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  • Open Access

    ARTICLE

    Modern diagnostics: ultrasound elastography and magnetic resonance imaging in initial evaluation of testicular cancer

    Şeref Barbaros Arik1,2,*, İnanç Güvenç1,2

    Canadian Journal of Urology, Vol.32, No.6, pp. 569-578, 2025, DOI:10.32604/cju.2025.068094 - 30 December 2025

    Abstract Objectives: Differentiating benign from malignant testicular lesions is essential to avoid unnecessary surgery and ensure timely intervention. While conventional ultrasound remains the first-line imaging method, elastography and MRI provide additional functional and structural information. This study assesses the diagnostic utility of testicular elastography and magnetic resonance imaging (MRI) in differentiating benign and malignant testicular lesions. Methods: Patients with sonographically detected testicular masses were retrospectively evaluated using elastography, scrotal MRI, and tumor markers. Quantitative and qualitative imaging findings, lesion size, and laboratory values were recorded. Statistical analyses included Fisher’s exact test, logistic regression, Receiver operating characteristic… More >

  • Open Access

    ARTICLE

    Automated Brain Tumor Classification from Magnetic Resonance Images Using Fine-Tuned EfficientNet-B6 with Bayesian Optimization Approach

    Sarfaraz Abdul Sattar Natha1,*, Mohammad Siraj2,*, Majid Altamimi2, Adamali Shah2, Maqsood Mahmud3

    CMES-Computer Modeling in Engineering & Sciences, Vol.145, No.3, pp. 4179-4201, 2025, DOI:10.32604/cmes.2025.072529 - 23 December 2025

    Abstract A brain tumor is a disease in which abnormal cells form a tumor in the brain. They are rare and can take many forms, making them difficult to treat, and the survival rate of affected patients is low. Magnetic resonance imaging (MRI) is a crucial tool for diagnosing and localizing brain tumors. However, the manual interpretation of MRI images is tedious and prone to error. As artificial intelligence advances rapidly, DL techniques are increasingly used in medical imaging to accurately detect and diagnose brain tumors. In this study, we introduce a deep convolutional neural network… More >

  • Open Access

    ARTICLE

    AI-based detection of MRI-invisible prostate cancer with nnU-Net

    Jingcheng Lyu1,2,#, Ruiyu Yue1,2,#, Boyu Yang1,2, Xuanhao Li1,2, Jian Song1,2,*

    Canadian Journal of Urology, Vol.32, No.5, pp. 445-456, 2025, DOI:10.32604/cju.2025.068853 - 30 October 2025

    Abstract Objectives: This study aimed to develop an artificial intelligence (AI)-based image recognition system using the nnU-Net adaptive neural network to assist clinicians in detecting magnetic resonance imaging (MRI)-invisible prostate cancer. The motivation stems from the diagnostic challenges, especially when MRI findings are inconclusive (Prostate Imaging Reporting and Data System [PI-RADS] score ≤ 3). Methods: We retrospectively included 150 patients who underwent systematic prostate biopsy at Beijing Friendship Hospital between January 2013 and January 2023. All were pathologically confirmed to have clinically significant prostate cancer, despite negative findings on preoperative MRI. A total of 1475 MRI… More >

  • Open Access

    ARTICLE

    Advanced Brain Tumor Segmentation in Magnetic Resonance Imaging via 3D U-Net and Generalized Gaussian Mixture Model-Based Preprocessing

    Khalil Ibrahim Lairedj1, Zouaoui Chama1, Amina Bagdaoui1, Samia Larguech2, Younes Menni3,4,*, Nidhal Becheikh5, Lioua Kolsi6,*, Badr M. Alshammari7

    CMES-Computer Modeling in Engineering & Sciences, Vol.144, No.2, pp. 2419-2443, 2025, DOI:10.32604/cmes.2025.069396 - 31 August 2025

    Abstract Brain tumor segmentation from Magnetic Resonance Imaging (MRI) supports neurologists and radiologists in analyzing tumors and developing personalized treatment plans, making it a crucial yet challenging task. Supervised models such as 3D U-Net perform well in this domain, but their accuracy significantly improves with appropriate preprocessing. This paper demonstrates the effectiveness of preprocessing in brain tumor segmentation by applying a pre-segmentation step based on the Generalized Gaussian Mixture Model (GGMM) to T1 contrast-enhanced MRI scans from the BraTS 2020 dataset. The Expectation-Maximization (EM) algorithm is employed to estimate parameters for four tissue classes, generating a More >

  • Open Access

    ARTICLE

    Switchable Normalization Based Faster RCNN for MRI Brain Tumor Segmentation

    Rachana Poongodan1, Dayanand Lal Narayan2, Deepika Gadakatte Lokeshwarappa3, Hirald Dwaraka Praveena4, Dae-Ki Kang5,*

    CMC-Computers, Materials & Continua, Vol.84, No.3, pp. 5751-5772, 2025, DOI:10.32604/cmc.2025.066314 - 30 July 2025

    Abstract In recent decades, brain tumors have emerged as a serious neurological disorder that often leads to death. Hence, Brain Tumor Segmentation (BTS) is significant to enable the visualization, classification, and delineation of tumor regions in Magnetic Resonance Imaging (MRI). However, BTS remains a challenging task because of noise, non-uniform object texture, diverse image content and clustered objects. To address these challenges, a novel model is implemented in this research. The key objective of this research is to improve segmentation accuracy and generalization in BTS by incorporating Switchable Normalization into Faster R-CNN, which effectively captures the… More >

  • Open Access

    ARTICLE

    Multimodal Convolutional Mixer for Mild Cognitive Impairment Detection

    Ovidijus Grigas, Robertas Damaševičius*, Rytis Maskeliūnas

    CMC-Computers, Materials & Continua, Vol.84, No.1, pp. 1805-1838, 2025, DOI:10.32604/cmc.2025.064354 - 09 June 2025

    Abstract Brain imaging is important in detecting Mild Cognitive Impairment (MCI) and related dementias. Magnetic Resonance Imaging (MRI) provides structural insights, while Positron Emission Tomography (PET) evaluates metabolic activity, aiding in the identification of dementia-related pathologies. This study integrates multiple data modalities—T1-weighted MRI, Pittsburgh Compound B (PiB) PET scans, cognitive assessments such as Mini-Mental State Examination (MMSE), Clinical Dementia Rating (CDR) and Functional Activities Questionnaire (FAQ), blood pressure parameters, and demographic data—to improve MCI detection. The proposed improved Convolutional Mixer architecture, incorporating B-cos modules, multi-head self-attention, and a custom classifier, achieves a classification accuracy of 96.3% More >

  • Open Access

    ARTICLE

    Advancing Brain Tumor Classification: Evaluating the Efficacy of Machine Learning Models Using Magnetic Resonance Imaging

    Khalid Jamil1, Wahab Khan1, Bilal Khan2, Sarwar Shah Khan2,*

    Digital Engineering and Digital Twin, Vol.3, pp. 1-16, 2025, DOI:10.32604/dedt.2025.058943 - 28 February 2025

    Abstract Brain tumors are one of the deadliest cancers, partly because they’re often difficult to detect early or with precision. Standard Magnetic Resonance Imaging (MRI) imaging, though essential, has limitations, it can miss subtle or early-stage tumors, which delays diagnosis and affects patient outcomes. This study aims to tackle these challenges by exploring how machine learning (ML) can improve the accuracy of brain tumor identification from MRI scans. Motivated by the potential for artificial intillegence (AI) to boost diagnostic accuracy where traditional methods fall short, we tested several ML models, with a focus on the K-Nearest More >

  • Open Access

    ARTICLE

    Semantic Segmentation of Lumbar Vertebrae Using Meijering U-Net (MU-Net) on Spine Magnetic Resonance Images

    Lakshmi S V V1, Shiloah Elizabeth Darmanayagam1,*, Sunil Retmin Raj Cyril2

    CMES-Computer Modeling in Engineering & Sciences, Vol.142, No.1, pp. 733-757, 2025, DOI:10.32604/cmes.2024.056424 - 17 December 2024

    Abstract Lower back pain is one of the most common medical problems in the world and it is experienced by a huge percentage of people everywhere. Due to its ability to produce a detailed view of the soft tissues, including the spinal cord, nerves, intervertebral discs, and vertebrae, Magnetic Resonance Imaging is thought to be the most effective method for imaging the spine. The semantic segmentation of vertebrae plays a major role in the diagnostic process of lumbar diseases. It is difficult to semantically partition the vertebrae in Magnetic Resonance Images from the surrounding variety of… More >

  • Open Access

    ARTICLE

    A combined MRI-PSAD risk stratification system for prioritizing prostate biopsies

    Noam Bar-Yaakov1,2, Ziv Savin1,2, Ibrahim Fahoum2,3, Sophie Barnes2,4, Yuval Bar-Yosef1,2, Ofer Yossepowitch1,2, Gal Keren-Paz1,2, Roy Mano1,2

    Canadian Journal of Urology, Vol.31, No.1, pp. 11793-11801, 2024

    Abstract Introduction: Prostate cancer screening with PSA is associated with low specificity; furthermore, little is known about the optimal timing of biopsy. We aimed to evaluate whether a risk classification system combining PSA density (PSAD) and mpMRI can predict clinically significant cancer and determine biopsy timing.
    Materials and methods: We reviewed the medical records of 256 men with a PI-RADS ≥ 3 lesion on mpMRI who underwent transperineal targeted and systematic biopsies of the prostate between 2017-2019. Patients were stratified into three risk groups based on PSAD and mpMRI findings.
    The study endpoint was clinically significant prostate cancer (CSPC).… More >

  • Open Access

    ARTICLE

    MRI-based PI-RADS score predicts ISUP upgrading and adverse pathology at radical prostatectomy in men with biopsy ISUP 1 prostate cancer

    Snir Dekalo1,2, Ohad Mazliah2, Eyal Barkai1,2, Yuval Bar-Yosef1,2, Haim Herzberg1,2, Tomer Bashi1,2, Ibrahim Fahoum2,3, Sophie Barnes2,4, Mario Sofer1,2, Ofer Yossepowitch1,2, Gal Keren-Paz1,2, Roy Mano1,2

    Canadian Journal of Urology, Vol.31, No.4, pp. 11955-11962, 2024

    Abstract Introduction: Most men diagnosed with very-low and low-risk prostate cancer are candidates for active surveillance; however, there is still a misclassification risk. We examined whether PI-RADS category 4 or 5 combined with ISUP 1 on prostate biopsy predicts upgrading and/ or adverse pathology at radical prostatectomy.
    Materials and methods: A total of 127 patients had ISUP 1 cancer on biopsy after multiparametric MRI (mpMRI) and then underwent radical prostatectomy. We then evaluated them for ISUP upgrading and/or adverse pathology on radical prostatectomy.
    Results: Eight-nine patients (70%) were diagnosed with PI-RADS 4 or 5 lesions. ISUP upgrading was significantly… More >

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