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    Evaluation of Maxillary Sinus Membrane Morphology Using a Novel Hybrid CNN-ViT-Based Deep Learning Model: An Automated Classification Study
    (Mdpi, 2026) Duger, Nurullah; Talo, Furkan; Tekin, Gulucag Giray; Dagtekin, Burak; Karaduman, Mucahit; Yildirim, Muhammed; Yildirim, Tuba Talo
    Objectives: This study aimed to develop and validate a hybrid deep learning model combining Convolutional Neural Networks (CNN) and Vision Transformers (ViT) to automatically classify maxillary sinus membrane morphologies on Cone-Beam Computed Tomography (CBCT) images, distinguishing between Normal, Flat, Polypoid, and Obstruction types. Methods: A dataset of 959 CBCT images was collected and categorized into four morphological classes: Normal, Flat, Polypoid and Obstruction. A custom hybrid model was developed, integrating a lightweight residual CNN for local feature extraction, learnable weighted feature fusion with a bidirectional feature pyramid network and a Transformer encoder for global context modeling. The performance of proposed model was compared against six different architectures, including ResNet50, MobileNetV3L and standard ViT models, using accuracy, precision, recall and F1-score metrics. Results: The proposed hybrid model achieved the highest overall accuracy of 98.44%, outperforming six strong CNN and ViT models including ResNet50 (97.92%) and ViT-B16 (86.46%) models. In class-wise analysis, the model demonstrated superior diagnostic capability, particularly for the Obstruction class, achieving 100% accuracy. High discrimination was also observed for Flat (98.21%) and Polypoid (98.04%) morphologies, confirming the model's sensitivity to shape-based features. Conclusions: The proposed hybrid CNN-ViT model successfully classifies maxillary sinus membrane morphologies with high accuracy, effectively overcoming the limitations of standard ViT models on limited datasets. Detection of membrane morphology is vital for predicting surgical risks like membrane perforation and post-operative sinusitis. This model serves as a reliable clinical decision support tool, enabling clinicians to objectively assess specific risk factors before implant surgery and sinus floor elevation.
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    MidFusionEfficientV2: Improving Ophthalmic Diagnosis with Mid-Level RGB-LBP Fusion and SE Attention
    (Mdpi, 2026) Keles, Julide Kurt; Kiziloluk, Soner; Sert, Eser; Talo, Furkan; Yildirim, Muhammed
    Background/Objectives: Early diagnosis of eye diseases is critically important for enhancing individuals' quality of life and reducing the risk of vision loss. In this study, a deep learning-based hybrid model called MidFusionEfficientV2 has been proposed to classify eye diseases, including uveitis, conjunctivitis, cataract, eyelid drooping, and normal conditions. Methods: The model presents a dual-branch architecture that combines an RGB image branch with an EfficientNetV2-S architecture and a specialized texture branch based on Local Binary Pattern (LBP) transformation at an intermediate level. Thanks to the Squeeze-and-Excitation (SE) blocks integrated into the LBP branch, channel-based attention mechanisms have been activated, enhancing the prominence of textural features. The features obtained from the RGB and LBP branches were combined at an intermediate level and transferred to the classification stage. Results: Experimental studies on the five-class eye disease dataset from the Mendeley Data platform have shown that the proposed model outperformed six strong models (ResNetV2, ConvNeXt, DenseNet-121, EfficientNet-B1, MobileNetV3 Large, and EfficientNetV2-S) with an accuracy of 98%. Especially in the difficult-to-diagnose uveitis class, recall and F1 scores of 97% and 94%, respectively, were achieved. Conclusions: The results show that a moderate combination of color and texture features significantly improves classification performance, and that MidFusionEfficientV2 offers a reliable and effective solution for the automatic diagnosis of eye diseases.