Deep learning techniques have demonstrated significant potential in computer-assisted diagnosis based on medical imaging. However, their integration into clinical workflows remains limited, largely due to concerns about interpretability. To address this challenge, we propose Efficient-Proto-Caps, a lightweight and inherently interpretable model that combines capsule networks with prototype learning for lung nodule characterization. Additionally, an innovative Davies-Bouldin Index with multiple centroids per cluster is employed as a loss function to promote clustering of lung nodule visual attribute representations. When evaluated on the LIDC-IDRI dataset, the most widely recognized benchmark for lung cancer prediction, our model achieved an overall accuracy of 89.7 % in predicting lung nodule malignancy and associated visual attributes. This performance is statistically comparable to that of the baseline model, while utilizing a backbone with only approximately 2 % of the parameters of the baseline model’s backbone. State-of-the-art models achieved better performance in lung nodule malignancy prediction; however, our approach relies on multiclass malignancy predictions and provides a decision rationale aligned with globally accepted clinical guidelines. These results underscore the potential of our approach, as the integration of lightweight and less complex designs into accurate and inherently interpretable models represents a significant advancement toward more transparent and clinically viable computer-assisted diagnostic systems. Furthermore, these findings highlight the model’s potential for broader applicability, extending beyond medicine to other domains where final classifications are grounded in concept-based or example-based attributes.

Lung cancer stands as the most prevalent and deadliest type of cancer, with adenocarcinoma being the most common subtype. Computed Tomography (CT) is widely used for detecting tumours and their phenotype characteristics, for an early and accurate diagnosis that impacts patient outcomes. Machine learning algorithms have already shown the potential to recognize patterns in CT scans to classify the cancer subtype. In this work, two distinct pipelines were employed to perform binary classification between adenocarcinoma and non-adenocarcinoma. Firstly, radiomic features were classified by Random Forest and eXtreme Gradient Boosting classifiers. Next, a deep learning approach, based on a Residual Neural Network and a Transformer-based architecture, was utilised. Both 2D and 3D CT data were initially explored, with the Lung-PET-CT-Dx dataset being employed for training and the NSCLC-Radiomics and NSCLC-Radiogenomics datasets used for external evaluation. Overall, the 3D models outperformed the 2D ones, with the best result being achieved by the Hybrid Vision Transformer, with an AUC of 0.869 and a balanced accuracy of 0.816 on the internal test set. However, a lack of generalization capability was observed across all models, with the performances decreasing on the external test sets, a limitation that should be studied and addressed in future work.

Lung cancer remains the leading cause of cancer related deaths globally, responsible for approximately 1.8 million deaths each year. A key contributor to this high mortality rate is the late-stage diagnosis of the disease, underscoring the urgent need for effective early detection strategies. Low-dose computed tomography (CT) has shown great value in early screening, particularly when paired with clinical information. Clinical data, while valuable, lacks spatial and morphological insights essential for comprehensive evaluation. Combining both modalities offers a more holistic approach for lung cancer classification. This study presents AI-based methods for lung cancer classification using unimodal approaches - structured clinical data and chest CT imaging - alongside a novel multimodal deep learning framework that integrates both data types to classify lung nodules as malignant or benign. For the clinical modality, machine learning models including logistic regression, random forests, LightGBM, XGBoost, and multilayer perceptrons were evaluated with extensive hyperparameter tuning. In the imaging modality, ResNet18 and ResNet34 convolutional neural networks were used, with and without data augmentation. The study explored both intermediate and late fusion strategies to combine modality-specific representations. Results show that multimodal models consistently outperformed their unimodal counterparts, achieving a best-case area under the ROC curve (AUC) of 0.9138, with an accuracy of 0.8424 and an F1-score of 0.8422. These findings highlight the complementary strengths of imaging and clinical data and support the growing potential of multimodal deep learning in improving diagnostic accuracy in lung cancer classification.

Accurate surgical planning is critical in mandibular reconstruction to restore the oncology patient's function and aesthetics. However, the use of physical three-dimensional (3D) models is often limited by time-consuming manual segmentation procedures or the high cost of commercial solutions. This work addresses the need for an accessible, quick, and low-cost pipeline to obtain a 3D printed model of the segmented mandible from a Computed Tomography (CT) scan. The automatic segmentation stage relied on the two-dimensional U-Net architecture, which was trained and validated with slices across two public datasets (PDDCA, HaN-Seg) and tested with the other two public datasets (TCIA RT, Austrian). The best model achieved an average dice similarity coefficient (DSC) of $0.912 \pm 0.077$ across all test sets. The segmentation output was reconstructed into a 3D volume, improved through a post-processing method (with morphological closing, upsample, smoothing, and mesh reduction), and 3D printed through fused deposition modelling. The assessment of a stomatologist confirmed overall high anatomical fidelity to the CT and clinical utility, even though further improvements in important fine anatomical elements were suggested. This solution contributes to a promising alternative to producing 3D personalised mandibles for surgical planning, reducing time and manual effort while improving the quality and accessibility. Future work may explore the use of 3D DL architectures and a broader evaluation of the 3D mandible models.