Computer-aided diagnosis of skin diseases is an important tool. Various algorithms have been applied to achieve segmentation and classification results. However, the difficulty for dermatologists and patients to visualize the prediction process of neural networks has limited the perceived reliability of such systems. In addition, traditional methods need to be trained using negative samples in order to predict the presence or absence of a lesion, but medical data is often in short supply. In this paper, we propose a multiple High-order Spatial Attention interaction model (MHA-UNet) for use in a highly explainable skin lesion segmentation task. MHA-UNet is able to obtain the presence or absence of a lesion by explainable reasoning without the need for training on negative samples. We used a total of five public skin datasets and one private dataset to confirm its effectiveness. For classifying the presence of lesions, we obtained positive and negative detection rates of 81.0% and 83.2% on the PH2and Kaggle95 datasets under the condition that no negative samples were involved in training. For segmentation experiments, comparison experiments of the proposed method with 15 medical segmentation models demonstrate the state-of-the-art performance of our model. The code is available from https://github.com/wurenkai/MHA-UNet.

Robot-assisted surgery has profoundly influenced current forms of minimally invasive surgery. However, in transurethral urological surgical robots, they need to work in a liquid environment. This causes vaporization of the liquid when shearing and heating is performed, resulting in bubble atomization that affects the visual perception of the robot. This can lead to the need for uninterrupted pauses in the surgical procedure, which makes the surgery take longer. To address the atomization characteristics of liquids under urological surgical robotic vision, we propose an unsupervised zero-shot dehaze method (RSF-Dehaze). Specifically, the proposed Region Similarity Filling Module (RSFM) of RSF-Dehaze significantly improves the recovery of blurred region tissues. In addition, we organize and propose a dehaze dataset for robotic vision in urological surgery (USRobot-Dehaze dataset). In particular, this dataset contains the three most common urological surgical robot operation scenarios. To the best of our knowledge, we are the first to organize and propose a publicly available dehaze dataset for urological surgical robot vision. The proposed RSF-Dehaze proves the effectiveness of our method in three urological surgical robot operation scenarios with extensive comparative experiments with 20 most classical and advanced dehazing and image recovery algorithms. The proposed source code and dataset are available at https://github.com/wurenkai/RSF-Dehaze.

BACKGROUND: Single-cell RNA sequencing (scRNA-seq) has transformed biological research by offering new insights into cellular heterogeneity, developmental processes, and disease mechanisms. As scRNA-seq technology advances, its role in modern biology has become increasingly vital. This study explores the application of deep learning to single-cell data clustering, with a particular focus on managing sparse, high-dimensional data. RESULTS: We propose the SMD deep learning model, which integrates nonlinear dimensionality reduction techniques with a porous dilated attention gate component. Built upon a convolutional autoencoder and informed by the negative binomial distribution, the SMD model efficiently captures essential cell clustering features and dynamically adjusts feature weights. Comprehensive evaluation on both public datasets and proprietary osteosarcoma data highlights the SMD model's efficacy in achieving precise classifications for single-cell data clustering, showcasing its potential for advanced transcriptomic analysis. CONCLUSION: This study underscores the potential of deep learning-specifically the SMD model-in advancing single-cell RNA sequencing data analysis. By integrating innovative computational techniques, the SMD model provides a powerful framework for unraveling cellular complexities, enhancing our understanding of biological processes, and elucidating disease mechanisms. The code is available from https://github.com/xiaoxuc/scSMD .

The Segment Anything Model (SAM) has shown exceptional versatility in segmentation tasks across various natural image scenarios. However, its application to medical image segmentation poses significant challenges due to the intricate anatomical details and domain-specific characteristics inherent in medical images. To address these challenges, we propose a novel VMamba adapter framework that integrates a lightweight, trainable Visual Mamba (VMamba) branch with the pre-trained SAM ViT encoder. The VMamba adapter accurately captures multi-scale contextual correlations, integrates global and local information, and reduces ambiguities arising from local features only. Specifically, we propose a novel cross-branch attention (CBA) mechanism to facilitate effective interaction between the SAM and VMamba branches. This mechanism enables the model to learn and adapt more efficiently to the nuances of medical images, extracting rich, complementary features that enhance its representational capacity. Beyond architectural enhancements, we streamline the segmentation workflow by eliminating the need for prompt-driven input mechanisms. This results in an autonomous prediction model that reduces manual input requirements and improves operational efficiency. In addition, our method introduces only minimal additional trainable parameters, offering an efficient solution for medical image segmentation. Extensive evaluations of four medical image datasets demonstrate that our VMamba adapter framework achieves state-of-the-art performance. Specifically, on the ACDC dataset with limited training data, our method achieves an average Dice coefficient improvement of 0.18 and reduces the Hausdorff distance by 20.38 mm compared to the AutoSAM.

Ultra-wide field (UWF) retinal imaging can improve the detection rate of retinal hemorrhage as compared with conventional fundus images. However, hemorrhages in UWF retinal images can also become smaller and more widely distributed, which can be time consuming and labor intensive. With the development of computer technology, automatic segmentation techniques can assist physicians in diagnosis. However, the lack of publicly available UWF retinal hemorrhage segmentation datasets has limited the development of automatic hemorrhage segmentation techniques in UWF retinal images. We present a large-scale high-quality UWF retinal hemorrhage segmentation dataset, named UWF-RHS Dataset, for public use. To the best of our knowledge, we are the first team to make the UWF retinal hemorrhage segmentation dataset publicly available. In addition, we propose a multi-scale attention subtraction network (MASNet) for UWF retinal hemorrhage segmentation. Specifically, highly focused lesion features are extracted by using the proposed multi-scale attention subtraction (MAS) module at the progress of the skip-connection. Several comparative experiments and ablation experiments were performed at the UWF-RHS Dataset, and all experiments state that our proposed method is effective in diagnosing retinal hemorrhages with state-of-the-art results. The proposed UWF-RHS dataset and MASNet will greatly facilitate the development of automated segmentation techniques for UWF retinal hemorrhages.

PURPOSE: The aim of this study was to identify and screen long non-coding RNA (lncRNA) associated with immune genes in colon cancer, construct immune-related lncRNA pairs, establish a prognostic risk assessment model for colon adenocarcinoma (COAD), and explore prognostic factors and drug sensitivity. METHOD: Our method was based on data from The Cancer Genome Atlas (TCGA). To begin, we obtained all pertinent demographic and clinical information on 385 patients with COAD. All lncRNAs significantly related to immune genes and with differential expression were identified to construct immune lncRNA pairs. Subsequently, least absolute shrinkage and selection operator and Cox models were used to screen out prognostic-related immune lncRNAs for the establishment of a prognostic risk scoring formula. Finally, We analysed the functional differences between subgroups and screened the drugs, and establish an individual prediction nomogram model. RESULTS: Our final analysis confirmed eight lncRNA pairs to construct prognostic risk assessment model. Results showed that the high-risk and low-risk groups had significant differences (training (n = 249): p < 0.001, validation (n = 114): p = 0.022). The prognostic model was certified as an independent prognosis model. Compared with the common clinicopathological indicators, the prognostic model had better predictive efficiency (area under the curve (AUC) = 0.805). Finally, We have analysed highly differentiated cellular pathways such as mucosal immune response, identified 9 differential immune cells, 10 sensitive drugs, and establish an individual prediction nomogram model (C-index = 0.820). CONCLUSION: Our study verified that the eight lncRNA pairs mentioned can be used as biomarkers to predict the prognosis of COAD patients. Identified cells, drugs may have an positive effect on colon cancer prognosis.