Publications by Federico Bolelli

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Ontology-Grounded Structured Prediction for Dental CBCT Reporting

Authors: Lumetti, Luca; Di Bartolomeo, Mattia; Pellacani, Arrigo; Anesi, Alex; Grana, Costantino; Bolelli, Federico

We present a dataset and baseline for ontology-grounded structured prediction from dental Cone-Beam Computed Tomography (CBCT) volumes. Building on the … (Read full abstract)

We present a dataset and baseline for ontology-grounded structured prediction from dental Cone-Beam Computed Tomography (CBCT) volumes. Building on the public ToothFairy3 benchmark (532 volumes with expert-level segmentations), we contribute (i) a total of 893 free-text clinical reports for 529 publicly available CBCT volumes, (ii) their conversion into validated RDF/Turtle (Resource Description Framework) instances aligned with a clinician-designed OWL (Web Ontology Language) ontology spanning 13 finding types and multiple qualifier axes, and (iii) a strong baseline demonstrating the effectiveness of our setup and establishing a foundation for future work. We formulate CBCT reporting as a three-stage structured prediction problem—i.e., finding detection, anatomical slot allocation, and property prediction—and introduce a hierarchical evaluation suite of six clinically interpretable metrics that decouple detection, localization, and characterization. A baseline model using frozen multi-scale VoxTell features, a structure-indexed encoder, and ontology-driven prediction heads achieves strong results under 5-fold cross-validation, with stage-decoupled analysis identifying presence detection as the primary deployment bottleneck. Dataset, ontology, and code are publicly released: https://github.com/AImageLab-zip/CBCT-Report

2026 Relazione in Atti di Convegno

PathoClass-BRCA: Reframing Pathology Report Generation as Guideline-Aligned Multi-Task Classification

Authors: Saporita, Alessia; Pipoli, Vittorio; Bolelli, Federico; Acquaviva, Andrea; Ficarra, Elisa

Histopathology is the gold standard for cancer diagnosis, and pathology reports directly inform treatment decisions. Although recent deep learning approaches … (Read full abstract)

Histopathology is the gold standard for cancer diagnosis, and pathology reports directly inform treatment decisions. Although recent deep learning approaches aim to automate report generation from whole-slide images, most methods inherit training objectives and evaluation protocols from image captioning, adopting token-level losses and n-gram metrics that prioritize lexical similarity over diagnostic correctness. To address these limitations, we reformulate pathology report generation as a guideline-aligned multi-task classification problem. Our approach predicts clinically relevant pathological features defined by the International Collaboration on Cancer Reporting guidelines, thereby enabling structured and diagnostically meaningful automated reporting. Our contributions are threefold: i) we introduce PATHOCLASS-BRCA, the first breast cancer benchmark that reframes pathology report generation as guideline-aligned multi-task classification of clinically relevant pathological features; ii) we propose a pathological feature-level semantic evaluation protocol that maps free-text reports to guideline-defined pathological labels, enabling clinically meaningful evaluation of conventional report generation models using classification metrics; and iii) we demonstrate that classification-oriented adaptation of report generation backbones significantly improves the recognition of clinically meaningful histopathological features. The source code and dataset are publicly released at https://github.com/AImageLab-zip/PathoClassBRCA.

2026 Relazione in Atti di Convegno

ReportX: The BraTS Clinical Report Dataset

Authors: Marchesini, Kevin; Carpentiero, Omar; Del Gaudio, Livia; Farioli, Francesco; Cucchiara, Rita; Grana, Costantino; Cuculo, Vittorio; Bolelli, Federico

Large-scale benchmarks such as BraTS have driven progress in brain tumor segmentation, but they provide only masks with limited access … (Read full abstract)

Large-scale benchmarks such as BraTS have driven progress in brain tumor segmentation, but they provide only masks with limited access to the clinical semantics found in radiology reports. We introduce ReportX, a paired resource of 257 clinical reports aligned to BraTS-GLI-2023 subjects, structured into a rich set of qualitative and quantitative attributes. Qualitative fields are curated by clinicians, while quantitative descriptors are automatically derived via atlas-based localization and geometric computations. We compare our annotation schema to existing report-augmented datasets and show that ReportX provides substantially broader coverage of clinically relevant factors. To exploit this supervision, we encode reports using biomedical language models and incorporate their embeddings as auxiliary semantic guidance for 3D tumor segmentation during training. Experimental results demonstrate that the proposed vision-text alignment improves segmentation performance on standard BraTS metrics, with clinically curated reports providing more consistent improvements than automatically generated or less-structured counterparts. We publicly release the dataset (https://ditto.ing.unimore.it/reportx) and the source code (https://github.com/AImageLab-zip/ReportX).

2026 Relazione in Atti di Convegno

The paper has a GitHub, the GitHub has a README, the README has nothing: Reproducibility Signals for Review Support

Authors: Bolelli, Federico; Santoli, Davide; Marchesini, Kevin; Lumetti, Luca; Grana, Costantino

Reproducibility policies promise "checkable" medical-imaging science, yet many submissions still ship unverifiable artifacts. Our analysis of 3722 MICCAI papers shows … (Read full abstract)

Reproducibility policies promise "checkable" medical-imaging science, yet many submissions still ship unverifiable artifacts. Our analysis of 3722 MICCAI papers shows code-linking rising from 51.8% (2021) to 72.5% (2025), but ~13% of linked repositories are inaccessible or empty. We present paper-snitch, a reviewer-facing decision-support tool that turns these signals into an evidence-grounded report. Paper-snitch parses PDFs, resolves and sanity-checks repositories, and applies policy-aware checklists aligned with MICCAI expectations, producing a review-time verifiability score decomposed into interpretable sub-scores plus criterion-linked excerpts and artifacts reviewers can inspect. It never executes untrusted code or attempts GPU-heavy reproduction, focusing instead on bounded, verifiable checks. We compare paper-snitch on 100 randomly sampled MICCAI 2025 papers with human annotators using shared evaluation criteria, indicating that automated, bounded checks can scale reproducibility screening while keeping final decisions with reviewers.

2026 Relazione in Atti di Convegno

ToothFairy3: Scaling CBCT Maxillofacial Segmentation to 77 Classes with U-Mamba2

Authors: Lumetti, Luca; Tan, Zhi Qin; Borghi, Lorenzo; Van Nistelrooij, Niels; Rosati, Gabriele; Addison, Owen; Li, Yupeng; Vinayahalingam, Shankeeth; Grana, Costantino; Bolelli, Federico

Accurate delineation of maxillofacial anatomy in Cone-Beam Computed Tomography (CBCT) is essential for dental planning, but robust automated segmentation remains … (Read full abstract)

Accurate delineation of maxillofacial anatomy in Cone-Beam Computed Tomography (CBCT) is essential for dental planning, but robust automated segmentation remains challenging, due to limited public multi-structure datasets and the high computational burden of 3D deep learning models. We present and release ToothFairy3, a large-scale CBCT benchmark that extends ToothFairy2 with 102 additional fully annotated scans and an expanded taxonomy covering 77 classes, including 32 tooth-specific pulp cavities and small neurovascular structures. ToothFairy3 comprises 582 volumes (over 40000 annotated objects), with 532 released with voxel-level labels and 50 held out for leakage-free, server-side evaluation. We also introduce U-Mamba2, an efficient U-Net-style architecture that inserts a Mamba2 state-space block at the bottleneck to capture global context with favorable computational scaling. Our proposed domain-informed training further improves the learning of maxillofacial anatomies. Across CNN, Transformer, and Mamba baselines, U-Mamba2 achieves competitive Dice/HD95 scores with lower latency and, compared with training on state-of-the-art public CBCT datasets, ToothFairy3-trained models generalize best to the hidden test set, particularly for maxillary structures.

2026 Relazione in Atti di Convegno

ToothSeg: Robust Tooth Instance Segmentation and Numbering in CBCT using Deep Learning and Self-Correction

Authors: Van Nistelrooij, Niels; Krämer, Lars; Kempers, Steven; Beyer, Michel; Bolelli, Federico; Xi, Tong; Bergé, Stefaan; Heil, ; Max, ; Maier-Hein, Klaus H.; Vinayahalingam, Shankeeth; Isensee, Fabian

Published in: IEEE JOURNAL OF BIOMEDICAL AND HEALTH INFORMATICS

2026 Articolo su rivista

Unsupervised Source-Free Ranking of Biomedical Segmentation Models Under Distribution Shift

Authors: Talks, Joshua; Marchesini, Kevin; Lumetti, Luca; Bolelli, Federico; Kreshuk, Anna

Model reuse offers a solution to the challenges of segmentation in biomedical imaging, where high data annotation costs remain a … (Read full abstract)

Model reuse offers a solution to the challenges of segmentation in biomedical imaging, where high data annotation costs remain a major bottleneck for deep learning. However, although many pre-trained models are released through challenges, model zoos, and repositories, selecting the most suitable model for a new dataset remains difficult due to the lack of reliable model ranking methods. We introduce the first black-box-compatible framework for unsupervised and source-free ranking of semantic and instance segmentation models based on the consistency of predictions under perturbations. While ranking methods have been studied for classification and a few segmentation-related approaches exist, most target-related tasks such as transferability estimation or model validation and typically rely on labelled data, feature-space access, or specific training assumptions. In contrast, our method directly addresses the repository setting and applies to both semantic and instance segmentation, for zero-shot reuse or after unsupervised domain adaptation. We evaluate the approach across a wide range of biomedical segmentation tasks in both 2D and 3D imaging, showing that our estimated rankings strongly correlate with true target-domain model performance rankings. Code is available on GitHub: https://github.com/kreshuklab/model_ranking.

2026 Relazione in Atti di Convegno

A Deep-Learning-Based Method for Real-Time Barcode Segmentation on Edge CPUs

Authors: Vezzali, Enrico; Vorabbi, Lorenzo; Grana, Costantino; Bolelli, Federico

Barcodes are a critical technology in industrial automation, logistics, and retail, enabling fast and reliable data capture. While deep learning … (Read full abstract)

Barcodes are a critical technology in industrial automation, logistics, and retail, enabling fast and reliable data capture. While deep learning has significantly improved barcode localization accuracy, most modern architectures remain too computationally demanding for real-time deployment on embedded systems without dedicated hardware acceleration. In this work, we present BaFaLo (Barcode Fast Localizer), an ultra-lightweight segmentation-based neural network for barcode localization. Our model is specifically optimized for real-time performance on low-power CPUs while maintaining high localization accuracy for both 1D and 2D barcodes. It features a two-branch architecture—comprising a local feature extractor and a global context module—and is tailored for low-resolution inputs to improve inference speed further. We benchmark BaFaLo against several lightweight architectures for object detection or segmentation, including YOLO Nano, Fast-SCNN, BiSeNet V2, and ContextNet, using the BarBeR dataset. BaFaLo achieves the fastest inference time among all deep-learning models tested, operating at 57.62ms per frame on a single CPU core of a Raspberry Pi 3B+. Despite its compact design, it achieves a decoding rate nearly equivalent to YOLO Nano for 1D barcodes and only 3.5 percentage points lower for 2D barcodes while being approximately nine times faster.

2025 Relazione in Atti di Convegno

Accurate 3D Medical Image Segmentation with Mambas

Authors: Lumetti, Luca; Pipoli, Vittorio; Marchesini, Kevin; Ficarra, Elisa; Grana, Costantino; Bolelli, Federico

Published in: PROCEEDINGS INTERNATIONAL SYMPOSIUM ON BIOMEDICAL IMAGING

CNNs and Transformer-based architectures are recently dominating the field of 3D medical segmentation. While CNNs face limitations in the local … (Read full abstract)

CNNs and Transformer-based architectures are recently dominating the field of 3D medical segmentation. While CNNs face limitations in the local receptive field, Transformers require significant memory and data, making them less suitable for analyzing large 3D medical volumes. Consequently, fully convolutional network models like U-Net are still leading the 3D segmentation scenario. Although efforts have been made to reduce the Transformers computational complexity, such optimized models still struggle with content-based reasoning. This paper examines Mamba, a Recurrent Neural Network (RNN) based on State Space Models (SSMs), which achieves linear complexity and has outperformed Transformers in long-sequence tasks. Specifically, we assess Mamba’s performance in 3D medical segmentation using three widely recognized and commonly employed datasets and propose architectural enhancements to improve its segmentation effectiveness by mitigating the primary shortcomings of existing Mamba-based solutions.

2025 Relazione in Atti di Convegno

BarBeR - Barcode Benchmark Repository: Implementation and Reproducibility Notes

Authors: Vezzali, Enrico; Bolelli, Federico; Santi, Stefano; Grana, Costantino

This paper provides a detailed description of how to install, set up, and use "BarBeR" (Barcode Benchmark Repository) to reproduce … (Read full abstract)

This paper provides a detailed description of how to install, set up, and use "BarBeR" (Barcode Benchmark Repository) to reproduce the results presented in the ICPR 2024 paper "BarBeR: A Barcode Benchmarking Repository". The paper details the tests available in the repository and how the configuration parameters affect and influence experimental results.

2025 Relazione in Atti di Convegno

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