Eugen Divjak

Dr. Eugen Divjak

orcid

Research Focus & Metrics

Academic Career Length

7Years (2020-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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19 March 2025 in Scientific Data
Verified
Journal Article
Open access
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LGLidia Garrucho
Lidia Garrucho
KKKaisar Kushibar
Kaisar Kushibar
CRClaire-Anne Reidel
Claire-Anne Reidel
SJSmriti Joshi
Smriti Joshi
RORichard Osuala
Richard Osuala
KLKarim Lekadir
Karim Lekadir
Artificial Intelligence (AI) research in breast cancer Magnetic Resonance Imaging (MRI) faces challenges due to limited expert-labeled segmentations. To address this, we present a multicenter dataset of 1506 pre-treatment T1-weighted dynamic contrast-enhanced MRI cases, including expert annotations of primary tumors and non-mass-enhanced regions. The dataset integrates imaging data from four collections in The Cancer Imaging Archive (TCIA), where only 163 cases with expert segmentations were initially available. To facilitate the annotation process, a deep learning model was trained to produce preliminary segmentations for the remaining cases. These were subsequently corrected and verified by 16 breast cancer experts (averaging 9 years of experience), creating a fully annotated dataset. Additionally, the dataset includes 49 harmonized clinical and demographic variables, as well as pre-trained weights for a baseline nnU-Net model trained on the annotated data. This resource addresses a critical gap in publicly available breast cancer datasets, enabling the development, validation, and benchmarking of advanced deep learning models, thus driving progress in breast cancer diagnostics, treatment response prediction, and personalized care.

7 September 2023 in Medicina
Verified
Journal Article
Open access
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LĐLuka Đudarić
Luka Đudarić
Ivo Dumic-CuleIvo Dumic-Cule
Ivo Dumic-Cule
EDEugen Divjak
Eugen Divjak
TCTomislav Cengic
Tomislav Cengic
Boris BrkljacicBoris Brkljacic
Boris Brkljacic
GIGordana Ivanac
Gordana Ivanac
Among available papers published on the given subject over the last century, various terms have been used as synonyms for one, now generally accepted—osteoarthritis, in some countries called “wear and tear” or “overload arthritis”. The opsolent terms—hypertrophic arthritis, degenerative arthritis, arthritis deformans and osteoarthrosis—sought to highlight the dominant clinical signs of this ubiquitous, polymorph disease of the whole osteochondral unit, which by incidence and prevalence represents one of the leading chronic conditions that cause long-term pain and incapacity for work. Numerous in vitro and in vivo research resulted in broadened acknowledgments about osteoarthritis pathophysiology and pathology on both histological and cellular levels. However, the cause of osteoarthritis is still unknown and is currently the subject of a hypothesis. In this paper, we provide a review of recent findings on biological phenomena taking place in bone tissue during osteoarthritis to the extent useful for clinical practice. Choosing a proper radiological approach is a conditio sine qua non to the early diagnosis of this entity.

8 May 2022 in Diagnostics
Verified
Journal Article
Open access
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ABAntonio Bulum
Antonio Bulum
GIGordana Ivanac
Gordana Ivanac
FMFilip Mandurić
Filip Mandurić
LPLuka Pfeifer
Luka Pfeifer
MBMarta Bulum
Marta Bulum
Boris BrkljacicBoris Brkljacic
Boris Brkljacic
Carotid artery disease is one of the main global causes of disability and premature mortality in the spectrum of cardiovascular diseases. One of its main consequences, stroke, is the second biggest global contributor to disability and burden via Disability Adjusted Life Years after ischemic heart disease. In the last decades, B-mode and Doppler-based ultrasound imaging techniques have become an indispensable part of modern medical imaging of carotid artery disease. However, they have limited abilities in carotid artery plaque and wall characterization and are unable to provide simultaneous quantitative and qualitative flow information while the images are burdened by low framerates. UltraFast™ ultrasound is able to overcome these obstacles by providing simultaneous quantitative and qualitative flow analysis information in high frame rates via UltraFast™ Doppler. Another newly developed ultrasound technique, shear wave elastography, is based on the visualization of induced shear waves and the measurement of the shear wave propagation speed in the examined tissues which enables real-time carotid plaque and wall analysis. These newly developed ultrasound modalities have potential to significantly improve workflow efficiency and are able to provide a plethora of additional imaging information of carotid artery disease in comparison to conventional ultrasound techniques.

10 June 2020 in Diagnostics
Verified
Journal Article
Open access
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MDMartina Dzoic Dominkovic
Martina Dzoic Dominkovic
GIGordana Ivanac
Gordana Ivanac
KBKristina Bojanić
Kristina Bojanić
KKKristina Kralik
Kristina Kralik
MSMartina Smolic
Martina Smolic
Boris BrkljacicBoris Brkljacic
Boris Brkljacic
Breast sonoelastography is a relatively novel ultrasound (US) method that enables estimation of tissue stiffness to estimate the elasticity of normal breast tissue and seek to correlate it with well-known breast cancer risk factors. Two hundred women of different age were included in the study and completed a questionnaire about personal, familiar, and reproductive history. Glandular and fatty tissue elasticity in all breast quadrants was measured by shear wave elastography (SWE). Mean elastographic values of breast tissue were calculated and compared to personal history risk factors. Elasticity of normal glandular tissue (66.4 kilopascals (kPa)) was higher than fatty tissue (26.1 kPa) in all breast quadrants and in both breasts. Lower outer quadrant (LOQ) had the lowest elasticity values of both parenchyma and fat. Higher elasticity values of breast tissue were confirmed in the left breast than in the right breast. Glandular and fat tissue elasticity negatively correlated with body mass index (BMI). Women with mastodynia had higher glandular elastographic values compared to subjects without breast pain. Nuliparity was also associated with higher elasticity of glandular breast tissue. The results of this study are promising and could, over time, contribute to a better understanding of glandular breast tissue elasticity as a potential risk factor for breast cancer.

1 June 2021 in Diagnostics
Verified
Journal Article
Open access
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ABAntonio Bulum
Antonio Bulum
GIGordana Ivanac
Gordana Ivanac
EDEugen Divjak
Eugen Divjak
IŠIva Biondić Špoljar
Iva Biondić Špoljar
MDMartina Džoić Dominković
Martina Džoić Dominković
Boris BrkljacicBoris Brkljacic
Boris Brkljacic
Shear wave elastography (SWE) is a type of ultrasound elastography with which the elastic properties of breast tissues can be quantitatively assessed. The purpose of this study was to determine the impact of different regions of interest (ROI) and lesion size on the performance of SWE in differentiating malignant breast lesions. The study included 150 female patients with histopathologically confirmed malignant breast lesions. Minimal (Emin), mean (Emean), maximal (Emax) elastic modulus and elasticity ratio (e-ratio) values were measured using a circular ROI size of 2, 4 and 6 mm diameters and the lesions were divided into large (diameter ≥ 15 mm) and small (diameter < 15 mm). Highest Emin, Emean and e-ratio values and lowest variability were observed when using the 2 mm ROI. Emax values did not differ between different ROI sizes. Larger lesions had significantly higher Emean and Emax values, but there was no difference in e-ratio values between lesions of different sizes. In conclusion, when measuring the Emin, Emean and e-ratio of malignant breast lesions using SWE the smallest possible ROI size should be used regardless of lesion size. ROI size has no impact on Emax values while lesion size has no impact on e-ratio values.

3 June 2025 in RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren
Verified
Journal Article
Open access
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WBWolfram Bosbach
Wolfram Bosbach
LSLuca Schoeni
Luca Schoeni
CBClaus Beisbart
Claus Beisbart
JSJan F. Senge
Jan F. Senge
MMMilena Mitrakovic
Milena Mitrakovic
KDKeivan Daneshvar
Keivan Daneshvar
Novel artificial intelligence tools have the potential to significantly enhance productivity in medicine, while also maintaining or even improving treatment quality. In this study, we aimed to evaluate the current capability of ChatGPT-4.0 to accurately interpret multimodal musculoskeletal tumor cases. We created 25 cases, each containing images from X-ray, computed tomography, magnetic resonance imaging, or scintigraphy. ChatGPT-4.0 was tasked with classifying each case using a six-option, two-choice question, where both a primary and a secondary diagnosis were allowed. For performance evaluation, human raters also assessed the same cases. When only the primary diagnosis was taken into account, the accuracy of human raters was greater than that of ChatGPT-4.0 by a factor of nearly 2 (87% vs. 44%). However, in a setting that also considered secondary diagnoses, the performance gap shrank substantially (accuracy: 94% vs. 71%). Power analysis relying on Cohen’s w confirmed the adequacy of the sample set size (n: 25). The tested artificial intelligence tool demonstrated lower performance than human raters. Considering factors such as speed, constant availability, and potential future improvements, it appears plausible that artificial intelligence tools could serve as valuable assistance systems for doctors in future clinical settings.