Abstract
Algorithms based on computer vision are commonly used in pre-operative procedures to help health professionals detecting blood vessels, which is also the case with the Deep Inferior Epigastric Perforators (DIEPs). These blood vessels are essential to produce a viable autologous DIEP flap, and the analysis of characteristics such as their location, diameter and course is essential to ensure the success of surgeries. This analysis is made by a team of radiology technicians and then validated by a surgeon, making it a complex process that can take up to 2 hours. The proposed algorithm called Assisted Vascular Analysis (AVA) was developed to ensure a faster alternative to the conventional methods, using automation to identify structures of interest such as the skin, umbilicus and fascia, while also requiring minimum input from the user to segment each DIEP (2 points for the subcutaneous portion and 2 for the intramuscular portion). The AVA feasibility tests where conducted using 6 Computed Tomography Angiographies (CTAs), with a total of 28 DIEP calibers obtained during surgery (ground truths) from patients that underwent breast reconstruction with a DIEP flap. The algorithm was evaluated for its capability to segment the DIEPs and measure their caliber, comparing the results with the ground truth calibers and the manual mapping done by the radiology technicians. The Root Mean Square Error (RMSE) metric shows that the calibers obtained by the AVA algorithm (0.57 millimeters) and the radiology technicians (0.46 millimeters) are very similar, with the radiology technicians gaining a smaller edge of 0.11 millimeters. These results are very promising, since the errors are inferior to the average image resolution (0.88 millimeters). It was also demonstrated that the AVA algorithm is a faster alternative to manual segmentation, taking around 10 minutes to fully analyze each CTA, while the radiology technicians takes around 1 hour to do the DIEP mapping and caliber measurements. In conclusion, AVA is a validated algorithm to segment DIEP vessels and a faster alternative compared with conventional methods. © 2025 IEEE.

Abstract

Abstract
Advancements in the care for patients with breast cancer have demanded the development of biomechanical breast models for the planning and risk mitigation of such invasive surgical procedures. However, these approaches require large amounts of high-quality magnetic resonance imaging (MRI) training data that is of difficult acquisition and availability. Although this can be solved using synthetic data, generating high resolution images comes at the price of very high computational constraints and tipically low performances. On the other hand, producing lower resolution samples yields better results and efficiency but falls short of meeting health professional standards. Therefore, this work aims to validate a joint approach between lower resolution generative models and the proposed super-resolution architecture, titled Shifted Window Image Restoration (SWinIR), which was used to achieve a 4x increase in image size of breast cancer patient MRI samples. Results prove to be promising and to further expand upon the super-resolution state-of-the-art, achieving good maximum peak signal-to-noise ratio of 41.36 and structural similarity index values of 0.962 and thus beating traditional methods and other machine learning architectures.

Abstract
Stroke often leads to severe motor impairment, especially in the upper limbs, greatly reducing a patient's ability to perform daily tasks. Effective rehabilitation is essential to restore function and improve quality of life. Traditional therapies, while useful, may lack engagement, leading to low motivation and poor adherence. Gamification-using game-like elements in non-game contexts-offers a promising way to make rehabilitation more engaging. The authors explore a gamified rehabilitation system designed in Unity 3D using a Kinect V2 camera. The game includes key features such as adjustable difficulty, real-time and predominantly positive feedback, user friendliness, and data tracking for progress. The evaluations were conducted with 18 healthy participants, most of whom had prior virtual reality experience. About 77% found the application highly motivating. While the gameplay was well received, the visual design was noted as lacking engagement. Importantly, all users agreed that the game offers a broad range of difficulty levels, making it accessible to various users. The results suggest that the system has strong potential to improve rehabilitation outcomes and encourage long-term use through enhanced motivation and interactivity.

Abstract
Stroke, a vascular disorder affecting the nervous system, is the third-leading cause of death and disability combined worldwide. One in every four people aged 25 and older will face the consequences of this condition, which typically causes loss of limb function, among other disabilities. The proposed review analyzes the mechanisms of stroke and their influence on the disease outcome, highlighting the critical role of rehabilitation in promoting recovery of the upper limb (UL) and enhancing the quality of life of stroke survivors. Common outcome measures and the specific targeted UL features are described, along with emerging supplementary therapies found in the literature. Stroke survivors often develop compensatory strategies to cope with limitations in UL function, which must be detected and corrected during rehabilitation to facilitate long-term recovery. Recent research on the automated detection of compensatory movements has explored pressure, wearable, marker-based motion capture systems, and vision sensors. Although current approaches have certain limitations, they establish a strong foundation for future innovations in post-stroke UL rehabilitation, promoting a more effective recovery.

Abstract
Deep Inferior Epigastric Perforator (DIEP) flap breast reconstruction relies on the precise identification of perforator vessels supplying blood to transferred tissue. Traditional manual mapping from preoperative imaging is timeconsuming and subjective. To address this, AVA, a semi-automated perforator detection algorithm, was developed to analyze angiography images. AVA follows a three-step process: automated anatomical segmentation, manual annotation of perforators, and segmentation of perforator courses. This approach enhances accuracy, reduces subjectivity, and accelerates the mapping process while generating quantitative reports for surgical planning. To streamline integration into clinical workflows, AVA has been embedded into PACScenter, a medical imaging platform, leveraging DICOM encapsulation for seamless data exchange within a Vendor Neutral Archive (VNA). This integration allows surgeons to interactively annotate perforators, adjust parameters iteratively, and visualize detailed anatomical structures. AVA-PACScenter integration eliminates workflow disruptions by providing real-time perforator analysis within the surgical environment, ultimately improving preoperative planning and intraoperative guidance. Currently undergoing clinical feasibility testing, this integration aims to enhance DIEP flap reconstruction efficiency by reducing manual inputs, improving mapping precision, and facilitating long-term report storage within Dicoogle. By automating perforator analysis, AVA represents a significant advancement toward data-driven, patient-centered surgical planning.