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Fons van der Sommen

Fons van der Sommen contributes to research discovery and scholarly infrastructure.

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Computer Vision Artificial Intelligence Machine Learning

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preprint2026arXiv

Deep Learning-Based Segmentation of Peritoneal Cancer Index Regions from CT Imaging

Peritoneal metastases are currently assessed using diagnostic laparoscopy to determine Sugarbaker's Peritoneal Cancer Index (sPCI), which works by dividing the abdomen into 13 regions and scoring each region based on tumor size. A recent consensus study defined 3D regions to facilitate a radiological PCI (rPCI), providing standardized anatomical regions for imaging-based assessment. Despite its clinical value, sPCI is invasive and lacks a standardized imaging counterpart. In this study, we propose a deep learning-based approach to automatically segment the rPCI regions on CT. We evaluate nnU-Net and Swin UNETR on 62 CT scans with rPCI regions manually annotated by three clinical researchers and validated by two expert radiologists. Performance was assessed using five-fold cross-validation with the Dice Similarity Coefficient (Dice), 95th percentile Hausdorff distance and Average Surface Distance. nnU-Net achieved an overall Dice of 0.82, approaching interobserver agreement (0.88) and outperforming Swin UNETR (0.76), with remaining challenges primarily in right flank and small-bowel regions. These results demonstrate feasibility of automated rPCI segmentation, laying the foundation for non-invasive, imaging-based assessment.

preprint2026arXiv

Evidence-Grounded Frontier Mapping and Agentic Hypothesis Generation in Nanomedicine

Nanomedicine research spans delivery chemistry, immunology, imaging, biomaterials, and disease-specific translational science, yet its conceptual design space remains fragmented across a large and heterogeneous literature. To date, artificial intelligence in nanomedicine has focused primarily on property prediction and formulation optimization, with much less attention to evidence-grounded discovery support at the level of research direction selection. We introduce pArticleMap, a literature-mapping and research-hypothesis-generation system that combines article embeddings, similarity-graph analysis, sparse frontier extraction, structured evidence-pack retrieval, and an audited large-language-model (LLM) workflow for grounded ideation. Rather than forecasting future concept co-occurrence, pArticleMap targets low-density article-level bridge regions and cluster interfaces, then generates and scores citation-grounded hypotheses with large language models in an agentic setup. We evaluate the system with a retrospective realization benchmark (generate later literature under a historical cutoff) and a blinded human reader assessment layer across cue-conditioned nanomedicine tasks. Across 4 selected retrospective bundles, pArticleMap generated ideas and selected task-retained hypotheses (winner ideas) under the benchmark protocol. For task-level retained hypotheses, a pooled gold recovery rate of 10.8% was obtained, with a recall@10 of 15.9% and a future-neighborhood rate of 61.0%, indicating that the system often reached the correct forward-looking neighborhood (paper ideas) even without exact paper-level recovery. Human-agent agreement is modest overall, indicating that internal scoring is useful as a support signal but does not replace expert judgment. These results position pArticleMap as a conservative, evidence-grounded research assistant for nanomedicine.

preprint2022arXiv

Efficient Out-of-Distribution Detection of Melanoma with Wavelet-based Normalizing Flows

Melanoma is a serious form of skin cancer with high mortality rate at later stages. Fortunately, when detected early, the prognosis of melanoma is promising and malignant melanoma incidence rates are relatively low. As a result, datasets are heavily imbalanced which complicates training current state-of-the-art supervised classification AI models. We propose to use generative models to learn the benign data distribution and detect Out-of-Distribution (OOD) malignant images through density estimation. Normalizing Flows (NFs) are ideal candidates for OOD detection due to their ability to compute exact likelihoods. Nevertheless, their inductive biases towards apparent graphical features rather than semantic context hamper accurate OOD detection. In this work, we aim at using these biases with domain-level knowledge of melanoma, to improve likelihood-based OOD detection of malignant images. Our encouraging results demonstrate potential for OOD detection of melanoma using NFs. We achieve a 9% increase in Area Under Curve of the Receiver Operating Characteristics by using wavelet-based NFs. This model requires significantly less parameters for inference making it more applicable on edge devices. The proposed methodology can aid medical experts with diagnosis of skin-cancer patients and continuously increase survival rates. Furthermore, this research paves the way for other areas in oncology with similar data imbalance issues.

preprint2022arXiv

Improved Pancreatic Tumor Detection by Utilizing Clinically-Relevant Secondary Features

Pancreatic cancer is one of the global leading causes of cancer-related deaths. Despite the success of Deep Learning in computer-aided diagnosis and detection (CAD) methods, little attention has been paid to the detection of Pancreatic Cancer. We propose a method for detecting pancreatic tumor that utilizes clinically-relevant features in the surrounding anatomical structures, thereby better aiming to exploit the radiologist's knowledge compared to other, conventional deep learning approaches. To this end, we collect a new dataset consisting of 99 cases with pancreatic ductal adenocarcinoma (PDAC) and 97 control cases without any pancreatic tumor. Due to the growth pattern of pancreatic cancer, the tumor may not be always visible as a hypodense lesion, therefore experts refer to the visibility of secondary external features that may indicate the presence of the tumor. We propose a method based on a U-Net-like Deep CNN that exploits the following external secondary features: the pancreatic duct, common bile duct and the pancreas, along with a processed CT scan. Using these features, the model segments the pancreatic tumor if it is present. This segmentation for classification and localization approach achieves a performance of 99% sensitivity (one case missed) and 99% specificity, which realizes a 5% increase in sensitivity over the previous state-of-the-art method. The model additionally provides location information with reasonable accuracy and a shorter inference time compared to previous PDAC detection methods. These results offer a significant performance improvement and highlight the importance of incorporating the knowledge of the clinical expert when developing novel CAD methods.

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