International benchmarking competitions have become fundamental for the comparative performance assessment of image analysis methods. However, little attention has been given to investigating what can be learnt from these competitions. Do they really generate scientific progress? What are common and successful participation strategies? What makes a solution superior to a competing method? To address this gap in the literature, we performed a multi-center study with all 80 competitions that were conducted in the scope of IEEE ISBI 2021 and MICCAI 2021. Statistical analyses performed based on comprehensive descriptions of the submitted algorithms linked to their rank as well as the underlying participation strategies revealed common characteristics of winning solutions. These typically include the use of multi-task learning (63%) and/or multi-stage pipelines (61%), and a focus on augmentation (100%), image preprocessing (97%), data curation (79%), and postprocessing (66%). The "typical" lead of a winning team is a computer scientist with a doctoral degree, five years of experience in biomedical image analysis, and four years of experience in deep learning. Two core general development strategies stood out for highly-ranked teams: the reflection of the metrics in the method design and the focus on analyzing and handling failure cases. According to the organizers, 43% of the winning algorithms exceeded the state of the art but only 11% completely solved the respective domain problem. The insights of our study could help researchers (1) improve algorithm development strategies when approaching new problems, and (2) focus on open research questions revealed by this work.

Tabular data synthesis has received wide attention in the literature. This is because available data is often limited, incomplete, or cannot be obtained easily, and data privacy is becoming increasingly important. In this work, we present a generalized GAN framework for tabular synthesis, which combines the adversarial training of GANs and the negative log-density regularization of invertible neural networks. The proposed framework can be used for two distinctive objectives. First, we can further improve the synthesis quality, by decreasing the negative log-density of real records in the process of adversarial training. On the other hand, by increasing the negative log-density of real records, realistic fake records can be synthesized in a way that they are not too much close to real records and reduce the chance of potential information leakage. We conduct experiments with real-world datasets for classification, regression, and privacy attacks. In general, the proposed method demonstrates the best synthesis quality (in terms of task-oriented evaluation metrics, e.g., F1) when decreasing the negative log-density during the adversarial training. If increasing the negative log-density, our experimental results show that the distance between real and fake records increases, enhancing robustness against privacy attacks.