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Deniz Seyithanoglu

Publications and source records attributed to Deniz Seyithanoglu.

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Cyst-X: A Multi-Center MRI Benchmark and Federated Learning Framework for Malignancy-Risk Stratification of Pancreatic Cystic Neoplasm

Pancreatic cancer is projected to be the second-deadliest cancer by 2030, making early detection critical. Intraductal papillary mucinous neoplasms (IPMNs), key cancer precursors, present a clinical dilemma, as current guidelines struggle to stratify malignancy risk, leading to unnecessary surgeries or missed diagnoses. Here, we introduce Cyst-X, a multi-center MRI benchmark and a federated learning framework for IPMN malignancy-risk stratification. The dataset comprises 1,461 abdominal MRI scans from 764 patients at seven international centers, with three-tier malignancy labels anchored in histopathology or three-year imaging follow-up and expert pancreas segmentations. The pipeline couples the PanSegNet pancreas segmenter with a 3D DenseNet-121 classifier and a parallel radiomics predictor. On internal cross-validation, the deep learning classifier reached a mean area under the receiver operating characteristic curve (AUC) of 0.85 (95% confidence interval 0.84-0.86) on T2-weighted MRI for high-risk versus low- or no-risk discrimination, with the average precision rising from a prevalence baseline of 0.23 to 0.64. This performance was preserved (AUC 0.85, FedProx) when training was distributed across institutions without exchange of raw patient images. Benchmarked against three blinded radiologists on a 629-case reader subset evaluated under imaging-only conditions, the classifier matched or exceeded sensitivity at comparable specificity. To accelerate research in early pancreatic cancer detection, we publicly release the Cyst-X dataset, segmentation masks, and trained models as the first large-scale, multi-centre MRI resource for pancreatic cystic neoplasm analysis.

eess.IV

Large Scale MRI Collection and Segmentation of Cirrhotic Liver

Liver cirrhosis represents the end stage of chronic liver disease, characterized by extensive fibrosis and nodular regeneration that significantly increases mortality risk. While magnetic resonance imaging (MRI) offers a non-invasive assessment, accurately segmenting cirrhotic livers presents substantial challenges due to morphological alterations and heterogeneous signal characteristics. Deep learning approaches show promise for automating these tasks, but progress has been limited by the absence of large-scale, annotated datasets. Here, we present CirrMRI600+, the first comprehensive dataset comprising 628 high-resolution abdominal MRI scans (310 T1-weighted and 318 T2-weighted sequences, totaling nearly 40,000 annotated slices) with expert-validated segmentation labels for cirrhotic livers. The dataset includes demographic information, clinical parameters, and histopathological validation where available. Additionally, we provide benchmark results from 11 state-of-the-art deep learning experiments to establish performance standards. CirrMRI600+ enables the development and validation of advanced computational methods for cirrhotic liver analysis, potentially accelerating progress toward automated Cirrhosis visual staging and personalized treatment planning.

eess.IV

Ethical Framework for Responsible Foundational Models in Medical Imaging

The emergence of foundational models represents a paradigm shift in medical imaging, offering extraordinary capabilities in disease detection, diagnosis, and treatment planning. These large-scale artificial intelligence systems, trained on extensive multimodal and multi-center datasets, demonstrate remarkable versatility across diverse medical applications. However, their integration into clinical practice presents complex ethical challenges that extend beyond technical performance metrics. This study examines the critical ethical considerations at the intersection of healthcare and artificial intelligence. Patient data privacy remains a fundamental concern, particularly given these models' requirement for extensive training data and their potential to inadvertently memorize sensitive information. Algorithmic bias poses a significant challenge in healthcare, as historical disparities in medical data collection may perpetuate or exacerbate existing healthcare inequities across demographic groups. The complexity of foundational models presents significant challenges regarding transparency and explainability in medical decision-making. We propose a comprehensive ethical framework that addresses these challenges while promoting responsible innovation. This framework emphasizes robust privacy safeguards, systematic bias detection and mitigation strategies, and mechanisms for maintaining meaningful human oversight. By establishing clear guidelines for development and deployment, we aim to harness the transformative potential of foundational models while preserving the fundamental principles of medical ethics and patient-centered care.

cs.CY