AUTHOR=Manavar Neevkumar , Meyer Hanno Gerd , Waßmuth Joachim , Hammer Barbara , Schneider Axel TITLE=ATTNFNET: feature aware depth-to-pressure translation with cGAN training JOURNAL=Frontiers in Medical Technology VOLUME=Volume 7 - 2025 YEAR=2025 URL=https://www.frontiersin.org/journals/medical-technology/articles/10.3389/fmedt.2025.1621922 DOI=10.3389/fmedt.2025.1621922 ISSN=2673-3129 ABSTRACT=Excessive pressure and shear forces on bedridden patients can lead to pressure injuries, particularly on those with existing ulcers. Monitoring pressure distribution is crucial for preventing such injuries by identifying high-risk areas. To address this challenge, we propose Attention Feature Network (AttnFnet), a self-attention-based deep neural network that generates pressure distribution maps from single-depth images using Conditional Generative Adversarial Network (cGAN) training. We introduce a mixed-domain SSIML2 loss function, combining structural similarity and pixel-level accuracy, along with adversarial loss, to enhance the prediction of pressure distributions for subjects lying in a bed. Evaluation results from the benchmark dataset demonstrate that the AttnFnet outperforms existing methods in terms of Structural Similarity Index Measure (SSIM) and quality analysis, providing accurate pressure distribution estimation from a single depth image.