Brain tumors are a primary factor causing cancer-related deaths globally, and their classification remains a significant research challenge due to the variability in tumor intensity, size, and shape, as well as the similar appearances of different tumor types. Accurate differentiation is further complicated by these factors, making diagnosis difficult even with advanced imaging techniques such as magnetic resonance imaging (MRI). Recent techniques in artificial intelligence (AI), in particular deep learning (DL), have improved the speed and accuracy of medical image analysis, but they still face challenges like overfitting and the need for large annotated datasets. This study addresses these challenges by presenting two approaches for brain tumor classification using MRI images. The first approach involves fine-tuning transfer learning cutting-edge models, including SEResNet, ConvNeXtBase, and ResNet101V2, with global average pooling 2D and dropout layers to minimize overfitting and reduce the need for extensive preprocessing. The second approach leverages the Vision Transformer (ViT), optimized with the AdamW optimizer and extensive data augmentation. Experiments on the BT-Large-4C dataset demonstrate that SEResNet achieves the highest accuracy of 97.96%, surpassing ViT’s 95.4%. These results suggest that fine-tuning and transfer learning models are more effective at addressing the challenges of overfitting and dataset limitations, ultimately outperforming the Vision Transformer and existing state-of-the-art techniques in brain tumor classification.
Background: Multiple sclerosis is often a longitudinal disease continuum with an initial relapsing-remitting phase (RRMS) and later secondary progression (SPMS). Most currently approved therapies are not sufficiently effective in SPMS. Early detection of SPMS conversion is therefore critical for therapy selection. Important decision-making tools may include testing of partial cognitive performance and magnetic resonance imaging (MRI). Aim of the work: To demonstrate the importance of cognitive testing and MRI for the prediction and detection of SPMS conversion. Elaboration of strategies for follow-up and therapy management in practice, especially in outpatient care. Material and methods: Review based on an unsystematic literature search. Results: Standardized cognitive testing can be helpful for early SPMS diagnosis and facilitate progression assessment. Annual use of sensitive screening tests such as Symbol Digit Modalities Test (SDMT) and Brief Visual Memory Test-Revised (BVMT-R) or the Brief International Cognitive Assessment for MS (BICAMS) test battery is recommended. Persistent inflammatory activity on MRI in the first three years of disease and the presence of cortical lesions are predictive of SPMS conversion. Standardized MRI monitoring for features of progressive MS can support clinically and neurocognitively based suspicion of SPMS. Discussion: Interdisciplinary care of MS patients by clinically skilled neurologists, supported by neuropsychological testing and MRI, has a high value for SPMS prediction and diagnosis. The latter allows early conversion to appropriate therapies, as SPMS requires different interventions than RRMS. After drug switching, clinical, neuropsychological, and imaging vigilance allows stringent monitoring for neuroinflammatory and degenerative activity as well as treatment complications.
A systemic and synthetic review of the anatomy of the temporomandibular joint in magnetic resonance imaging was developed for its evaluation. The temporomandibular joint is an anatomical structure composed of bones, muscles, ligaments and an articular disc that allows important physiological movements, such as mandibular opening, closing, protrusion, retrusion and lateralization. Magnetic resonance imaging is an imaging technique that does not use ionizing radiation and is more specific for the evaluation and interpretation of soft tissues, due to its high resolution, so it has an important role in the diagnosis of various maxillofacial pathologies, which is why the dentist should have knowledge of the structures and functions of the temporomandibular joint through magnetic resonance imaging. The review demonstrates the importance of magnetic resonance imaging in the study of the anatomy of the temporomandibular joint, in addition to mentioning the advantages provided by this imaging technique such as its good detail of the soft tissues in its different sequences and the non-use of ionizing radiation to obtain its images.
This study delves into the complex flow dynamics of magnetized bioconvective Ellis nanofluids, highlighting the critical roles of viscous dissipation and activation energy. By employing a MATLAB solver to tackle the boundary value problem, the research offers a thorough exploration of how these factors, along with oxytactic microorganism’s mobility, shape fluid behavior in magnetized systems. Our findings demonstrate that an increase in the magnetization factor leads to a decrease in both velocity and temperature due to enhanced interparticle resistance from the Lorentz force. Additionally, streamline analysis reveals that higher mixed convection parameters intensify flow concentration near surfaces, while increased slip parameters reduce shear stress and boundary layer thickness. Although isotherm analysis shows that higher Ellis fluid parameters enhance heat conduction, with greater porosity values promoting efficient thermal dissipation. These insights significantly advance our understanding of nanofluid dynamics, with promising implications for bioengineering and materials science, setting the stage for future research in this field.
Gout is an arthritis characterized by the deposition of sodium monoacid crystals in the synovial membrane, articular cartilage, and periarticular tissues that leads to an inflamatory process. In most cases, the diagnosis is established by clinical criteria and analysis of the synovial fluid for MSU crystals. However, gout may manifest in atypical ways and make diagnosis difficult. In these situations, imaging studies play a fundamental role in helping to confirm the diagnosis or even exclude other differential diagnoses. Conventional radiography is still the most commonly used method in the follow-up of these patients, but it is a very insensitive test, because it only detects late changes. In recent years, advances in imaging methods have emerged in relation to gout. Ultrasound has proven to be a highly accurate test in the diagnosis of gout, identifying MSU deposits in articular cartilage and periarticular tissues, and detecting and characterizing tophi, tendinopathies, and tophi enthesopathies. Computed tomography is an excellent exam for the detection of bone erosions and evaluation of spinal involvement. Dual-energy computed tomography, a new method that provides information on the chemical composition of tissues, allows identification of MSU deposits with high accuracy. MRI can be useful in the evaluation of deep tissues not accessible by ultrasound. In addition to diagnosis, with the emergence of drugs that aim to reduce the tophaceous burden, imaging examinations become a useful tool in the follow-up treatment of gout patients.
Introduction: Given the heterogeneous nature and inherent complexity of forensic medical expertise, the expert (medical professional or related areas) must make the best use of the technical and technological tools at his disposal. Imaging, referring to the set of techniques that allow obtaining images of the human body for clinical or scientific purposes, in any of its techniques, is a powerful support tool for establishing facts or technical evidence in the legal field. Objective: To analyze the use of magnetic resonance and computed tomography in postmortem diagnosis. Methodology: information was searched in the databases PubMed, Science Direct, Springer Journal and in the search engine Google Scholar, using the terms “X-Ray Computed Tomography”, “Magnetic Resonance Spectroscopy”, “Autopsy” and “Forensic Medicine” published in the period 2008–2015. Results: MRI is useful for the detailed study of soft tissues and organs, while computed tomography allows the identification of fractures, calcifications, implants and trauma. Conclusions: In the reports found in the literature search, regarding the use of nuclear magnetic resonance and computed tomography in postmortem cases, named by the genesis of the trauma, correlation was found between the use of imaging and the correct expert diagnosis at autopsy.
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