risk acceleration and bilirubin thresholds. Conclusion: This interpretable ML model offers accurate risk prediction and clinical insights for early ICU triage in patients with DM and AF.

In this research, an emotion recognition system is developed based on valence/arousal model using electroencephalography (EEG) signals. EEG signals are decomposed into the gamma, beta, alpha and theta frequency bands using discrete wavelet transform (DWT), and spectral features are extracted from each frequency band. Principle component analysis (PCA) is applied to the extracted features by preserving the same dimensionality, as a transform, to make the features mutually uncorrelated. Support vector machine (SVM), K-nearest neighbor (KNN) and artificial neural network (ANN) are used to classify emotional states. The cross-validated SVM with radial basis function (RBF) kernel using extracted features of 10 EEG channels, performs with 91.3% accuracy for arousal and 91.1% accuracy for valence, both in the beta frequency band. Our approach shows better performance compared to existing algorithms applied to the "DEAP" dataset.

Acute pancreatitis (AP) is a common and potentially life-threatening gastrointestinal disease that imposes a significant burden on healthcare systems. ICU readmissions among AP patients are common, especially in severe cases, with rates exceeding 40%. Identifying high-risk patients for readmission is crucial for improving outcomes. This study used the MIMIC-III database to identify ICU admissions for AP based on diagnostic codes. We applied a preprocessing pipeline including missing data imputation, correlation analysis, and hybrid feature selection. Recursive Feature Elimination with Cross-Validation (RFECV) and LASSO regression, supported by expert review, reduced over 50 variables to 20 key predictors, covering demographics, comorbidities, lab tests, and interventions. To address class imbalance, we used the Synthetic Minority Over-sampling Technique (SMOTE) in a five-fold cross-validation framework. We developed and optimized six machine learning models-Logistic Regression, k-Nearest Neighbors, Naive Bayes, Random Forest, LightGBM, and XGBoost-using grid search. Model performance was evaluated with AUROC, accuracy, F1 score, sensitivity, specificity, PPV, and NPV. XGBoost performed best, with an AUROC of 0.862 (95% CI: 0.800-0.920) and accuracy of 0.889 (95% CI: 0.858-0.923) on the test set. An ablation study showed that removing any feature decreased performance. SHAP analysis identified platelet count, age, and SpO2 as key predictors of readmission. This study shows that ensemble learning, informed feature selection, and handling class imbalance can improve ICU readmission prediction in AP patients, supporting targeted post-discharge interventions.

Background: Vancomycin, a key antibiotic for severe Gram-positive infections in ICUs, poses a high nephrotoxicity risk. Early prediction of kidney injury in critically ill patients is challenging. This study aimed to develop a machine learning model to predict vancomycin-related creatinine elevation using routine ICU data. Methods: We analyzed 10,288 ICU patients (aged 18-80) from the MIMIC-IV database who received vancomycin. Kidney injury was defined by KDIGO criteria (creatinine rise >=0.3 mg/dL within 48h or >=50% within 7d). Features were selected via SelectKBest (top 30) and Random Forest ranking (final 15). Six algorithms were tested with 5-fold cross-validation. Interpretability was evaluated using SHAP, Accumulated Local Effects (ALE), and Bayesian posterior sampling. Results: Of 10,288 patients, 2,903 (28.2%) developed creatinine elevation. CatBoost performed best (AUROC 0.818 [95% CI: 0.801-0.834], sensitivity 0.800, specificity 0.681, negative predictive value 0.900). Key predictors were phosphate, total bilirubin, magnesium, Charlson index, and APSIII. SHAP confirmed phosphate as a major risk factor. ALE showed dose-response patterns. Bayesian analysis estimated mean risk 60.5% (95% credible interval: 16.8-89.4%) in high-risk cases. Conclusions: This machine learning model predicts vancomycin-associated creatinine elevation from routine ICU data with strong accuracy and interpretability, enabling early risk detection and supporting timely interventions in critical care.

Information seeking is an interactive behaviour of the end users with information systems, which occurs in a real environment known as context. Context affects information-seeking behaviour in many different ways. The purpose of this paper is to investigate the factors that potentially constitute the context of visual information seeking. We used a Straussian version of grounded theory, a qualitative approach, to conduct the study. Using a purposive sampling method, 28 subjects participated in the study. The data were analysed using open, axial and selective coding in MAXQDA software. The contextual factors influencing visual information seeking were classified into seven categories, including: user characteristics, general search features, visual search features, display of results, accessibility of results, task type and environmental factors. This study contributes to a better understanding of how people conduct searches in and interact with visual search interfaces. Results have important implications for the designers of information retrieval systems. This paper is among the pioneer studies investigating contextual factors influencing information seeking in visual information retrieval systems.

Coronavirus disease 2019 (Covid-19) is highly contagious with limited treatment options. Early and accurate diagnosis of Covid-19 is crucial in reducing the spread of the disease and its accompanied mortality. Currently, detection by reverse transcriptase polymerase chain reaction (RT-PCR) is the gold standard of outpatient and inpatient detection of Covid-19. RT-PCR is a rapid method, however, its accuracy in detection is only ~70-75%. Another approved strategy is computed tomography (CT) imaging. CT imaging has a much higher sensitivity of ~80-98%, but similar accuracy of 70%. To enhance the accuracy of CT imaging detection, we developed an open-source set of algorithms called CovidCTNet that successfully differentiates Covid-19 from community-acquired pneumonia (CAP) and other lung diseases. CovidCTNet increases the accuracy of CT imaging detection to 90% compared to radiologists (70%). The model is designed to work with heterogeneous and small sample sizes independent of the CT imaging hardware. In order to facilitate the detection of Covid-19 globally and assist radiologists and physicians in the screening process, we are releasing all algorithms and parametric details in an open-source format. Open-source sharing of our CovidCTNet enables developers to rapidly improve and optimize services, while preserving user privacy and data ownership.

Robot Assisted Therapy is a new paradigm in many therapies such as the therapy of children with autism spectrum disorder. In this paper we present the use of a parrot-like robot as an assistive tool in turn taking therapy. The therapy is designed in the form of a card game between a child with autism and a therapist or the robot. The intervention was implemented in a single subject study format and the effect sizes for different turn taking variables are calculated. The results show that the child robot interaction had larger effect size than the child trainer effect size in most of the turn taking variables. Furthermore the therapist point of view on the proposed Robot Assisted Therapy is evaluated using a questionnaire. The therapist believes that the robot is appealing to children which may ease the therapy process. The therapist suggested to add other functionalities and games to let children with autism to learn more turn taking tasks and better generalize the learned tasks

Understanding the impact of network clustering and small-world properties on epidemic spread can be crucial in developing effective strategies for managing and controlling infectious diseases. Particularly in this work, we study the impact of these network features on targeted intervention (e.g., self-isolation and quarantine). The targeted individuals for self-isolation are based on centrality measures and node influence metrics. Compared to our previous works on scale-free networks, small-world networks are considered in this paper. Small-world networks resemble real-world social and human networks. In this type of network, most nodes are not directly connected but can be reached through a few intermediaries (known as the small-worldness property). Real social networks, such as friendship networks, also exhibit this small-worldness property, where most people are connected through a relatively small number of intermediaries. We particularly study the epidemic curve flattening by centrality-based interventions/isolation over small-world networks. Our results show that high clustering while having low small-worldness (higher shortest path characteristics) implies flatter infection curves. In reality, a flatter infection curve implies that the number of new cases of a disease is spread out over a longer period of time, rather than a sharp and sudden increase in cases (a peak in epidemic). In turn, this reduces the strain on healthcare resources and helps to relieve the healthcare services.

Radiological images, such as magnetic resonance imaging (MRI) and computed tomography (CT) images, typically consist of a body part and a dark background. For many analyses, it is necessary to separate the body part from the background. In this article, we present a Python code designed to separate body and background regions in 2D and 3D radiological images. We tested the algorithm on various MRI and CT images of different body parts, including the brain, neck, and abdominal regions. Additionally, we introduced a method for intensity normalization and outlier restriction, adjusted for data conversion into 8-bit unsigned integer (UINT8) format, and examined its effects on body-background separation. Our Python code is available for use with proper citation.

The rapid expansion of medical informatics literature presents significant challenges in synthesizing and analyzing research trends. This study introduces a novel dataset derived from the Medical Informatics Europe (MIE) Conference proceedings, addressing the need for sophisticated analytical tools in the field. Utilizing the Triple-A software, we extracted and processed metadata and abstract from 4,606 articles published in the "Studies in Health Technology and Informatics" journal series, focusing on MIE conferences from 1996 onwards. Our methodology incorporated advanced techniques such as affiliation parsing using the TextRank algorithm. The resulting dataset, available in JSON format, offers a comprehensive view of bibliometric details, extracted topics, and standardized affiliation information. Analysis of this data revealed interesting patterns in Digital Object Identifier usage, citation trends, and authorship attribution across the years. Notably, we observed inconsistencies in author data and a brief period of linguistic diversity in publications. This dataset represents a significant contribution to the medical informatics community, enabling longitudinal studies of research trends, collaboration network analyses, and in-depth bibliometric investigations. By providing this enriched, structured resource spanning nearly three decades of conference proceedings, we aim to facilitate novel insights and advancements in the rapidly evolving field of medical informatics.

Brain tumors pose a serious health threat due to their rapid growth and potential for metastasis. While medical imaging has advanced significantly, accurately identifying and characterizing these tumors remains a challenge. This study addresses this challenge by leveraging the innovative TrAdaBoost methodology to enhance the Brain Tumor Segmentation (BraTS2020) dataset, aiming to improve the efficiency and accuracy of brain tumor classification. Our approach combines state-of-the-art deep learning algorithms, including the Vision Transformer (ViT), Capsule Neural Network (CapsNet), and convolutional neural networks (CNNs) such as ResNet-152 and VGG16. By integrating these models within a multi-classifier framework, we harness the strengths of each approach to achieve more robust and reliable tumor classification. A novel decision template is employed to synergistically combine outputs from different algorithms, further enhancing classification accuracy. To augment the training process, we incorporate a secondary dataset, "Brain Tumor MRI Dataset," as a source domain, providing additional data for model training and improving generalization capabilities. Our findings demonstrate a high accuracy rate in classifying tumor versus non-tumor images, signifying the effectiveness of our approach in the medical imaging domain. This study highlights the potential of advanced machine learning techniques to contribute significantly to the early and accurate diagnosis of brain tumors, ultimately improving patient outcomes.

Intracranial hemorrhage (ICH) refers to the leakage or accumulation of blood within the skull, which occurs due to the rupture of blood vessels in or around the brain. If this condition is not diagnosed in a timely manner and appropriately treated, it can lead to serious complications such as decreased consciousness, permanent neurological disabilities, or even death.The primary aim of this study is to detect the occurrence or non-occurrence of ICH, followed by determining the type of subdural hemorrhage (SDH). These tasks are framed as two separate binary classification problems. By adding two layers to the co-scale convolutional attention (CCA) classifier architecture, we introduce a novel approach for ICH detection. In the first layer, after extracting features from different slices of computed tomography (CT) scan images, we combine these features and select the 50 components that capture the highest variance in the data, considering them as informative features. We then assess the discriminative power of these features using the bootstrap forest algorithm, discarding those that lack sufficient discriminative ability between different classes. This algorithm explicitly determines the contribution of each feature to the final prediction, assisting us in developing an explainable AI model. The features feed into a boosting neural network as a latent feature space. In the second layer, we introduce a novel uncertainty-based fuzzy integral operator to fuse information from different CT scan slices. This operator, by accounting for the dependencies between consecutive slices, significantly improves detection accuracy.