Search Results (986)

Neuromuscular diseases are biologically diverse, clinically heterogeneous, and often difficult to diagnose and treat, highlighting the need for computational tools that can help resolve overlapping phenotypes and support timely, mechanism-informed interventions. This narrative review synthesizes recent advances in artificial intelligence (AI) and machine learning applied to neuromuscular diseases across diagnosis, outcome modeling, biomarker development, and therapeutics. AI-based approaches may assist clinical and genetic diagnosis from phenotypic data; however, early phenotype-driven tools have seen limited clinician adoption due to modest accuracy, usability challenges, and poor workflow integration. Electrophysiological studies remain central to diagnosing neuromuscular diseases, and AI shows promise for accurate classification of electrophysiological signals. Predictive models for disease outcome and progression—particularly in amyotrophic lateral sclerosis—are under active investigation, but most remain at an early stage of development and are not yet ready for routine clinical use. Digital biomarkers derived from imaging, gait, voice, and wearable sensors are emerging, with MRI-based quantification of muscle fat replacement representing the most mature and widely accepted application to date. Efforts to apply AI to therapeutic discovery, including drug repurposing and optimization of gene-based therapies, are ongoing but have thus far yielded limited clinical translation. Persistent barriers to broader adoption include disease rarity, data scarcity, heterogeneous acquisition protocols, inconsistent terminology, limited external validation, insufficient model explainability, and lack of seamless integration into clinical workflows. Addressing these challenges is essential to moving AI tools from the laboratory into clinical practice. We conclude with a practical checklist of considerations intended to guide the development and adoption of AI tools in neuromuscular disease care. Full article

This study investigates the vegetation dynamics and phenotypic differentiation of five triticale (×Triticosecale Wittm.) varieties under the region-specific agroecological conditions of Southern Dobruja, Bulgaria, across two growing seasons (2024–2025), with the aim of evaluating how local climatic variability shapes vegetation index patterns. UAV-based multispectral imaging was employed throughout key phenological stages to obtain reflectance indices, including NDVI, SAVI, EVI2, and NIRI, which served as indicators of canopy development and physiological status. NDVI was used as the primary reference index, and a baseline value (NDVIbase), defined as the mean NDVI across all varieties on a given date, was applied to evaluate relative varietal deviations over time. Multiple linear regression analyses were performed to assess the relationship between NDVI and baseline biometric parameters for each variety, revealing that varieties 22/78 and 20/52 exhibited reflectance dynamics most closely aligned with expected developmental trends in 2025. In addition, the relationship between NDVI and meteorological variables was examined for the variety Kolorit, demonstrating that relative humidity exerted a pronounced influence on index variability. The findings highlight the sensitivity of triticale vegetation indices to both varietal characteristics and short-term climatic fluctuations. Overall, the study provides a methodological framework for integrating UAV-based multispectral data with meteorological information, emphasizing the importance of region-specific, time-resolved monitoring for improving precision agriculture practices, optimizing crop management, and supporting informed variety selection. Full article

This study aimed to evaluate the prediction potential of phenology metrics from two vegetation indices using Sentinel-2 images, the Normalized Difference Vegetation Index (NDVI) and Three Red-Edge Vegetation Index (NDVI3RE), for maize yield prediction. Ground truth maize yield samples were collected near Koška, Croatia, on 13 October 2023, using a Quantimeter yield mapping sensor on Claas Lexion 6900 combine harvester. The phenology analysis was performed based on a time-series of all available Sentinel-2 images during 2023, using the Beck logistic model for determining the start of season (SOS), peak of season (POS), end of season (EOS), greenup, maturity, senescence, and dormancy. A total of fourteen covariates, including vegetation indices at phenology metrics and their occurrence dates, were used for machine learning prediction of maize yield using Random Forest (RF) and Support Vector Machine (SVM) regression. The results suggested that the SVM method based on NDVI phenology metrics produced the highest accuracy for maize yield prediction (R² = 0.935, RMSE = 0.558 t ha⁻¹, MAE = 0.399 t ha⁻¹). Vegetation index values at greenup, dormancy and POS were the most important covariates for the prediction, while day of year (DOY) in which they occurred had only a minor effect on the prediction accuracy. This suggests that, despite its limitations regarding the saturation effect, NDVI outperformed NDVI3RE for maize yield prediction when combined with phenology metrics. Full article

Background: Large language models (LLMs) are increasingly used in clinical medicine, yet their ability to interpret advanced intraoperative hemodynamic monitoring—particularly in the context of liver transplantation—remains largely unexplored. In this proof-of-concept study, we evaluated ChatGPT’s capacity to interpret multimodal hemodynamic data derived from both standard anesthesia monitoring and the PiCCO system. The study also employed a structured assessment instrument (ARQuAT), adapted through a Delphi-based process to evaluate LLM-generated clinical interpretations. Methods: Ten key surgical–hemodynamic phases of liver transplantation were identified using a modified Delphi approach to capture the major physiological transitions of the procedure. Sequential screenshots representing these phases were obtained from five liver transplant recipients, yielding a total of 50 images. Each screenshot, along with standardized clinical background information, was submitted to ChatGPT. Five expert anesthesiologists independently assessed the model’s responses using the modified ARQuAT tool, which includes six content-quality domains (Accuracy, Up-to-dateness, Contextual Consistency, Clinical Usability, Trustworthiness, Clarity) and a separate catastrophic Risk item. Descriptive statistics were calculated for domain-level performance. Inter-rater reliability (Kendall’s W) and internal consistency (Cronbach’s alpha, McDonald’s omega) were also analyzed. All statistical analyses and visualizations were performed using NumIQO. Results: ChatGPT demonstrated consistently high performance across all content-quality domains, with median scores ranging from 4.6 to 4.8 and more than 90% of all ratings classified as satisfactory. Lower scores appeared only in a small subset of frames associated with abrupt hemodynamic changes and did not indicate a recurring weakness in any specific domain. Catastrophic Risk exhibited a pronounced floor effect, with 86% of ratings scored as 0 and only three isolated high-risk assessments across the dataset. Internal consistency of the six ARQuAT content domains was excellent, while inter-rater agreement was modest, reflecting ceiling effects and tied ratings among evaluators. Conclusions: ChatGPT generated clinically acceptable, contextually aligned interpretations of complex intraoperative hemodynamic data in liver transplant recipients, with minimal evidence of unsafe recommendations. These findings suggest preliminary promise for LLM-assisted interpretation of advanced monitoring, while underscoring the need for future studies involving larger datasets, dynamic physiological inputs, and expanded evaluator groups. The reliability characteristics observed also provide initial support for further refinement and broader validation of the Delphi-derived ARQuAT framework. Full article

Fruit growing is a traditional component of Bulgarian agricultural production. According to the latest statistical data, the share of areas planted with cherries is 10.5% of the total orchard area, and with apples, 7.2%, totaling 67,800 ha. This article presents the results of ground and remote (satellite) measurements and observations of cherry and apple orchards, along with the methods for their processing and interpretation, to define the current state and forecast their expected development. This research aims to combine the capabilities of the two approaches by improving and expanding observation and forecasting activities. Ground-based measurements and observations consider the dates of a permanent transition in air temperature above 5 °C and several cardinal phenological stages, based on the idea that a certain temperature sum (CU, GDH, GDD) must accumulate to move from one phenological stage to another. The obtained data were statistically analyzed, and by means of classification with the Random Forest algorithm, the dates for the occurrence of the stages of bud break, flowering, and fruit ripening in the development of cherry and apple orchards were predicted with an accuracy of −6 to +2 days. Satellite studies include creating a database of Sentinel-2 digital images across different spectral bands for the studied orchards, investigating various post-processing approaches, and deriving indicators of developmental phenostages. Ground data from the 2021–2023 experiment in Kyustendil and Plovdiv were used to determine the phases of fruit bursting, flowering, and ripening through satellite images. An assessment of the two approaches to predicting the development of the accuracy of the models was carried out by comparing their predictions for bud swelling and bursting (BBCH 57), flowering (BBCH 65), and fruit ripening (BBCH 87/89) of the observed phenological events in the two selected orchard types, representatives of stone and pome fruit species. Full article

Early and accurate date palm disease detection is the key to successful smart farming ecosystem sustainability. In this paper, we introduce DoST-DPD, a new Dual-Stream Transformer architecture for multimodal disease diagnosis utilizing RGB, thermal and NIR imaging. In contrast with standard deep learning approaches, our model receives ontology-based semantic supervision (via per-dataset OWL ontologies), enabling knowledge injection via SPARQL-driven reasoning during training. This structured knowledge layer not only improves multimodal feature correspondence but also restricts label consistency for improving generalization performance, particularly in early disease diagnosis. We tested our proposed method on a comprehensive set of five benchmarks (PlantVillage, PlantDoc, Figshare, Mendeley, and Kaggle Date Palm) together with domain-specific ontologies. An ablation study validates the effectiveness of incorporating ontology supervision, consistently improving the performance across Accuracy, Precision, Recall, F1-Score and AUC. We achieve state-of-the-art performance over five widely recognized baselines (PlantXViT, Multi-ViT, ERCP-Net, andResNet), with our model DoST-DPD achieving the highest Accuracy of 99.3% and AUC of 98.2% on the PlantVillage dataset. In addition, ontology-driven attention maps and semantic consistency contributed to high interpretability and robustness in multiple crop and imaging modalities. Results: This work presents a scalable roadmap for ontology-integrated AI systems in agriculture and illustrates how structured semantic reasoning can directly benefit multimodal plant disease detection systems. The proposed model demonstrates competitive performance across multiple datasets and highlights the unique advantage of integrating ontology-guided supervision in multimodal crop disease detection. Full article

Background/Objectives: Magnetic resonance imaging (MRI) can be used to assess muscle function while performing a motion task within the scanner. Quantitative measures such as contraction velocity and strain can be derived from the images. Cine phase contrast (PC) MRI for time-resolved imaging of muscle function relies on the consistently repeated execution of the motion task for several minutes until data acquisition is complete. This may be difficult for patients with neuromuscular dysfunctions. To date, this approach has been applied only in adults, but not pediatric populations. The aim of this pilot study was to investigate the feasibility of PC MRI for assessing calf muscle function during electrically evoked and voluntary motion in children with cerebral palsy (CP) using open-source hardware and software. Methods: Cine PC MRI was performed at 3T in ambulatory pediatric patients with CP and typically developing children under electrical muscle stimulation (EMS) (n = 14/13) and during voluntary plantarflexion (n = 4/4) using a home-built pedal with a force sensor. A visual feedback software was developed to enable synchronized imaging of voluntary muscle contractions. Muscle contraction velocity and strain were calculated from the MRI data. Data quality was rated by two readers. Results: During EMS, the velocity data quality was rated as sufficient in 21% of scans in patients compared with 82% of scans in controls. During the voluntary task, all patients demonstrated increased compliance and greater generated force output than during EMS. Voluntary motion imaging was successful in all controls but none of the patients, as motion periodicity in patients was worse during voluntary than during stimulated contraction. Conclusions: Cine phase-contrast MRI combined with EMS or voluntary motion proved challenging in pediatric patients with CP, particularly in those with more severe baseline muscle dysfunction or reduced tolerance to stimulation. In contrast, the approach was successfully implemented in typically developing children. Although the scope of the patient-based findings is limited by data heterogeneity, the method demonstrates considerable potential as a tool for monitoring treatment-related changes in muscle function, particularly in less severely affected patients. Further refinement of the EMS and voluntary motion protocols, together with a reduction in MRI acquisition time, is required to improve motion periodicity, tolerability, and consequently the overall success rate in the intended pediatric patient cohort. Full article

Non-destructive prediction of harvest timing is increasingly important in greenhouse melon cultivation, yet image-based methods alone often fail to reflect environmental factors affecting fruit development. Likewise, environmental or fertigation data alone cannot capture fruit-level variation. This gap calls for a multimodal approach integrating both sources of information. This study presents a fusion model combining RGB images with environmental and fertigation data to predict optimal harvest timing for melons. A YOLOv8n-based model detected fruits and estimated diameters under marker and no-marker conditions, while an LSTM processed time-series variables including temperature, humidity, CO₂, light intensity, irrigation, and electrical conductivity. The extracted features were fused through a late-fusion strategy, followed by an MLP for predicting diameter, biomass, and harvest date. The marker condition improved detection accuracy; however, the no-marker condition also achieved sufficiently high performance for field application. Diameter and weight showed a strong correlation (R² > 0.9), and the fusion model accurately predicted the actual harvest date of 28 August 2025. These results demonstrate the practicality of multimodal fusion for reliable, non-destructive harvest prediction and highlight its potential to bridge the gap between controlled experiments and real-world smart farming environments. Full article

Atrial fibrillation (AF) is the most prevalent sustained arrhythmia worldwide and is now increasingly regarded as a disease of chronic inflammation and progressive atrial fibrosis. Understanding of molecular mechanisms that mediate the linkage between systemic metabolic dysregulation, inflammation, and structural atrial changes is crucial for informing risk stratification and targeting of prevention strategies. This review provides evidence from 105 studies focusing on the contributions of transforming growth factor-β1 (TGF-β1), tumor necrosis factor-a (TNF-α), interleukin-6 (IL-6), galectin-3, and galectin-1 to cardiac fibrogenesis, atrial fibrosis, and AF pathogenesis. We also link metabolic syndrome to these biomarkers and to atrial remodeling, as well as echocardiographic correlates of fibrosis. TGF-β1 is established as the central profibrotic cytokine and promotes Smad-based fibroblast activation, collagen accumulation, and structural atrial remodeling. Its role is highly potentiated by thrombospondin-1 by turning latent TGF-β1 into its potent form. TNF-α and IL-6 also play an integral role in the inflammatory fibrotic continuum by activating NF-κB and STAT3 signaling, promoting fibroblast proliferation, electrical uncoupling, and extracellular matrix accumulation. Galectin-3 is a potent profibrotic mediator that promotes TGF-β signaling and is a risk factor for negative outcomes, whereas Gal-1 seems to regulate inflammation resolution and may exert context-dependent protective or maladaptive roles. Metabolic syndrome is strongly associated with excessive levels of these biomarkers, chronic low-grade inflammation, oxidative stress, and ventricular and atrial fibrosis. Chronic clinical findings show that metabolic syndrome (MetS) increases AF risk, exacerbates atrial dilatation, and is associated with worse postoperative outcomes. Echocardiographic data are connected to circulating biomarkers and are non-invasive for evaluating atrial remodeling. The evidence to date supports that atrial fibrosis should be considered an end point of systemic inflammation, metabolic dysfunction, and activation of profibrotic molecular pathways. Metabolic syndrome, due to its chronic low-grade inflammatory environment and prolonged levels of metabolic stress, manifests as an important upstream factor of fibrotic remodeling, which continuously promotes the release of cytokines, oxidative stress, and fibroblast activation. Circulating fibrotic biomarkers, in comparison with metabolic syndrome, serve separate yet interdependent pathways that help orchestrate atrial structural remodeling through the simultaneous process but can also provide a long-term indirect measure of ongoing profibrotic activity. The integration of these biomarkers with superior atrial imaging enables a broader understanding of the fibrotic substrate of atrial fibrillation. This combined molecular imaging approach can facilitate risk stratification, refine therapeutic decisions, and facilitate early identification of higher-risk metabolic phenotypes, thus potentially facilitating directed antifibrotic and anti-inflammatory therapy in atrial fibrillation. Full article

Artificial intelligence (AI) and machine learning (ML) are transforming medical diagnostics, but human nail, an easily accessible and rich biological substrate, is still not fully exploited in the digital health field. Nail pathologies are easily diagnosed, non-invasive disease biomarkers, including systemic diseases such as anemia, diabetes, psoriasis, melanoma, and fungal diseases. This review presents the first big synthesis of image analysis for nail lesions incorporating AI/ML for diagnostic purposes. Where dermatological reviews to date have been more wide-ranging in scope, our review will focus specifically on diagnosis and screening related to nails. The various technological modalities involved (smartphone imaging, dermoscopy, Optical Coherence Tomography) will be presented, together with the different processing techniques for images (color corrections, segmentation, cropping of regions of interest), and models that range from classical methods to deep learning, with annotated descriptions of each. There will also be additional descriptions of AI applications related to some diseases, together with analytical discussions regarding real-world impediments to clinical application, including scarcity of data, variations in skin type, annotation errors, and other laws of clinical adoption. Some emerging solutions will also be emphasized: explainable AI (XAI), federated learning, and platform diagnostics allied with smartphones. Bridging the gap between clinical dermatology, artificial intelligence and mobile health, this review consolidates our existing knowledge and charts a path through yet others to scalable, equitable, and trustworthy nail based medically diagnostic techniques. Our findings advocate for interdisciplinary innovation to bring AI-enabled nail analysis from lab prototypes to routine healthcare and global screening initiatives. Full article

The genus Allium L. includes economically significant crops such as Chinese chives (Allium tuberosum Rottler ex Spreng.) and onions (Allium cepa L.), and is utilized in diverse agricultural applications, with numerous cultivars developed to date. However, these cultivars are facing a reduction in genetic diversity, raising concerns regarding their long-term sustainability. Crop wild relatives (CWRs), which possess a wide range of genetic traits, have recently gained attention as important genetic resources and priorities for conservation. In this study, the taxonomy of Allium species distributed in Korea is assessed using morphological characteristics. Two types of morphological analyses were conducted: macro-morphological traits were examined using stereomicroscopy and multi-spectral image analyses, while micro-morphological traits were analyzed using scanning electron microscopy. We detected significant interspecific and intraspecific variation in macro-morphological traits. Among the micro-morphological features, the seed outline on the x-axis and structural patterns of the testa and periclinal walls were identified as reliable diagnostic characters for subgenus classification. Moreover, micro-morphological evidence contributed to inferences about evolutionary trends within the genus Allium. Based on phylogenetic relationships between wild and cultivated taxa, we propose an updated framework for the CWR inventory of Allium. Full article

Sun glint is commonly observed as interference in the imaging process of ocean color satellite sensors, making the extraction of water color information in sun glint-affected areas challenging and often leading to significant data gaps. The remote sensing baseline indices, calculated based on Rayleigh-corrected reflectance ($R_{\mathrm{rc}}$), are recognized as effective in reflecting water color variability in sun glint-affected regions. However, the accurate extraction of the $R_{\mathrm{rc}}$ baseline indices requires sun glint correction. The determination of sun glint correction coefficients for different bands lacks a clear methodology, and the currently available correction coefficients are not applicable to different sea regions. Therefore, this study focuses on the South China Sea, where VIIRS imagery is significantly affected by sun glint. Based on paired datasets comprising sun glint-affected and -unaffected images acquired over the same region on adjacent dates, sun glint correction coefficients for each spectral band were derived by maximizing the cosine similarity of histograms constructed from three baseline indices: SS486 (Spectral Shape index at 486 nm), CI551 (Color Index at 551 nm), and SS671 (Spectral Shape index at 671 nm). To further evaluate the effectiveness of the proposed correction, chlorophyll-a concentrations were retrieved using a Random Forest regression model trained with baseline indices derived from sun glint-free $R_{\mathrm{rc}}$ data and subsequently applied to baseline indices after sun glint correction. Comparative analyses of both baseline index extraction and chlorophyll-a retrieval demonstrate that the proposed optimal-value and mean-value correction approaches effectively mitigate sun glint effects. The mean sun glint correction coefficients $\alpha$(443), $\alpha$(486), $\alpha$(551), $\alpha$(671) and $\alpha$(745) were determined to be 0.75, 0.83, 0.89, 0.95 and 0.94, respectively. These coefficients can be applied as sun glint correction coefficients for the VIIRS $R_{\mathrm{rc}}$ data in the South China Sea region. Furthermore, the proposed method for determining sun glint correction coefficients offers a transferable framework that can be extended to other sea areas. Full article

Underwater images often suffer from severe color distortion, low contrast, and reduced visibility, motivating the widespread use of image enhancement as a preprocessing step for downstream computer vision tasks. However, recent studies have questioned whether enhancement actually improves object detection performance. In this work, we conduct a comprehensive and rigorous evaluation of nine state-of-the-art enhancement methods and their interactions with modern object detectors. We propose a unified evaluation framework that integrates (1) a distribution-level quality assessment using a composite quality index (Q-index), (2) a fine-grained per-image detection protocol based on COCO-style mAP, and (3) a mixed-set upper-bound analysis that quantifies the theoretical performance achievable through ideal selective enhancement. Our findings reveal that traditional image quality metrics do not reliably predict detection performance, and that dataset-level conclusions often overlook substantial image-level variability. Through per-image evaluation, we identify numerous cases in which enhancement significantly improves detection accuracy—primarily for low-quality inputs—while also demonstrating conditions under which enhancement degrades performance. The mixed-set analysis shows that selective enhancement can yield substantial gains over both original and fully enhanced datasets, establishing a new direction for designing enhancement models optimized for downstream vision tasks. This study provides the most comprehensive evidence to date that underwater image enhancement can be beneficial for object detection when evaluated at the appropriate granularity and guided by informed selection strategies. The data generated and code developed are publicly available. Full article

Radionuclide-based molecular imaging modalities are active and developing areas of functional and molecular diagnosis. Among the radionuclides used for SPECT imaging in oncology, ^99mTc is a leading candidate for radiolabeling. At present, a sufficient number of complexons for ^99mTc have been described; however, the development of effective delivery systems for this isotope to the area of interest is a complex research task. The use of tumor-targeting molecules as carriers for radioactive tracers is an effective strategy that has enabled the development of many novel radiopharmaceuticals for cancer imaging. Background: To date, a number of studies have shown tumorotropicity of tetrapyrrole compounds to tumor tissues, in particular derivatives of natural chlorophyll A. Methods: Purification was performed using solid-phase extraction. Assessment of radiochemical yield and purity was performed via radio-ITLC. The in vitro tumor cell accumulation was assessed using SKOV-3 and A-431 cell lines. Dose-dependent biodistribution was evaluated in Nu/J mice bearing epidermoid carcinoma (A-431) xenografts. Results: In this work, we obtained complexes with ^99mTc based on water-soluble carboxylate chlorin e₆ derivatives in order to evaluate their potential for use as SPECT radiopharmaceuticals. We performed radiolabelling optimization of a series of the novel chlorins and primary preclinical studies, including an assessment of the effect of their lipophilicity and charge on tumor uptake. Conclusions: Modification of the periphery of the chlorin macrocycle with chelating groups allows for complexing a wide range of metals, including ^99mTc, which can be used for targeted delivery of the radionuclide to the area of interest. Full article

Introduction: PI-RADS 3 lesions represent a diagnostic grey zone on multiparametric MRI, with clinically significant prostate cancer (csPCa) detected in only 10–30%. Their equivocal nature leads to both unnecessary biopsies and missed cancers. Artificial intelligence (AI) has emerged as a potential tool to provide objective, reproducible risk prediction. This review summarises current evidence on AI for risk stratification in patients with indeterminate mpMRI findings, including clarification of key multicentre initiatives such as the PI-CAI (Prostate Imaging–Artificial Intelligence) study—a global benchmarking effort comparing AI systems against expert radiologists. Methods: A narrative review of PubMed and Embase (search updated to August 2025) was conducted using terms including “PI-RADS 3”, “radiomics”, “machine learning”, “deep learning”, and “artificial intelligence.” Eligible studies included those evaluating AI-based prediction of csPCa in PI-RADS 3 lesions using biopsy or long-term follow-up as reference standards. Both single-centre and multicentre studies were included, with emphasis on externally validated models. Results: Radiomics studies demonstrate that handcrafted features extracted from T2-weighted and diffusion-weighted imaging can distinguish benign tissue from csPCa, particularly in the transition zone, with area-under-the-ROC curves typically 0.75–0.82. Deep learning approaches—including convolutional neural networks and large-scale representation-learning frameworks—achieve higher performance and can reduce benign biopsy rates by 30–40%. Models that integrate imaging-based AI with clinical predictors such as PSA density further improve discrimination. The PI-CAI study, the largest international benchmark to date (>10,000 MRI exams), shows that state-of-the-art AI systems can match or exceed expert radiologists for csPCa detection across diverse scanners, centres, and populations, though prospective validation remains limited. Conclusions: AI shows strong potential to refine management of PI-RADS 3 lesions by reducing unnecessary biopsies, improving csPCa detection, and mitigating inter-reader variability. Translation into routine practice will require prospective multicentre validation, harmonised imaging protocols, and integration of AI outputs into clinical workflows with clear thresholds, decision support, and safety-net recommendations. Full article