Medical Computer Vision: Innovations and Clinical Impact

A Special Issue of Journal of Imaging (ISSN 2313-433X) belonging to the section "Medical Imaging".

Deadline for manuscript submissions: 31 March 2027 | Viewed by 1584

Editor


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Guest Editor
Department of Computer Science and the Environment, Liverpool Hope University, Liverpool L16 9JD, UK
Interests: medical image analysis; Alzheimer disease; brain tumor classification; computer vision; LLM

Special Issue Information

Dear Colleagues,

Medical computer vision has emerged as a transformative force in modern healthcare, enabling automated analysis of complex clinical imaging data across modalities, including radiology, pathology, dermatology, and ophthalmology. This Special Issue, titled "Medical Computer Vision: Innovations and Clinical Impact," invites contributions that advance the state of the art in intelligent image interpretation for clinical and biomedical applications.

We welcome original research and review articles addressing topics such as disease detection and classification, segmentation of anatomical structures and lesions, multi-modal image fusion, explainable AI in diagnostic imaging, and the deployment of vision models in real-world clinical workflows. Of particular interest are works that bridge the gap between algorithmic innovation and clinical utility, including studies addressing data scarcity, model generalization across patient populations, and regulatory or ethical considerations.

By bringing together researchers from computer science, engineering, and medicine, this Special Issue aims to consolidate recent advances and chart future directions in medical computer vision—ultimately contributing to more accurate, efficient, and equitable patient care.

Dr. Atif Mehmood
Guest Editor

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Keywords

  • medical computer vision
  • deep learning for medical imaging
  • convolutional neural networks (cnns)
  • medical image segmentation
  • alzheimer's disease detection
  • ai-assisted diagnostics
  • biomedical image analysis
  • transfer learning in medical imaging
  • disease detection and classification
  • clinical decision support systems

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Published Papers (2 papers)

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Research

11 pages, 2088 KB  
Article
Ordinal Deep Learning for Lumbar Foraminal Stenosis Grading on Sagittal MRI
by Rohan A. Phadke, Samer G. Salman, Zane G. Salman, Akhil Marupudi, Kirtan Patel, Joshua Ong, Alireza Tavakkoli, Sainyam Galhotra, Ajay Tripuraneni, James Rizkalla and Nathan J. Lee
J. Imaging 2026, 12(8), 388; https://doi.org/10.3390/jimaging12080388 - 19 Aug 2026
Cited by 1 | Viewed by 374
Abstract
Lumbar foraminal stenosis grading contributes to surgical-level selection, but automated four-grade classification remains challenging. Published pipelines for this dataset reach approximately 65% four-class accuracy, and deep classifiers offer no anatomical rationale. We investigated whether interpretable, millimeter-scale morphometry from segmentation masks improves grading beyond [...] Read more.
Lumbar foraminal stenosis grading contributes to surgical-level selection, but automated four-grade classification remains challenging. Published pipelines for this dataset reach approximately 65% four-class accuracy, and deep classifiers offer no anatomical rationale. We investigated whether interpretable, millimeter-scale morphometry from segmentation masks improves grading beyond a deep image model. We analyzed the LSS-MRI-AISSLab sagittal T2-weighted dataset (469 patients, 2979 expert-graded foramina spanning L1-L2 through L5-S1 bilaterally on a four-grade scale). Ten morphometric descriptors were computed from mid-sagittal polygon segmentations and scaled to millimeters using each patient’s recorded pixel spacing. A dual-branch network combined a fine-tuned ResNet-18 embedding of each foraminal region of interest with the morphometric vector through an ordinal regression head. Foraminal regions were supplied from expert bounding-box annotations; automated localization within the full sagittal examination was not evaluated. Four configurations (nominal softmax, appearance-only, anatomy-only, and fusion) were compared on a locked patient-level test set of 94 patients after five-fold cross-validation, with quadratic weighted kappa (QWK) as the primary endpoint and patient-clustered bootstrap inference. Feature-grade correlations were reported pooled and adjusted for lumbar level. Fusion achieved QWK 0.813 (95% confidence interval [CI] 0.769–0.847) and 75.3% four-class accuracy. Appearance-only was statistically indistinguishable (QWK 0.806; delta QWK +0.006, 95% CI −0.023 to 0.036, p = 0.68), whereas anatomy-only reached 0.444, and a level-and-side-only reference reached 0.314. Boundary discrimination was strong (area under the curve 0.92–0.99), 98.3% of predictions fell within one grade, and performance was consistent across scanner vendors. Morphometric associations were confounded by level: the apparent spondylolisthesis effect (rho −0.349) disappeared after adjustment (rho −0.000), while disc height, null when pooled (rho +0.021), emerged as a genuine within-level effect (rho −0.108). A fine-tuned ordinal image classifier achieved strong agreement for four-grade lumbar foraminal stenosis classification. The evaluated segmentation-derived morphometric features did not improve performance beyond imaging alone, and several apparent anatomic associations reflected confounding by lumbar level. External and prospective validation in complete clinical MRI workflows are needed before implementation. Full article
(This article belongs to the Special Issue Medical Computer Vision: Innovations and Clinical Impact)
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16 pages, 5773 KB  
Article
Deep Learning-Based Multi-Class Pediatric Wrist Fracture Subtype Classification: A Pilot Study Comparing Convolutional Neural Network Architectures
by Rohan A. Phadke, Samer G. Salman, Zane G. Salman, Sai M. Yedupati, Joshua Ong, Alireza Tavakkoli, Sainyam Galhotra, Ajay Tripuraneni and James Rizkalla
J. Imaging 2026, 12(7), 307; https://doi.org/10.3390/jimaging12070307 - 8 Jul 2026
Cited by 3 | Viewed by 905
Abstract
Pediatric wrist fractures are among the most prevalent musculoskeletal injuries in children. Fracture subtype, including buckle/torus, greenstick, and Salter–Harris physeal injuries, directly influences management and prognosis. Subspecialty radiographic expertise required for subtype classification is not universally available in emergency or resource-limited settings. Deep [...] Read more.
Pediatric wrist fractures are among the most prevalent musculoskeletal injuries in children. Fracture subtype, including buckle/torus, greenstick, and Salter–Harris physeal injuries, directly influences management and prognosis. Subspecialty radiographic expertise required for subtype classification is not universally available in emergency or resource-limited settings. Deep learning (DL) offers an automated approach to fracture subtype recognition from plain radiographs. This pilot study evaluated convolutional neural network (CNN)-based five-class pediatric wrist fracture classification using the GRAZPEDWRI-DX dataset.A total of 940 pediatric wrist radiographs from GRAZPEDWRI-DX (figshare ID 14825193) were labeled using Arbeitsgemeinschaft fur Osteosynthesefragen (AO) pediatric codes into five classes: no fracture, buckle/torus, greenstick, Salter–Harris physeal fracture, and other fracture. Contrast-limited adaptive histogram equalization (CLAHE) and letterbox resizing to 224 × 224 pixels were applied. Patient-level stratified splits (70/15/15%) prevented data leakage. Three ImageNet-pretrained architectures (DenseNet-169, ResNet-50, and EfficientNet-B4) underwent two-phase transfer learning. Performance was assessed by balanced accuracy, macro F1, macro area under the receiver operating characteristic curve (AUROC), and Cohen’s kappa.DenseNet-169 achieved the highest balanced accuracy (0.371; 95% confidence interval [CI]: 0.289–0.448), macro F1 (0.334; 95% CI: 0.251–0.416), and macro AUROC (0.669), with Cohen’s kappa of 0.269 on the held-out test set (n = 139) under initial five-epoch pilot training conditions. All three networks exceeded a majority-class (no-information) baseline (balanced accuracy 0.20). Extending training to 50 epochs (approximately 2100 mini-batch iterations) with GPU acceleration substantially improved DenseNet-169 to a balanced accuracy of 0.532 (95% CI: 0.451–0.614), macro F1 of 0.516, and macro AUROC of 0.815, with statistically significant pairwise architecture differences (McNemar p < 0.01); per-class sensitivity was highest for no-fracture detection (0.969) and lowest for buckle/torus fractures (0.393). Gradient-weighted class activation mapping (Grad-CAM) confirmed anatomically coherent model saliency at the distal radial metaphysis and physeal plate.DenseNet-169 achieved the best five-class classification performance among evaluated architectures under pilot training conditions, and extended training substantially improved accuracy, although classification accuracy remained below clinically usable thresholds. These results establish a reproducible, patient-stratified DL pipeline and a benchmark for full-dataset training and future methodological development, rather than a clinically deployable tool. Full article
(This article belongs to the Special Issue Medical Computer Vision: Innovations and Clinical Impact)
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