BACKGROUND: Allergic rhinitis constitutes a widespread health concern, with traditional treatments often proving to be painful and ineffective. Acupuncture targeting the pterygopalatine fossa proves effective but is complicated due to the intricate nearby anatomy.
METHODS: To enhance the safety and precision in targeting the pterygopalatine fossa, we introduce a deep learning-based model to refine the segmentation of the pterygopalatine fossa. Our model expands the U-Net framework with DenseASPP and integrates an attention mechanism for enhanced precision in the localisation and segmentation of the pterygopalatine fossa.
RESULTS: The model achieves Dice Similarity Coefficient of 93.89% and 95% Hausdorff Distance of 2.53 mm with significant precision. Remarkably, it only uses 1.98 M parameters.
CONCLUSIONS: Our deep learning approach yields significant advancements in localising and segmenting the pterygopalatine fossa, providing a reliable basis for guiding pterygopalatine fossa-assisted punctures.

Accurate plant leaf image segmentation provides an effective basis for automatic leaf area estimation, species identification, and plant disease and pest monitoring. In this paper, based on our previous publicly available leaf dataset, an approach that fuses YOLOv8 and improved DeepLabv3+ is proposed for precise image segmentation of individual leaves. First, the leaf object detection algorithm-based YOLOv8 was introduced to reduce the interference of backgrounds on the second stage leaf segmentation task. Then, an improved DeepLabv3+ leaf segmentation method was proposed to more efficiently capture bar leaves and slender petioles. Densely connected atrous spatial pyramid pooling (DenseASPP) was used to replace the ASPP module, and the strip pooling (SP) strategy was simultaneously inserted, which enabled the backbone network to effectively capture long distance dependencies. The experimental results show that our proposed method, which combines YOLOv8 and the improved DeepLabv3+, achieves a 90.8% mean intersection over the union (mIoU) value for leaf segmentation on our public leaf dataset. When compared with the fully convolutional neural network (FCN), lite-reduced atrous spatial pyramid pooling (LR-ASPP), pyramid scene parsing network (PSPnet), U-Net, DeepLabv3, and DeepLabv3+, the proposed method improves the mIoU of leaves by 8.2, 8.4, 3.7, 4.6, 4.4, and 2.5 percentage points, respectively. Experimental results show that the performance of our method is significantly improved compared with the classical segmentation methods. The proposed method can thus effectively support the development of smart agroforestry.

OBJECTIVE: In cranio-maxillofacial surgery, it is of great clinical significance to segment mandible accurately and automatically from CT images. However, the connected region and blurred boundary in teeth and condyles make the process challenging. At present, the mandible is commonly segmented by experienced doctors using manually or semi-automatic methods, which is time-consuming and has poor segmentation consistency. In addition, existing automatic segmentation methods still have problems such as region misjudgment, low accuracy, and time-consuming.
METHODS: For these issues, an automatic mandibular segmentation method using 3d fully convolutional neural network based on densely connected atrous spatial pyramid pooling (DenseASPP) and attention gates (AG) was proposed in this paper. Firstly, the DenseASPP module was added to the network for extracting dense features at multiple scales. Thereafter, the AG module was applied in each skip connection to diminish irrelevant background information and make the network focus on segmentation regions. Finally, a loss function combining dice coefficient and focal loss was used to solve the imbalance among sample categories.
RESULTS: Test results showed that the proposed network obtained a relatively good segmentation result, with a Dice score of 97.588 ± 0.425%, Intersection over Union of 95.293 ± 0.812%, sensitivity of 96.252 ± 1.106%, average surface distance of 0.065 ± 0.020 mm and 95% Hausdorff distance of 0.491 ± 0.021 mm in segmentation accuracy. The comparison with other segmentation networks showed that our network not only had a relatively high segmentation accuracy but also effectively reduced the network\'s misjudgment. Meantime, the surface distance error also showed that our segmentation results were relatively close to the ground truth.
CONCLUSIONS: The proposed network has better segmentation performance and realizes accurate and automatic segmentation of the mandible. Furthermore, its segmentation time is 50.43 s for one CT scan, which greatly improves the doctor\'s work efficiency. It will have practical significance in cranio-maxillofacial surgery in the future.