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2026 Conference article Open Access OPEN
Advancements in Artificial Intelligence and Computer Vision for Biomedical Applications @SI-Lab
Marco Cafiso, Andrea Carboni, Claudia Caudai, Sara Colantonio, Francesco Conti, Mario D’acunto, Said Daoudagh, Giulio Del Corso, Riccardo Del Gratta, Danila Germanese, Giacomo Ignesti, Gianmarco Lazzini, Giuseppe Riccardo Leone, Barbara Leporini, Massimo Magrini, Massimo Martinelli, Davide Moroni, Ali Reza Omrani, Francesca Pardini, Maria Antonietta Pascali, Paolo Paradisi, Laura Sebastiaini, Marco Tampucci, Valeria Tateo, Federico Volpini
This paper summarizes recent research at the Signals and Images Lab (ISTI-CNR) leveraging artificial intelligence, machine learning, and computer vision to address complex biomedical challenges. We highlight advancements in trustworthy, explainable algorithmic foundations alongside their practical clinical applications across diagnostic imaging, physiological signal analysis and neuromotor rehabilitation.

See at: CNR IRIS Open Access | CNR IRIS Restricted


2026 Contribution to book Open Access OPEN
A survey on Good AI: user-centric AI design in healthcare
Berti Andrea, Giannini Valentina, Mazzetti Simone, Pascali Maria Antonietta, Regge Daniele, Colantonio Sara
The integration of Artificial Intelligence (AI) in healthcare has the potential to revolutionize patient care by enhancing diagnostic processes, treatment protocols, and overall healthcare delivery. However, the adoption of AI-powered tools and services is contingent upon establishing a robust foundation of trust among healthcare professionals. The ProCAncer-I project, informed by the FUTURE-AI framework, is at the forefront of this effort, promoting a user-centric design philosophy that prioritizes the needs and expectations of end-users, primarily clinicians and radiologists. This paper delves into the co-design methodology adopted by an interdisciplinary team, elucidating the collaborative efforts that underpin the customization of the FUTURE-AI principles to align with the clinical requirements of the project’s partners. The introduction sets the stage for a comprehensive discussion on the significance of stakeholder engagement in the design and implementation of trustworthy AI systems within clinical settings.Source: SMART INNOVATION, SYSTEMS AND TECHNOLOGIES, vol. 460, pp. 113-128
DOI: 10.1007/978-981-95-4076-1_10
DOI: 10.5281/zenodo.13918943
DOI: 10.5281/zenodo.13918942
Project(s): An AI Platform integrating imaging data and models, supporting precision care through prostate cancer’s continuum, NAVIGATOR
Metrics:


See at: CNR IRIS Open Access | link.springer.com Open Access | ZENODO Open Access | doi.org Restricted | ZENODO Restricted | ZENODO Restricted | CNR IRIS Restricted


2026 Conference article Open Access OPEN
Remind me of something? Zero-Shot learning for trustworthy image comparison in rolling stock
Papini Oscar, Del Corso Giulio, Bulotta Davide, Carboni Andrea, Gravili Silvia, Leone Giuseppe Riccardo, Pascali Maria Antonietta, Moroni Davide, Colantonio Sara
This paper discusses the need for trustworthy AI in urban mobility, focusing on high-stakes security applications such as anomaly detection in public transportation. Because the accuracy required to identify potentially dangerous objects often surpasses the capabilities of current models, there is an unavoidable incidence of false positives. We suggest a "learning to defer" approach as a solution. Our technique uses the deep features and label relative importance of a pre-trained classifier (DenseNet/ImageNET-1k) to create a unique item "fingerprint". We then employ a zero-shot meta-learning approach to calibrate the system, enabling it to distinguish between normal background items and genuine anomalies by assigning a similarity score. This method significantly reduces the false "new object" alarms that would otherwise overwhelm human operators. Our proof-of-concept demonstrates that the system is computationally light and can be easily adapted to specific environments and integrated into existing classification modules.Source: LECTURE NOTES IN COMPUTER SCIENCE, vol. 16170, pp. 323-334. Roma, Italy, 15-19/09/2025
DOI: 10.1007/978-3-032-11381-8_28
Project(s): FAITH via OpenAIRE
Metrics:


See at: CNR IRIS Open Access | link.springer.com Open Access | CNR IRIS Restricted | CNR IRIS Restricted


2025 Other Open Access OPEN
SI-Lab Annual Research Report 2024
Awais Ch Muhammad, Baiamonte A., Benassi A., Berti A., Bertini G., Buongiorno R, Bulotta D., Cafiso M., Carboni A., Carloni G., Caudai C., Colantonio S., Conti F., Daoudagh S., Del Corso G., Fusco G., Galesi G., Germanese D., Gravili S., Ignesti G., Kuruoglu E. E., Lazzini G., Leone G. R., Leporini B., Magrini M., Martinelli M., Omrani Ali Reza, Pachetti E., Papini O., Paradisi P., Pardini F., Pascali M. A., Pieri G., Reggiannini M., Righi M., Salerno E., Salvetti O., Scozzari A., Sebastiani L., Straface S., Tampucci M., Tarabella L., Tonazzini A., Moroni D.
The Signal & Images Laboratory (SI-Lab) is an interdisciplinary research group in computer vision, signal analysis, intelligent vision systems and multimedia data understanding. It is part of the Institute of Information Science and Technologies (ISTI) of the National Research Council of Italy (CNR). This report accounts for the research activities of the Signal and Images Laboratory of the Institute of Information Science and Technologies during the year 2024.DOI: 10.32079/isti-ar-2025/002
Metrics:


See at: CNR IRIS Open Access | CNR IRIS Restricted


2025 Journal article Restricted
NAVIGATOR: a regional multimodal imaging biobank initiative powered by AI tools for precision medicine in oncology
Aghakhanyan G., Barucci A., Pascali M. A., Assante M., Bagnacci G., Bertelli E., Caputo F. P., Cuibari M. E., Carlini E., Carpi R., Caudai C., Cioni D., Colantonio S., Colcelli V., Dell'Amico A., Vecchio V. D., Gangi D. D., Faggioni L., Formica V., Francischello R., Frosini L., Kotsa C., Lipari G., Manghi P., Martino V. D., Marzi C., Mazzei M. A., Mangiacrapa F., Meglio N. D., Miele V., Molinaro E., Paiar F., Pagano P., Panichi G., Pasquinelli F., Peccerillo B., Perrella A., Piccioli T., Oliviero A., Olivoni M., Rucci D., Tampucci M., Tumminello L., Volpini F., Zanuzzi A., Fanni S. C., Neri E.
The NAVIGATOR project established an Italian regional imaging biobank and interactive research platform designed to support precision oncology through the integration of multimodal imaging, clinical, and omics data. The platform goes beyond a static repository, offering a secure Virtual Research Environment (VRE) where users can upload data, test AI algorithms, and execute complete analytical pipelines. The platform incorporates artificial intelligence (AI)-driven radiomics and deep learning methodologies to enable biomarker extraction, disease stratification, and predictive modeling. This manuscript presents the development and implementation of the NAVIGATOR infrastructure, including its data governance framework, ethical and legal considerations, and application to three oncological use cases: prostate, rectal, and gastric cancers. To date, the biobank has collected imaging and clinical data from over 700 patients across these cohorts. AI models were deployed within a dedicated VRE to facilitate image analysis, feature extraction, and classification tasks. The project addresses critical challenges related to data harmonization, regulatory compliance, privacy safeguards and fairness in AI systems. NAVIGATOR demonstrates the feasibility of integrating AI methodologies within imaging biobanks and provides a scalable framework to advance oncological research and support clinical decision-making.Source: EUROPEAN JOURNAL OF RADIOLOGY, vol. 191 (issue 112327)
DOI: 10.1016/j.ejrad.2025.112327
Project(s): An Imaging Biobank to Precisely Prevent and Predict cancer, and facilitate the Participation of oncologic patients to Diagnosis and Treatment
Metrics:


See at: European Journal of Radiology Restricted | Archivio della Ricerca - Università di Pisa Restricted | CNR IRIS Restricted | CNR IRIS Restricted | Archivio della Ricerca - Università di Pisa Restricted


2025 Contribution to book Open Access OPEN
AI models in cancer diagnosis and prognosis
Filos D., Chouvarda I., Sykiotis S., Tzortzis I., Rallis I., Doulamis A., Doulamis N., De Almeida J. G., Rodrigues N., Rodrigues A. C., Papanikolaou N., Loncar-Turukalo T., Jakovljevic N., Lazic I., Rapaic M., Hautaniemi S., Caudai C., Del Corso G., Germanese D., Pachetti E., Pascali M. A., Colantonio S.
The increasing volume of collected cancer imaging data, together with the development of technological tools based on Artificial Intelligence (AI), offers unprecedented opportunities for enhancing cancer management and improving clinical workflows. This chapter explores the approaches adopted by two projects within the AI for Health Imaging (AI4HI) cluster, INCISIVE and ProCancer-I, targeting various cancer types. In total, sixteen models were implemented across two projects, focusing on prostate, breast, lung, and ovarian cancers. These models were designed for lesion segmentation, patient stratification, and predicting metastasis risk or radiotherapy side effects, utilizing various DL and ML architectures such as YOLO, ResUnet++, and U-Net. Diverse imaging modalities were used, including Magnetic Resonance Imaging, Computed Tomography, and Mammography, while whole-slide images were used for the detection and classification of cell types in histopathological images. Radiomics was employed for classification and prediction by extracting features from imaging data, with harmonization techniques applied to improve model generalizability. Although some models incorporated clinical data, most relied on imaging features, highlighting the potential for improved performance by integrating multimodal data. To further enhance model performance and generalizability, comprehensive repositories with detailed clinical and follow-up data are needed. Additionally, addressing model fairness, explainability, and biological validation is essential for gaining acceptance within the clinical community.DOI: 10.1007/978-3-031-89963-8_7
Project(s): An AI Platform integrating imaging data and models, supporting precision care through prostate cancer’s continuum
Metrics:


See at: CNR IRIS Open Access | link.springer.com Open Access | doi.org Restricted | CNR IRIS Restricted | CNR IRIS Restricted


2025 Journal article Open Access OPEN
Effective reduction of unnecessary biopsies through a deep-learning-assisted aggressive prostate cancer detector
Gaivão A. M., Bireiro C., Santiago I., Joana Ip, Belião S., Matos C., Vanneschi L., Tsiknakis M., Marias K., Regge D., Silva S., Sfakianakis S., Kalokyri V., Trivizakis E., Kalliatakis G., Dimitriadis A., Fotiadis D., Tachos N., Mylona E., Zaridis D., Kalantzopoulos C., Papanikolaou N., De Almeida J. G., Castro Verde A., Rodrigues A. C., Rodrigues N., Chambel M., Huisman H., De Rooij M., Saha A., Twilt J. J., Futterer J., Martí-Bonmatí L., Cerdá-Alberich L., Ribas G., Navarro S., Marfil M., Neri E., Aringhieri G., Tumminello L., Mendola M., Akata V., Özmen M., Karaosmanoglu A. D., Atak F., Karcaaltincaba M., Vilanova J. C., Usinskiene J., Briediene R., Untanas A., Slidevska K., Vasilis K., Georgios G., Koh D. -M., Emsley R., Vit S., Ribeiro A., Doran S., Jacobs T., García-Martí G., Giannini V., Mazzetti S., Cappello G., Maimone G., Napolitano V., Colantonio S., Pascali M. A., Pachetti E., Del Corso G., Germanese D., Berti A., Carloni G., Kalpathy-Cramer J., Bridge C., Correia J., Hernandez W., Giavri Z., Pollalis C., Agraniotis D., Jiménez Pastor A., Munuera Mora J., Saillant C., Henne T., Marquez R.
Despite being one of the most prevalent cancers, prostate cancer (PCa) shows a significantly high survival rate, provided there is timely detection and treatment. Currently, several screening and diagnostic tests are required to be carried out in order to detect PCa. These tests are often invasive, requiring either a biopsy (Gleason score and ISUP) or blood tests (PSA). Computational methods have been shown to help this process, using multiparametric MRI (mpMRI) data to detect PCa, effectively providing value during the diagnosis and monitoring stages. While delineating lesions requires a high degree of experience and expertise from the radiologists, being subject to a high degree of inter-observer variability, often leading to inconsistent readings, these computational models can leverage the information from mpMRI to locate the lesions with a high degree of certainty. By considering as positive samples only those that have an ISUP2 we can train aggressive index lesion detection models. The main advantage of this approach is that, by focusing only on aggressive disease, the output of such a model can also be seen as an indication for biopsy, effectively reducing unnecessary biopsy screenings. In this work, we utilize both the highly heterogeneous ProstateNet dataset, and the PI-CAI dataset, to develop accurate aggressive disease detection models.Source: SCIENTIFIC REPORTS, vol. 15 (issue 1)
DOI: 10.1038/s41598-025-99795-y
Project(s): ProCAncer-I via OpenAIRE
Metrics:


See at: doaj.org Open Access | doi.org Open Access | CNR IRIS Open Access | www.nature.com Open Access | Archivio Istituzionale della Ricerca (AperTO) - Università di Torino Restricted | Archivio Istituzionale della Ricerca (AperTO) - Università di Torino Restricted | CNR IRIS Restricted | pubmed.ncbi.nlm.nih.gov Restricted


2025 Other Open Access OPEN
ISTI-day 2025 Proceedings
Del Corso G., Pedrotti A., Federico G., Gennaro C., Carrara F., Amato G., Di Benedetto M., Gabrielli E., Belli D., Matrullo Zoe, Miori V., Tolomei Gabriele, Waheed T., Marchetti E., Calabrò Antonello., Rossetti G., Stella Massimo, Cazabet Rémy, Abramski K., Cau E., Citraro S., Failla A., Mesina V., Morini V., Pansanella V., Colantonio S., Germanese D., Pascali M. A., Bianchi L., Messina N., Falchi F., Barsellotti L., Pacini G., Cassese M., Puccetti G., Esuli A., Volpi L., Moreo Alejandro, Sebastiani F., Sperduti G., Nguyen Dong, Broccia G., Ter Beek M. H., Ferrari A., Massink M., Belmonte Gina, Ciancia V., Papini O., Canapa G., Catricalà B., Manca M., Paternò F., Santoro C., Zedda E., Gallo S., Maenza S., Mattioli A., Simeoli L., Rucci D., Carlini E., Dazzi P., Kavalionak H., Mordacchini M., Rulli C., Muntean Cristina Ioana, Nardini F. M., Perego R., Rocchietti G., Lettich F., Renso C., Pugliese C., Casini G., Haldimann Jonas, Meyer Thomas, Assante M., Candela L., Dell'Amico A., Frosini L., Mangiacrapa F., Oliviero A., Pagano P., Panichi G., Peccerillo B., Procaccini M., Mannocci A., Manghi P., Lonetti F., Kang Dongjae, Di Giandomenico F., Jee Eunkyoung, Lazzini G., Conti F., Scopigno R., D'Acunto M., Moroni D., Cafiso M., Paradisi P., Callieri M., Pavoni G., Corsini M., De Falco A., Sala F., Saraceni Q., Gattiglia Gabriele
ISTI-Day is an annual information and networking event organized by the Institute of Information Science and Technologies "A. Faedo" (ISTI) of the Italian National Research Council (CNR). This event features an opening talk of the Director of the Dept. DIITET (Emilio F. Campana) as well as an overview of the Institute's activities presented by the ISTI Director (Roberto Scopigno). Those institutional segments are complemented by dedicated presentations and round tables featuring former staff members, as well as internal and external collaborators. To foster a network of knowledge and collaboration among newcomers, the 2025 ISTI Day edition also includes a large poster session that provides a comprehensive overview of current research activities. Each of the 13 laboratories contributes 1–3 posters, highlighting the most innovative work and offering early-career researchers a platform for discussion. Thus these proceedings include the posters selected for ISTI-Day 2025, reflecting the diverse and innovative nature of the Institute's research.

See at: CNR IRIS Open Access | www.isti.cnr.it Open Access | CNR IRIS Restricted


2025 Conference article Open Access OPEN
Towards trustworthy AI in the public transport domain
Leone G. R., Carboni A., Del Corso G., Gravili S., Moroni D., Pascali M. A., Colantonio S.
In the context of rapidly evolving urban landscapes, the demand for enhanced mobility services has become increasingly critical. Traditional transportation systems struggle to keep pace with the growing complexity of commuting patterns and the diverse needs of urban residents. While AI can play a strong role in addressing these emerging demands, a parallel need for trustworthy services is also arising, which must be adequately met to ultimately provide equitable and ethical services to society. Based on these considerations, we explore the relevant dimensions of AI trustworthiness and propose how they can be transferred and demonstrated in a large-scale pilot focused on public transportation and exploiting advanced visual analytics paradigms based on pervasive computing. To this end, we present the FAITH risk management framework, ongoing activities, and preliminary results towards its implementation in the pilot project.Source: CEUR WORKSHOP PROCEEDINGS, vol. 4121. Trieste, Italy, 23-24/06/2025

See at: ceur-ws.org Open Access | CNR IRIS Open Access | CNR IRIS Restricted


2025 Journal article Open Access OPEN
Topological machine learning for discriminative spectral band identification in raman spectroscopy of pathological samples
Conti F., Moroni D., Pascali M. A.
In the field of Raman spectroscopy (RS), particularly when working with biological samples, identifying the chemical compounds most involved in specific pathologies is of critical importance for pathologists. The correlation between chemical substances present in biological tissue and pathology can contribute not only to a deeper understanding of the disease itself but also to the development of novel artificial intelligence-based diagnostic methodologies. Motivated by these clinical challenges, we propose a method to identify the most discriminative spectral bands by leveraging the synergy between Topological Machine Learning (TML) and Raman spectroscopy. The intrinsic explainability of part of the TML pipeline can indeed play a key role in the detection of such spectral bands, e.g., the proteins most associated with the disease. In order to evaluate the performance of our method, we apply it to three case studies: the RS of biological tissue related to the chondrogenic bone tumors, the RS of cerebrospinal fluid associated with Alzheimer’s disease and the RS of pancreatic tissue. The results obtained with our method are promising in pinpointing which spectral bands are most relevant for diagnosis, but they also highlight the need for further investigation.Source: PROCEEDINGS, vol. 129 (issue 1)
DOI: 10.3390/proceedings2025129053
Metrics:


See at: CNR IRIS Open Access | CNR IRIS Restricted


2025 Conference article Open Access OPEN
Leveraging AI for Signal and Image Analysis in Medicine and Health
Marco Cafiso, Andrea Carboni, Claudia Caudai, Sara Colantonio, Francesco Conti, Mario D’acunto, Said Daoudagh, Giulio Del Corso, Danila Germanese, Giacomo Ignesti, Gianmarco Lazzini, Giuseppe Riccardo Leone, Massimo Magrini, Davide Moroni, Francesca Pardini, Maria Antonietta Pascali, Paolo Paradisi, Federico Volpini
The integration of artificial intelligence (AI) into the medical domain is driving innovation and progress in healthcare. This paper summarizes the research activities that a multidisciplinary research group within the Signals and Images Lab of the Institute of Information Science and Technologies of the National Research Council of Italy is carrying out to explore the great potential of AI in several applications, e.g., in the analysis of biomedical data, and in the development of tools for enhancing trustworthiness and reliability of AI based systems. From cancer diagnosis and grading, to the analysis of body physiological signals to improve the understanding of dance movement therapy as an approach to healthy aging, this work highlights the paradigm shift that AI has brought into medicine and healthcare.Source: CEUR WORKSHOP PROCEEDINGS, vol. 4121. Trieste, June 23-24, 2025

See at: ceur-ws.org Open Access | CNR IRIS Open Access | CNR IRIS Restricted


2025 Conference article Restricted
Image mining: current problems in theory and applications
Gurevich I., Moroni D., Pascali M. A., Radig B., Yashina V.
Image mining is the most promising and complex scientific direction of image analysis, dedicated to extracting knowledge and information from images, necessary for interpreting and understanding images and making intelligent decisions regarding objects, processes, events and phenomena presented in the image. Image mining is based on the methods of the mathematical theory of image analysis, the mathematical theory of pattern recognition and mathematical linguistics. Automation of image mining is one of the most important strategic goals in image analysis, recognition and understanding both in scientific and technological aspects. The main subgoals are developing and applying of mathematical theory for constructing image models and representations allowable by efficient pattern recognition algorithms and for constructing standardized representations and selection of image analysis transforms. Our analysis showed that the main directions of current fundamental and applied research in the field of image mining are the following: research of the image formalization space;development, research and application of mathematical and heuristic methods for constructing formal models and representations of images;development, research and application of mathematical and heuristic methods for constructing transformations of formal models and representations of images;study of the information nature of the image;study of the image as a new class of mathematical objects. research of the image formalization space; development, research and application of mathematical and heuristic methods for constructing formal models and representations of images; development, research and application of mathematical and heuristic methods for constructing transformations of formal models and representations of images; study of the information nature of the image; study of the image as a new class of mathematical objects. The publication presents an introductory paper to the IMTA Proceedings. The main scientific results of the 9th International Workshop “Image Mining: Theory and Applications,” held on December 1, 2024, Kolkata, India, are presented.Source: LECTURE NOTES IN COMPUTER SCIENCE, vol. 15616, pp. 49-62. Kolkata, India, 01/12/2024
DOI: 10.1007/978-3-031-87663-9_4
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See at: doi.org Restricted | CNR IRIS Restricted | CNR IRIS Restricted


2025 Conference article Open Access OPEN
Topological machine learning for Raman spectroscopy: perspectives for pancreatic diseases
Conti F., Lazzini G., Gaeta R., Pollina L. E., Comandatore A., Furbetta N., Morelli L., D'Acunto M., Moroni D., Pascali M. A.
The analysis of tissue samples from 17 subjects clinically diagnosed with chronic pancreatitis, ductal adenocarcinoma, or classified as controls has been collected and analyzed by Raman spectroscopy (RS). Such data are classified using a recent methodology which combines machine learning with advanced topological data analysis (TDA) techniques, known as topological machine learning (TML). A classification accuracy of 82% was achieved following a cross-validation scheme with patient stratification, suggesting that the combination of RS and topological data analysis holds significant potential for distinguishing between the three diagnostic categories. When restricted to binary classification (cancer vs. no cancer), performance increases to 88%. This approach offers a promising and fast method to support clinical diagnoses, potentially improving diagnostic accuracy and patient outcomes.Source: PROCEEDINGS, vol. 129 (issue 1)
DOI: 10.3390/proceedings2025129061
Metrics:


See at: CNR IRIS Open Access | www.mdpi.com Open Access | CNR IRIS Restricted


2024 Conference article Open Access OPEN
Advancing sustainability: research initiatives at the Signals and Images Lab
Bruno A., Caudai C., Conti F., Leone G. R., Magrini M., Martinelli M., Moroni D., Muhammad A. Ch, Papini O., Pascali M. A., Pieri G., Reggiannini M., Righi M., Salerno E., Scozzari A., Tampucci M.
In this paper, we aim to briefly survey the relations of the work conducted at the Signals and Images Lab of CNR-ISTI, Pisa, with the themes of sustainability. We explore both the broader implications and the application-specific aspects of our work, highlighting references to published research and collaborative projects undertaken with key stakeholders and industrial partners.Source: CEUR WORKSHOP PROCEEDINGS, vol. 3762, pp. 499-504. Napoli, Italy, 29-30/05/2024

See at: ceur-ws.org Open Access | CNR IRIS Open Access | CNR IRIS Restricted


2024 Journal article Open Access OPEN
Harnessing topological machine learning in Raman spectroscopy: perspectives for Alzheimer’s disease detection via cerebrospinal fluid analysis
Conti F., Banchelli M., Bessi V., Cecchi C., Chiti F., Colantonio S., D'Andrea C., De Angelis M., Moroni D., Nacmias B., Pascali M. A., Sorbi S., Matteini P.
The cerebrospinal fluid of 21 subjects who received a clinical diagnosis of Alzheimer’s disease (AD) as well as of 22 pathological controls has been collected and analysed by Raman spectroscopy (RS). We investigated whether the Raman spectra could be used to distinguish AD from controls, after a preprocessing procedure. We applied machine learning to a set of topological descriptors extracted from the spectra, achieving a high classification accuracy of 86%. Our experimentation indicates that RS and topological analysis may be a reliable and effective combination to confirm or disprove a clinical diagnosis of Alzheimer’s disease. The following steps will aim at leveraging the intrinsic interpretability of the topological data analysis to characterize the AD subtypes, e.g. by identifying the bands of the Raman spectrum relevant for AD detection, possibly increasing and/or confirming the knowledge about the precise molecular events and biological pathways behind the Alzheimer’s disease.Source: JOURNAL OF THE FRANKLIN INSTITUTE, vol. 361 (issue 18)
DOI: 10.1016/j.jfranklin.2024.107249
Project(s): Proteomics, RAdiomics & Machine learning-integrated strategy for precision medicine for Alzheimer’s
Metrics:


See at: IRIS Cnr Open Access | IRIS Cnr Open Access | IRIS Cnr Open Access | CNR IRIS Restricted | CNR IRIS Restricted


2024 Journal article Open Access OPEN
Optimizing radiomics for prostate cancer diagnosis: feature selection strategies, machine learning classifiers, and MRI sequences
Mylona E., Zaridis D. I., Kalantzopoulos C., Tachos N. S., Regge D., Papanikolaou N., Tsiknakis M., Marias K., Marquez R., Henne T., Saillant C., Mora J. M., Pastor A. J., Agraniotis D., Pollalis C., Giavri Z., Hernandez W., Correia J., Bridge C., Kalpathy-Cramer J., Carloni G., Berti A., Germanese D., Del Corso G., Pachetti E., Pascali M. A., Colantonio S., Napolitano V., Maimone G., Cappello G., Mazzetti S., Giannini V., García-Martí G., Jacobs T., Doran S., Ribeiro A., Vit S., Emsley R., Koh D. M., Georgios G., Vasilis K., Slidevska K., Untanas A., Briediene R., Usinskiene J., Vilanova J. C., Karcaaltincaba M., Atak F., Karaosmanoglu A. D., Özmen M., Akata D., Nan, Mendola V., Tumminello L., Aringhieri G., Neri E., Marfil M., Navarro S., Ribas G., Cerdá-Alberich L., Martí-Bonmatí L., Futterer J., Twilt J. J., Saha A., De Rooij M., Huisman H., Chambel M., Rodrigues N., Rodrigues A. C., Verde A. C., De Almeida J. G., Dimitriadis A., Kalliatakis G., Trivizakis E., Kalokyri V., Sfakianakis S., Fotiadis D. I.
Objectives: Radiomics-based analyses encompass multiple steps, leading to ambiguity regarding the optimal approaches for enhancing model performance. This study compares the effect of several feature selection methods, machine learning (ML) classifiers, and sources of radiomic features, on models' performance for the diagnosis of clinically significant prostate cancer (csPCa) from bi-parametric MRI. Methods: Two multi-centric datasets, with 465 and 204 patients each, were used to extract 1246 radiomic features per patient and MRI sequence. Ten feature selection methods, such as Boruta, mRMRe, ReliefF, recursive feature elimination (RFE), random forest (RF) variable importance, L1-lasso, etc., four ML classifiers, namely SVM, RF, LASSO, and boosted generalized linear model (GLM), and three sets of radiomics features, derived from T2w images, ADC maps, and their combination, were used to develop predictive models of csPCa. Their performance was evaluated in a nested cross-validation and externally, using seven performance metrics. Results: In total, 480 models were developed. In nested cross-validation, the best model combined Boruta with Boosted GLM (AUC = 0.71, F1 = 0.76). In external validation, the best model combined L1-lasso with boosted GLM (AUC = 0.71, F1 = 0.47). Overall, Boruta, RFE, L1-lasso, and RF variable importance were the top-performing feature selection methods, while the choice of ML classifier didn't significantly affect the results. The ADC-derived features showed the highest discriminatory power with T2w-derived features being less informative, while their combination did not lead to improved performance. Conclusion: The choice of feature selection method and the source of radiomic features have a profound effect on the models' performance for csPCa diagnosis. Critical relevance statement: This work may guide future radiomic research, paving the way for the development of more effective and reliable radiomic models; not only for advancing prostate cancer diagnostic strategies, but also for informing broader applications of radiomics in different medical contexts. Key points: Radiomics is a growing field that can still be optimized. Feature selection method impacts radiomics models' performance more than ML algorithms. Best feature selection methods: RFE, LASSO, RF, and Boruta. ADC-derived radiomic features yield more robust models compared to T2w-derived radiomic features.Source: INSIGHTS INTO IMAGING, vol. 15 (issue 1)
DOI: 10.1186/s13244-024-01783-9
Project(s): ProCAncer-I via OpenAIRE
Metrics:


See at: Insights into Imaging Open Access | IRIS Cnr Open Access | CNR IRIS Open Access | insightsimaging.springeropen.com Open Access | IRIS Cnr Restricted | IRIS Cnr Restricted | IRIS Cnr Restricted | CNR IRIS Restricted


2024 Conference article Restricted
Radiomics-based reliable predictions of side effects after radiotherapy for prostate cancer
Del Corso G., Pachetti E., Buongiorno R., Rodrigues A. C., Germanese D., Pascali M. A., Almeida J., Rodrigues N., Tsiknakis M., Papanikolaou N., Regge D., Marias K., Consortium Procancer-I, Colantonio S.
This work offers insight into the effectiveness of probabilistic models, specifically those based on ensemble approximations, in predicting adverse side effects following radiotherapy for prostate cancer. We trained a random forest model on radiomic features from 134 T2-weighted Magnetic Resonance (MRI) images of the prostate gland to identify patients experiencing acute or chronic rectal and urinary toxicity (AU-ROC ranging from 61.4% for endorectal coil acquisitions to 70.8% for the full dataset). We evaluated the reliability of the predictions using an ensemble approximation of simplified random forests obtained by an adaptive procedure of random subsampling of the training data. We used this reliability score to define a not-confident class and then recompute performance metrics more in accordance with a probabilistic approach. The outcomes we obtained (up to 7.9% increase in accuracy) indicate the approximated probabilistic models pledge more reliable predictions, thus being suitable for further investigation.DOI: 10.1109/isbi56570.2024.10635233
Project(s): ProCAncer-I via OpenAIRE
Metrics:


See at: doi.org Restricted | IRIS Cnr Restricted | IRIS Cnr Restricted | CNR IRIS Restricted


2024 Conference article Open Access OPEN
Facial landmark identification and data preparation can significantly improve the extraction of newborns' facial features
Del Corso G., Germanese D., Pascali M. A., Bardelli S., Cuttano A., Festante F., Guzzetta A., Rocchitelli L., Colantonio S.
Automatic extraction of facial feature can provide valuable information on the health of newborns. However, determining an optimal facial features extraction strategy, especially for preterm infants, is a challenging task due to significant differences in facial morphology and frequent pose changes. In this work, we collected video data from 10 newborns (8 preterm, 2 at term, ≤ 4 weeks post term equivalent age), obtaining a novel dataset of over 41, 000 labeled frames (Open Mouth, Closed Mouth, Tongue Protrusion). On the collected images, we applied a strong data preparation procedure (including mouth localization, cropping, and reorientation with models trained on adults), an adaptive image normalization strategy, and a proper data augmentation scheme. Thus, we trained a convolutional classifier with a large number of trainable parameters (i.e., ~1.2 million), coupled with multiple criteria to avoid overspecialization and consequent loss of generalization capability. This approach allows for highly reliable results (accuracy, precision, and recall over 92% on unseen data) and generalizes well to newborns with significantly different characteristics, even without including time-dependent information in the analysis. Therefore, these results prove that proper data preparation can narrow the gap between the classification of neonatal and adult facial features, allowing the integration of methods originally developed for adults into the complex setting of preterm infant analysis.DOI: 10.1109/fg59268.2024.10581971
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2024 Conference article Open Access OPEN
From Covid-19 detection to cancer grading: how medical-AI is boosting clinical diagnostics and may improve treatment
Berti A., Buongiorno R., Carloni G., Caudai C., Conti F., Del Corso G., Germanese D., Moroni D., Pachetti E., Pascali M. A., Colantonio S.
The integration of artificial intelligence (AI) into medical imaging has guided an era of transformation in healthcare. This paper presents the research activities that a multidisciplinary research group within the Signals and Images Lab of the Institute of Information Science and Technologies of the National Research Council of Italy is carrying out to explore the great potential of AI in medical imaging. From the convolutional neural network-based segmentation of Covid-19 lung patterns to the radiomic signature for benign/malignant breast nodule discrimination, to the automatic grading of prostate cancer, this work highlights the paradigm shift that AI has brought to medical imaging, revolutionizing diagnosis and patient care.Source: CEUR WORKSHOP PROCEEDINGS, vol. 3762, pp. 336-341. Naples, Italy, 29-30/05/2024

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2024 Other Open Access OPEN
EchoLocator: an open source Python package for the standardisation of echographic images in multicentre analysis
Del Corso G., De Rosa L., Pascali M. A., Faita F., Colantonio S.
In this technical report, we provide a fully automated preprocessing package, developed entirely in Python 3.6, to reduce such heterogeneity in US images. This package allows the automatic removal of echographic watermarks, cropping and centering the echographic cone. Moreover, the echographic cone is converted in a rectangular region. The EchoLocator package is freely available on GitHub.DOI: 10.32079/isti-tr-2024/003
DOI: https://doi.org/10.32079/isti-tr-2024/003
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