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    Physical and Engineering Sciences in Medicine

    Physical and Engineering Sciences in Medicine

    JournalISSN 2662-4729eISSN 2662-4737中科院 医学 4区

    年发文量

    研究主题

    论文(2054)

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    1NewConstruction and Benchmarking of the AFISMI Water-Filled CT Phantom Against the ACR, AAPM and Catphan 600 Phantoms Using Automated Image Quality Analysis with IndoQCT
    Lukmanda Evan Lubis,Choirul Anam,Ariij Naufal, Ani Sulistyani, Syaukha Ahmad Risyad,Ungguh Prawoto, Nur Afifah,Hanendya Disha Randy Raharja,Freddy Haryanto,Supriyanto Ardjo Pawiro

    Routine computed tomography (CT) quality control (QC) is used to verify adequate image quality, support radiation-dose optimisation, and identify changes in scanner performance. Commonly used test objects include the ACR CT Phantom, the AAPM CT Performance Phantom, and the Catphan 600. The AFISMI CT Phantom is a locally manufacturable, water-filled prototype developed for routine constancy testing. This study provides preliminary single-scanner benchmarking of the AFISMI phantom using the IndoQCT automated analysis platform. The AFISMI phantom comprises a hollow polymethyl methacrylate (PMMA) shell (16 cm diameter and 10 cm length), a nominal 1.0-mm aluminium sheet fixed at 45° for slice-thickness measurement, and acrylic and Teflon inserts. Each phantom was scanned in three separate acquisitions on a Philips Ingenuity 128 CT scanner using 120 kVp, 300 mAs, a 5.0-mm slice thickness, and a 200-mm field of view; each acquisition was analysed independently. IndoQCT assessed uniformity in homogeneous water-filled or water-equivalent regions, Hounsfield unit (HU) accuracy, noise power spectrum (NPS), modulation transfer function (MTF), slice thickness, and signal-difference-to-noise ratio (SDNR). Raw-noise magnitude was not analysed separately because it is not included in the Indonesian national CT Compliance Test protocol used to define the QC scope. Under the tested scan and reconstruction conditions, the AFISMI phantom produced broadly comparable results for uniformity, water CT-number accuracy, MTF, and slice-thickness measurement relative to the commercial reference phantoms. NPS magnitude and shape differed among the phantoms. The AFISMI phantom had a higher mean SDNR than the AAPM phantom under the tested conditions, but this result cannot be used to claim better low-contrast performance because phantom geometry, target contrast, and background materials differed. Scalar outcomes are reported as mean ± standard deviation from three acquisitions and compared descriptively; no inferential statistical tests were performed. The AFISMI phantom and IndoQCT showed feasibility for automated CT constancy measurements under the tested single-scanner conditions. The findings represent preliminary benchmarking rather than independent validation or evidence of comparative advantage. Longitudinal baseline testing, multi-scanner evaluation, production-unit reproducibility assessment, and formal cost analysis are required before broad QA applicability or economic advantage can be established.

    2026
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    2NewA Lightweight Progressive Residual Convolutional Network for Interpretable Arrhythmia Classification
    Xiangkui Wan, Hongliang Chen, Da Lei, Jiabei Tao, Yuechen Pan, Jieqiang Luo,Yunfan Chen

    Arrhythmia poses a serious threat to human health, necessitating research into automated diagnostic methods. Although advances have been made in arrhythmia classification using deep learning, existing models often suffer from high computational cost and poor interpretability, limiting their clinical applicability. To this end, this paper proposes a lightweight progressive residual convolutional attention network (DResCA). Through the synergistic design of stage-adaptive downsampling and channel attention, this network reduces parameter redundancy while enhancing deep ECG feature extraction. To enhance clinical interpretability, template matching and attention visualization are employed to reveal the key ECG regions underlying the model’s diagnoses. Five-class classification experiments on the MIT-BIH Arrhythmia Database demonstrate that the model achieves 98.35

    2026
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    3NewIn Silico Assessment of Out-of-field Dose in Multiple Brain Metastases Stereotactic Radiosurgery
    Godfrey Mukwada, Divya Rattanpal,Pejman Rowshanfarzad, Martin A. Ebert

    In stereotactic radiosurgery (SRS) for multiple brain metastases (MBM), there is higher out-of-field (OOF) dose contribution than that experienced in single metastasis. This study seeks to assess the impact of the introduced error in OOF dose in MBM SRS. CyberKnife Off-Centre-Ratios (OCRs) were modified by altering the measured umbra dose by an average 0.3 and 0.6

    2026
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    4NewInvestigation of the Most Suitable 3D Printing Method and Tissue Equivalent Materials for Mimicking Glandular-Adipose Tissues for Production of Breast Phantom
    Aziz Safi̇, Haluk Yücel

    In this study, the usability of masked stereolithography (MSLA) and fused filament fabrication (FFF) type printers to produce breast phantom is investigated. ABS, PET, PLA+, PVA and TPU-95 A filaments are used on FFF type printer with infill ratios between 70 and 100

    2026
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    5NewYolo-c2ecasa: a Lightweight Attention-Enhanced Model for Three-Class Brain Tumor Localization and Classification in MRI
    Shuo Zhang, Mohd Rizal Arshad,Haidi Ibrahim, Junting Zou

    Brain tumor localization and type classification in MRI are important tasks in computer-aided medical image analysis. However, achieving competitive localization and classification performance with lightweight models remains challenging because reducing model complexity may weaken feature representation and localization ability. In this paper, we propose YOLO-C2ECASA, a lightweight attention-enhanced object detection framework based on YOLOv11 for three-class tumor localization and classification in tumor-positive MRI images. The present study focuses on glioma, meningioma, and pituitary tumors and does not address tumor-versus-no-tumor screening. The proposed C2ECASA module replaces the original self-attention design with a parameter-efficient spatial-channel attention mechanism. It integrates improved channel attention, lightweight spatial attention, C2-based feature preservation, and adaptive fusion to enhance lesion-relevant feature representation with limited computational cost. The proposed model was compared with representative object detection models. In the single-run comparison with representative object detectors, YOLO-C2ECASA maintained competitive detection performance while requiring only 2.4M parameters, 6.2G FLOPs, a model size of 5.01 MB, and a GPU inference time of 1.9 ms per image. More importantly, across ten independent runs under scratch initialization, YOLO-C2ECASA achieved mean mAP@0.5 and mAP@0.5:0.95 values of 0.930± 0.008 and 0.694± 0.009 . Under pretrained initialization, the corresponding repeated-run results were 0.939± 0.005 and 0.703± 0.007 , respectively. Under CPU-only deployment, YOLO-C2ECASA achieves an inference time of 27.4 ms per image, further demonstrating its feasibility for resource-constrained environments. These results indicate that the proposed model achieves competitive detection performance while maintaining a lower computational cost than the compared detectors. Ablation and repeated-run experiments further demonstrate that the complete C2ECASA configuration achieves the highest average performance among the evaluated configurations while maintaining low computational complexity. Overall, the proposed method provides a favorable accuracy–efficiency trade-off for lightweight brain tumor localization and type classification in tumor-positive MRI images.

    2026
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    高被引作者

    作者引用发文
    Jamie Trapp69050
    Martin J Butson63434
    Tanya Kairn61736
    Aamir Saeed Malik5815
    Nidal S. Kamel5084
    Yu Kwan Ngok Peter47217
    Peter Metcalfe42431
    Nasreen Badruddin4122
    Santosh K C4022
    Rana Fayyaz Ahmad3783

    高产作者

    作者引用发文
    Jamie Trapp69050
    Tomas Kron34840
    Clive Baldock26036
    Tanya Kairn61736
    Martin J Butson63434
    Peter Metcalfe42431
    Scott Crowe37631
    Lois Holloway35827
    Martin Caon12825
    Rowshanfarzad Pejman6624

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