Abstract
Accurate retrieval of post-surgical images plays a critical role in surgical planning for breast cancer patients. However, current content-based image retrieval methods face challenges related to limited interpretability, poor robustness to image noise, and reduced generalization across clinical settings. To address these limitations, we propose a multistage retrieval pipeline integrating saliency-based explainability, noise-reducing image pre-processing, and ensemble learning. Evaluated on a dataset of post-operative breast cancer patient images, our approach achieves contrastive accuracy of 77.67% for Excellent/Good and 84.98% for Fair/Poor outcomes, surpassing prior studies by 8.37% and 11.80%, respectively. Explainability analysis provided essential insight by showing that feature extractors often attend to irrelevant regions, thereby motivating targeted input refinement. Ablations show that expanded bounding box inputs improve performance over original images, with gains of 0.78% and 0.65% contrastive accuracy for Excellent/Good and Fair/Poor, respectively. In contrast, the use of segmented images leads to a performance drop (1.33% and 1.65%) due to the loss of contextual cues. Furthermore, ensemble learning yielded additional gains of 0.89% and 3.60% over the best-performing single-model baselines. These findings underscore the importance of targeted input refinement and ensemble integration for robust and generalizable image retrieval systems. © 2025 Elsevier B.V., All rights reserved.

Abstract
Breast segmentation has a critical role for objective pre and postoperative aesthetic evaluation but challenged by limited data (privacy concerns), class imbalance, and anatomical variability. As a response to the noted obstacles, we introduce an encoder–decoder framework with a Segment Anything Model (SAM) backbone, enhanced with synthetic depth maps and a multiterm loss combining weighted crossentropy, convexity, and depth alignment constraints. Evaluated on a 120patient dataset split into 70% training, 10% validation, and 20% testing, our approach achieves a balanced test dice score of 98.75%—a 4.5% improvement over prior methods—with dice of 95.5% (breast) and 89.2% (nipple). Ablations show depth injection reduces noise and focuses on anatomical regions, yielding dice gains of 0.47% (body) and 1.04% (breast). Geometric alignment increases convexity by almost 3% up to 99.86%, enhancing geometric plausibility of the nipple masks. Lastly, crossdataset evaluation on CINDERELLA samples demonstrates robust generalization, with small performance gain primarily attributable to differences in annotation styles. © 2025 Elsevier B.V., All rights reserved.

Abstract
Diabetic retinopathy (DR) is a leading cause of vision loss in working-age adults. While screening reduces the risk of blindness, traditional imaging is often costly and inaccessible. Artificial intelligence (AI) algorithms present a scalable diagnostic solution, but concerns regarding fairness and generalization persist. This work evaluates the fairness and performance of image-trained models in DR prediction, as well as the impact of disentanglement as a bias mitigation technique, using the diverse mBRSET fundus dataset. Three models, ConvNeXt V2, DINOv2, and Swin V2, were trained on macula images to predict DR and sensitive attributes (SAs) (e.g., age and gender/sex). Fairness was assessed between subgroups of SAs, and disentanglement was applied to reduce bias. All models achieved high DR prediction performance in diagnosing (up to 94% AUROC) and could reasonably predict age and gender/sex (91% and 77% AUROC, respectively). Fairness assessment suggests disparities, such as a 10% AUROC gap between age groups in DINOv2. Disentangling SAs from DR prediction had varying results, depending on the model selected. Disentanglement improved DINOv2 performance (2% AUROC gain), but led to performance drops in ConvNeXt V2 and Swin V2 (7% and 3%, respectively). These findings highlight the complexity of disentangling fine-grained features in fundus imaging and emphasize the importance of fairness in medical imaging AI to ensure equitable and reliable healthcare solutions. © 2025 Elsevier B.V., All rights reserved.

Abstract
The rapid advancement of wireless technologies, particularly Wi-Fi, has spurred significant research into indoor human activity detection across various domains (e.g., healthcare, security, and industry). This work explores the non-invasive and cost-effective Wi-Fi paradigm and the application of deep learning for human activity recognition using Wi-Fi signals. Focusing on the challenges in machine interpretability, motivated by the increase in data availability and computational power, this paper uses explainable artificial intelligence to understand the inner workings of transformer-based deep neural networks designed to estimate human pose (i.e., human skeleton key points) from Wi-Fi channel state information. Using different strategies to assess the most relevant sub-carriers (i.e., rollout attention and masking attention) for the model predictions, we evaluate the performance of the model when it uses a given number of sub-carriers as input, selected randomly or by ascending (high-attention) or descending (low-attention) order. We concluded that the models trained with fewer (but relevant) sub-carriers are competitive with the baseline (trained with all sub-carriers) but better in terms of computational efficiency (i.e., processing more data per second).

Abstract
Cancer is a leading cause of mortality worldwide, with breast and lung cancer being the most prevalent globally. Early and accurate diagnosis is crucial for successful treatment, and medical imaging techniques play a pivotal role in achieving this. This paper proposes a novel pipeline that leverages generative artificial intelligence to enhance medical images by combining synthetic image generation and super-resolution techniques. The framework is validated in two medical use cases (breast and lung cancers), demonstrating its potential to improve the quality and quantity of medical imaging data, ultimately contributing to more precise and effective cancer diagnosis and treatment. Overall, although some limitations do exist, this paper achieved satisfactory results for an image size which is conductive to specialist analysis, and further expands upon this field's capabilities.

Abstract
Face recognition technology, despite its advancements and increasing accuracy, still presents significant challenges in explainability and ethical concerns, especially when applied in sensitive domains such as surveillance, law enforcement, and access control. The opaque nature of deep learning models jeopardises transparency, bias, and user trust. Concurrently, the proliferation of web applications presents a unique opportunity to develop accessible and interactive tools for demonstrating and analysing these complex systems. These tools can facilitate model decision exploration with various images, aiding in bias mitigation or enhancing users' trust by allowing them to see the model in action and understand its reasoning. We propose an explainable face recognition web application designed to support enrolment, identification, authentication, and verification while providing visual explanations through pixel-wise importance maps to clarify the model's decision-making process. The system is built in compliance with the European Union General Data Protection Regulation, ensuring data privacy and user control over personal information. The application is also designed for scalability, capable of efficiently managing large datasets. Load tests conducted on databases containing up to 1,000,000 images confirm its efficiency. This scalability ensures robust performance and a seamless user experience even with database growth.