Search Results (160)

Persistent luminescence nanoparticles (PLNPs) represent a unique class of optical materials. They possess the ability to absorb and store energy from external excitation sources and emit light persistently once excitation terminates. Because of this distinctive property, PLNPs have attracted considerable attention in various areas. Especially in recent years, PLNPs have revealed marked benefits and extensive application potential in fields such as biological detection, imaging, targeted delivery, as well as integrated diagnosis and treatment. Not only do they potently attenuate autofluorescence interference arising from biological tissues, but they also demonstrate superior signal-to-noise ratio and sensitivity in in vivo imaging scenarios. Therefore, regarding the current research, this paper firstly introduces the classification, synthesis methods, and luminescence mechanism of the materials. Subsequently, the research progress of PLNPs in biological detection and imaging and medical treatment in recent years is reviewed. The challenges faced by materials in biomedical applications and the outlook of future development trends are further discussed, which delivers an innovative thought pattern for developing and designing new PLNPs to cater to more practical requirements. Full article

Background: Dentistry is undergoing a digital transformation driven by emerging technologies such as Artificial Intelligence (AI), Internet of Things (IoT), Digital Twins (DTs), and Large Language Models (LLMs). These advancements offer new paradigms in clinical diagnostics, patient monitoring, treatment planning, and medical education. However, integrating these technologies also raises critical questions around security, privacy, ethics, and trust. Objective: This review aims to provide a structured synthesis of the recent literature exploring AI, IoT, DTs, and LLMs in dentistry, with a specific focus on their application domains and the associated ethical, privacy, and security concerns. Methods: A comprehensive literature search was conducted across PubMed, IEEE Xplore, and SpringerLink using a custom Boolean query string targeting publications from 2020 to 2025. Articles were screened based on defined inclusion and exclusion criteria. In total, 146 peer-reviewed articles and 18 technology platforms were selected. Each article was critically evaluated and categorized by technology domain, application type, evaluation metrics, and ethical considerations. Results: AI-based diagnostic systems and LLM-driven patient support tools were the most prominent technologies, primarily applied in image analysis, decision-making, and health communication. While numerous studies reported high performance, significant methodological gaps exist in evaluation design, sample size, and real-world validation. Ethical and privacy concerns were mentioned frequently, but were substantively addressed in only a few works. Notably, IoT and Digital Twin implementations remained largely conceptual or in pilot stages, highlighting a technology gap in dental deployment. Conclusions: The review identifies significant potential for converged intelligent dental systems but also reveals gaps in integration, security, ethical frameworks, and clinical validation. Future work must prioritize cross-disciplinary development, transparency, and regulatory alignment to realize responsible and patient-centered digital transformation in dentistry. Full article

Background: The limited availability of cardiac MRI data significantly constrains deep learning applications in cardiovascular imaging, necessitating innovative approaches to address data scarcity while preserving critical cardiac anatomical features. Methods: We developed a specialized denoising diffusion probabilistic model incorporating an attention-enhanced UNet architecture with strategically placed attention blocks across five hierarchical levels. The model was trained and evaluated on the OCMR dataset and compared against state-of-the-art generative approaches including StyleGAN2-ADA, WGAN-GP, and VAE baselines. Results: Our approach achieved superior image quality with a Fréchet Inception Distance of 77.78, significantly outperforming StyleGAN2-ADA (117.70), WGAN-GP (227.98), and VAE (325.26). Structural similarity metrics demonstrated excellent performance (SSIM: 0.720 ± 0.143; MS-SSIM: 0.925 ± 0.069). Clinical validation by cardiac radiologists yielded discrimination accuracy of only 60.0%, indicating near-realistic image quality that is challenging for experts to distinguish from real images. Comprehensive anatomical analysis revealed that 13 of 20 cardiac metrics showed no significant differences between real and synthetic images, with particularly strong preservation of left ventricular features. Discussion: The generated synthetic images demonstrate high anatomical fidelity with expert-level quality, as evidenced by the difficulty radiologists experienced in distinguishing synthetic from real images. The strong preservation of cardiac anatomical features, particularly left ventricular characteristics, indicates the model’s potential for medical image analysis applications. Conclusions: This work establishes diffusion models as a robust solution for cardiac MRI data augmentation, successfully generating anatomically accurate synthetic images that enhance downstream clinical applications while maintaining diagnostic fidelity. Full article

Background: Artificial intelligence (AI) and machine learning (ML) have been reshaping maternal, fetal, neonatal, and reproductive healthcare by enhancing risk prediction, diagnostic accuracy, and operational efficiency across the perinatal continuum. However, no comprehensive synthesis has yet been published. Objective: To conduct a scoping review of reviews of AI/ML applications spanning reproductive, prenatal, postpartum, neonatal, and early child-development care. Methods: We searched PubMed, Embase, the Cochrane Library, Web of Science, and Scopus through April 2025. Two reviewers independently screened records, extracted data, and assessed methodological quality using AMSTAR 2 for systematic reviews, ROBIS for bias assessment, SANRA for narrative reviews, and JBI guidance for scoping reviews. Results: Thirty-nine reviews met our inclusion criteria. In preconception and fertility treatment, convolutional neural network-based platforms can identify viable embryos and key sperm parameters with over 90 percent accuracy, and machine-learning models can personalize follicle-stimulating hormone regimens to boost mature oocyte yield while reducing overall medication use. Digital sexual-health chatbots have enhanced patient education, pre-exposure prophylaxis adherence, and safer sexual behaviors, although data-privacy safeguards and bias mitigation remain priorities. During pregnancy, advanced deep-learning models can segment fetal anatomy on ultrasound images with more than 90 percent overlap compared to expert annotations and can detect anomalies with sensitivity exceeding 93 percent. Predictive biometric tools can estimate gestational age within one week with accuracy and fetal weight within approximately 190 g. In the postpartum period, AI-driven decision-support systems and conversational agents can facilitate early screening for depression and can guide follow-up care. Wearable sensors enable remote monitoring of maternal blood pressure and heart rate to support timely clinical intervention. Within neonatal care, the Heart Rate Observation (HeRO) system has reduced mortality among very low-birth-weight infants by roughly 20 percent, and additional AI models can predict neonatal sepsis, retinopathy of prematurity, and necrotizing enterocolitis with area-under-the-curve values above 0.80. From an operational standpoint, automated ultrasound workflows deliver biometric measurements at about 14 milliseconds per frame, and dynamic scheduling in IVF laboratories lowers staff workload and per-cycle costs. Home-monitoring platforms for pregnant women are associated with 7–11 percent reductions in maternal mortality and preeclampsia incidence. Despite these advances, most evidence derives from retrospective, single-center studies with limited external validation. Low-resource settings, especially in Sub-Saharan Africa, remain under-represented, and few AI solutions are fully embedded in electronic health records. Conclusions: AI holds transformative promise for perinatal care but will require prospective multicenter validation, equity-centered design, robust governance, transparent fairness audits, and seamless electronic health record integration to translate these innovations into routine practice and improve maternal and neonatal outcomes. Full article

Background/Objectives: Magnetic nanoparticles, particularly iron oxide-based materials, such as magnetite (Fe₃O₄), have gained significant attention as contrast agents in medical imaging This study aimsto syntheze and characterize Fe₃O₄-based core–shell nanostructures, including Fe₃O₄@TiO₂ and Fe₃O₄@SiO₂, and to evaluate their potential as tunable contrast agents for diagnostic imaging. Methods: Fe₃O₄, Fe₃O₄@TiO₂, and Fe₃O₄@SiO₂ nanoparticles were synthesized via co-precipitation at varying temperatures from iron salt precursors. Fourier transform infrared spectroscopy (FTIR) was used to confirm the presence of Fe–O bonds, while X-ray diffraction (XRD) was employed to determine the crystalline phases and estimate average crystallite sizes. Morphological analysis and particle size distribution were assessed by scanning electron microscopy with energy-dispersive X-ray spectroscopy (SEM-EDX) and transmission electron microscopy (TEM). Magnetic properties were investigated using vibrating sample magnetometry (VSM). Results: FTIR spectra exhibited characteristic Fe–O vibrations at 543 cm⁻¹ and 555 cm⁻¹, indicating the formation of magnetite. XRD patterns confirmed a dominant cubic magnetite phase, with the presence of rutile TiO₂ and stishovite SiO₂ in the coated samples. The average crystallite sizes ranged from 24 to 95 nm. SEM and TEM analyses revealed particle sizes between 5 and 150 nm with well-defined core–shell morphologies. VSM measurements showed saturation magnetization (Ms) values ranging from 40 to 70 emu/g, depending on the synthesis temperature and shell composition. The highest Ms value was obtained for uncoated Fe₃O₄ synthesized at 94 °C. Conclusions: The synthesized Fe₃O₄-based core–shell nanomaterials exhibit desirable structural, morphological, and magnetic properties for use as contrast agents. Their tunable magnetic response and nanoscale dimensions make them promising candidates for advanced diagnostic imaging applications. Full article

Background: Synthetic and pseudosynthetic images can be used to extend colonoscopy datasets, which, in turn, are used to train AI-detection models, yet their clinical acceptability depends on whether medical professionals can still recognize non-real content. Aim: To quantify the ability of practicing gastroenterologists to discriminate real, pseudosynthetic, and synthetic polyp images and to determine how training level and synthesis method impact detection. Materials and Methods: A total of 32 Romanian gastroenterologists (18 residents and 14 seniors) reviewed 24 images (8 real, 8 augmented, 4 CycleGAN, and 4 diffusion) via an online form. Classification accuracy, 95% confidence intervals (CI), class sensitivity and precision, 3 × 3 confusion matrices, and Fleiss’ κ were calculated. Resident vs. senior differences were tested with Pearson χ²; CycleGAN versus diffusion detectability was analyzed with the Wilcoxon signed-rank test (α = 0.05). Results: Overall accuracy was 61.2% (95% CI 57.7–64.6). Residents and seniors performed similarly (62.3% vs. 59.8%; χ²₁ = 0.38, p = 0.54). Sensitivity/precision were 70.7%/62.2% for real, 51.6%/58.9% for augmented, and 61.3%/62.1% for synthetic images. Collapsing to “real vs. non-real” yielded 70.7% sensitivity and 78.5% specificity for real images. CycleGAN images were always recognized as synthetic (128/128; 97.1–100% CI), whereas diffusion images were correctly classified only 22.7% of the time (16.3–30.6%; Wilcoxon p < 0.001). The training level did not impact detection performance (χ²₂ < 1.2, p > 0.5). Inter-rater agreement was fair (κ = 0.30, 95% CI 0.15–0.43). Conclusions: Clinicians detect non-real colonoscopy images only slightly above chance, irrespective of experience. The diffusion synthesis method creates images that escape human scrutiny, suggesting the need for automated authenticity safeguards before synthetic datasets are applied in clinical or AI-validation contexts. Full article

Carbon nanomaterials that include different forms such as graphene, carbon nanotubes, fullerenes, graphite, nanodiamonds, carbon nanocones, amorphous carbon, as well as porous carbon, are quite distinguished by their unique structural, electrical, and mechanical properties. This plays a major role in making them pivotal in various medical applications. The synthesis methods used for such nanomaterials, including techniques such as chemical vapor deposition (CVD), arc discharge, laser ablation, and plasma-enhanced chemical vapor deposition (PECVD), are able to offer very precise control over material purity, particle size, and scalability, enabling for nanomaterials catered for different specific applications. These materials have been explored in a range of different systems, which include drug-delivery systems, biosensors, tissue engineering, as well as advanced imaging techniques such as MRI and fluorescence imaging. Recent advancements, including green synthesis strategies and novel innovative approaches like ultrasonic cavitation, have improved both the precision as well as the scalability of carbon nanomaterial production. Despite challenges like biocompatibility and environmental concerns, these nanomaterials hold immense promise in revolutionizing personalized medicine, diagnostics, and regenerative therapies. Many of these applications are currently positioned at Technology Readiness Levels (TRLs) 3–4, with some systems advancing toward preclinical validation, highlighting their emerging translational potential in clinical settings. This review is specific in evaluating synthesis techniques of different carbon nanomaterials and establishing their modified properties for use in biomedicine. It focuses on how these techniques establish biocompatibility, scalability, and performance for use in medicines such as drug delivery, imaging, and tissue engineering. The implications of nanostructure behavior in biological environments are further discussed, with emphasis on applications in imaging, drug delivery, and biosensing. Full article

Objective: Current good manufacturing practice (cGMP) guidance for positron emission tomography (PET) drugs has been established in Europe and the United States. In Japan, the Pharmaceuticals and Medical Devices Agency (PMDA) approved the use of radiosynthesizers as medical devices for the in-house manufacturing of PET drugs in hospitals and clinics, regardless of the cGMP environment. Without adequate facilities, equipment, and personnel required by cGMP regulations, the quality assurance (QA) and clinical effectiveness of PET drugs largely depend on the radiosynthesizers themselves. To bridge the gap between radiochemistry standardization and site qualification, the Japanese Society of Nuclear Medicine (JSNM) has issued guidance for the in-house manufacturing of small-scale PET drugs under academic GMP (a-GMP) environments. The goals of cGMP and a-GMP are different: cGMP focuses on process optimization, certification, and commercialization, while a-GMP facilitates the small-scale, in-house production of PET drugs for clinical trials and patient-specific standard of care. Among PET isotopes, N-13 has a short half-life (10 min) and must be synthesized on site. [¹³N]Ammonia ([¹³N]NH₃) is used for myocardial perfusion imaging under the Japan Health Insurance System (JHIS) and was thus selected as a working example for the manufacturing of PET drugs in an a-GMP environment. Methods: A [¹³N]NH₃-radiosynthesizer was installed in a hot cell within an a-GMP-compliant radiopharmacy unit. To comply with a-GMP regulations, the air flow was adjusted through HEPA filters. All cabinets and cells were disinfected to ensure sterility once a month. Standard operating procedures (SOPs) were applied, including analytical methods. Batch records, QA data, and radiation exposure to staff in the synthesis of [¹³N]NH₃ were measured and documented. Results: 2.52 GBq of [¹³N]NH₃ end-of-synthesis (EOS) was obtained in an average of 13.5 min in 15 production runs. The radiochemical purity was more than 99%. Exposure doses were 11 µSv for one production run and 22 µSv for two production runs. The pre-irradiation background dose rate was 0.12 µSv/h. After irradiation, the exposed dosage in the front of the hot cell was 0.15 µSv/h. The leakage dosage measured at the bench was 0.16 µSv/h. The exposure and leakage dosages in the manufacturing of [¹³N]NH₃ were similar to the background level as measured by radiation monitoring systems in an a-GMP environments. All QAs, environmental data, bacteria assays, and particulates met a-GMP compliance standards. Conclusions: In-house a-GMP environments require dedicated radiosynthesizers, documentation for batch records, validation schedules, radiation protection monitoring, air and particulate systems, and accountable personnel. In this study, the in-house manufacturing of [¹³N]NH₃ under a-GMP conditions was successfully demonstrated. These findings support the international harmonization of small-scale PET drug manufacturing in hospitals and clinics for future multi-center clinical trials and the development of a standard of care. Full article

Introduction: Paediatric hip disorders present unique challenges for artificial intelligence (AI)-aided assessments of medical imaging due to disease-related and age-dependent changes in hip morphology. This scoping review aimed to describe current and emerging applications of AI in medical imaging for paediatric hip disorders. Methods: A descriptive synthesis of articles identified through PubMed, Embase, Cochrane Library, Web of Science, Emcare, and Academic Search Premier databases was performed including articles published up until June 2024. Original research articles’ titles and abstracts were screened, followed by full-text screening. Two reviewers independently conducted article screening and data extraction (i.e., data on the article and the model and its performance). Results: Out of 871 unique articles, 40 were included. The first article was dated from 2017, with annual publication rates increasing thereafter. Research contributions were primarily from China (17 [43%]) and Canada (10 [25%]). Articles mainly focused on developing novel AI models (19 [47.5%]), applied to ultrasound images or radiographs of developmental dysplasia of the hip (DDH; 37 [93%]). The three remaining articles addressed Legg–Calvé–Perthes disease, neuromuscular hip dysplasia in cerebral palsy, or hip arthritis/osteomyelitis. External validation was performed in eight articles (20%). Models were mainly applied to the diagnosis/grading of the disorder (22 [55%]), or on screening/detection (17 [42.5%]). AI models were 17 to 124 times faster (median 30) in performing a specific task than experienced human assessors, with an accuracy of 86–100%. Conclusions: Research interest in AI applied to medical imaging of paediatric hip disorders has expanded significantly since 2017, though the scope remains restricted to developing novel models for DDH imaging. Future studies should focus on (1) the external validation of existing models, (2) implementation into clinical practice, addressing the current lack of implementation efforts, and (3) paediatric hip disorders other than DDH. Full article

Magnetic Resonance Imaging (MRI) is a widely used, non-invasive imaging technology that plays a critical role in clinical diagnostics. Multi-modal MRI, which combines images from different modalities, enhances diagnostic accuracy by offering comprehensive tissue characterization. Meanwhile, multi-modal MRI enhances downstream tasks, like brain tumor segmentation and image reconstruction, by providing richer features. While recent advances in diffusion models (DMs) show potential for high-quality image translation, existing methods still struggle to preserve fine structural details and ensure accurate image synthesis in medical imaging. To address these challenges, we propose a Frequency-Aware Diffusion Model (FADM) for generating high-quality target modality MRI images from source modality images. The FADM incorporates a discrete wavelet transform within the diffusion model framework to extract both low- and high-frequency information from MRI images, enhancing the capture of tissue structural and textural features. Additionally, a wavelet downsampling layer and supervision module are incorporated to improve frequency awareness and optimize high-frequency detail extraction. Experimental results on the BraTS 2021 dataset and a 1.5T–3T MRI dataset demonstrate that the FADM outperforms existing generative models, particularly in preserving intricate brain structures and tumor regions while generating high-quality MRI images. Full article

The majority of data collected and obtained from various sources over a patient’s lifetime can be assumed to comprise pertinent information for delivering the best possible treatment. Medical data, such as radiographic and histopathology images, electrocardiograms, and medical records, all guide a physician’s diagnostic approach. Nevertheless, most machine learning techniques in the healthcare field emphasize data analysis from a single modality, which is insufficiently reliable. This is especially evident in radiology, which has long been an essential topic of machine learning in healthcare because of its high data density, availability, and interpretation capability. In the future, computer-assisted diagnostic systems must be intelligent to process a variety of data simultaneously, similar to how doctors examine various resources while diagnosing patients. By extracting novel characteristics from diverse medical data sources, advanced identification techniques known as multimodal learning may be applied, enabling algorithms to analyze data from various sources and eliminating the need to train each modality. This approach enhances the flexibility of algorithms by incorporating diverse data. A growing quantity of current research has focused on the exploration of extracting data from multiple sources and constructing precise multimodal machine/deep learning models for medical examinations. A comprehensive analysis and synthesis of recent publications focusing on multimodal machine learning in detecting diseases is provided. Potential future research directions are also identified. This review presents an overview of multimodal machine learning (MMML) in radiology, a field at the cutting edge of integrating artificial intelligence into medical imaging. As radiological practices continue to evolve, the combination of various imaging and non-imaging data modalities is gaining increasing significance. This paper analyzes current methodologies, applications, and trends in MMML while outlining challenges and predicting upcoming research directions. Beginning with an overview of the different data modalities involved in radiology, namely, imaging, text, and structured medical data, this review explains the processes of modality fusion, representation learning, and modality translation, showing how they boost diagnosis efficacy and improve patient care. Additionally, this review discusses key datasets that have been instrumental in advancing MMML research. This review may help clinicians and researchers comprehend the spatial distribution of the field, outline the current level of advancement, and identify areas of research that need to be explored regarding MMML in radiology. Full article

Deep learning has revolutionised medical image analysis, offering the possibility of automated, efficient, and highly accurate diagnostic solutions. This article explores recent developments in deep learning techniques applied to medical imaging, including convolutional neural networks (CNNs) for classification and segmentation, recurrent neural networks (RNNs) for temporal analysis, autoencoders for feature extraction, and generative adversarial networks (GANs) for image synthesis and augmentation. Additionally, U-Net models for segmentation, vision transformers (ViTs) for global feature extraction, and hybrid models integrating multiple architectures are explored. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) process were used, and searches on PubMed, Google Scholar, and Scopus databases were conducted. The findings highlight key challenges such as data availability, interpretability, overfitting, and computational requirements. While deep learning has demonstrated significant potential in enhancing diagnostic accuracy across multiple medical imaging modalities—including MRI, CT, US, and X-ray—factors such as model trust, data privacy, and ethical considerations remain ongoing concerns. The study underscores the importance of integrating multimodal data, improving computational efficiency, and advancing explainability to facilitate broader clinical adoption. Future research directions emphasize optimising deep learning models for real-time applications, enhancing interpretability, and integrating deep learning with existing healthcare frameworks for improved patient outcomes. Full article

Background/Objectives: Reviewing the entire history of imaging exams of a single patient’s records is an essential step in clinical practice, but it is time and resource consuming, with potential negative effects on workflow and on the quality of medical decisions. The main objective of this study was to evaluate the applicability of three open-source large language models (LLMs) for the automatic generation of concise summaries of patient’s imaging records. Secondary objectives were to assess correlations among the LLMs and to evaluate the length reduction provided by each model. Methods: Three state-of-the-art open-source large language models were selected: Llama 3.2 11B, Mistral 7B, and Falcon 7B. Each model was given a set of radiology reports. The summaries produced by the models were evaluated by two experienced radiologists and one experienced clinical physician using standardized metrics. Results: A variable number of radiological reports (n = 12–56) from four patients were selected and evaluated. The summaries generated by the three LLM showed a good level of accuracy compared with the information contained in the original reports, with positive ratings on both clinical relevance and ease of reference. According to the experts’ evaluations, the use of the summaries generated by LLMs could help to reduce the time spent on reviewing the previous imaging examinations performed, preserving the quality of clinical data. Conclusions: Our results suggest that LLMs are able to generate summaries of the imaging history of patients, and these summaries could improve radiology workflow making it easier to manage large volumes of reports. Full article

Generative adversarial networks (GANs) prioritize pixel-level attributes over capturing the entire image distribution, which is critical in image synthesis. To address this challenge, we propose a dual-stream contrastive latent projection generative adversarial network (DSCLPGAN) for the robust augmentation of MRI images. The dual-stream generator in our architecture incorporates two specialized processing pathways: one is dedicated to local feature variation modeling, while the other captures global structural transformations, ensuring a more comprehensive synthesis of medical images. We used a transformer-based encoder–decoder framework for contextual coherence and the contrastive learning projection (CLP) module integrates contrastive loss into the latent space for generating diverse image samples. The generated images undergo adversarial refinement using an ensemble of specialized discriminators, where discriminator 1 (D1) ensures classification consistency with real MRI images, discriminator 2 (D2) produces a probability map of localized variations, and discriminator 3 (D3) preserves structural consistency. For validation, we utilized a publicly available MRI dataset which contains 3064 T1-weighted contrast-enhanced images with three types of brain tumors: meningioma (708 slices), glioma (1426 slices), and pituitary tumor (930 slices). The experimental results demonstrate state-of-the-art performance, achieving an SSIM of 0.99, classification accuracy of 99.4% for an augmentation diversity level of 5, and a PSNR of 34.6 dB. Our approach has the potential of generating high-fidelity augmentations for reliable AI-driven clinical decision support systems. Full article

Magnetic resonance imaging (MRI) is routinely used to confirm the suspected diagnosis of anterior cruciate ligament (ACL) injury. Recently, many studies explored the role of artificial intelligence (AI) and deep learning (DL), a sub-category of AI, in the musculoskeletal field and medical imaging. The aim of this study was to review the current applications of DL models to detect ACL injury on MRI, thus providing an updated and critical synthesis of the existing literature and identifying emerging trends and challenges in the field. A total of 23 relevant articles were identified and included in the review. Articles originated from 10 countries, with China having the most contributions (n = 9), followed by the United State of America (n = 4). Throughout the article, we analyzed the concept of DL in ACL tears and provided examples of how these tools can impact clinical practice and patient care. DL models for MRI detection of ACL injury reported high values of accuracy, especially helpful for less experienced clinicians. Time efficiency was also demonstrated. Overall, the deep learning models have proven to be a valid resource, although still requiring technological developments for implementation in daily practice. Full article