ABSTRACT Chest diseases rank among the most prevalent and dangerous global health issues. Object detection and phrase groundin g deep learning models interpret complex radiology data to as - sist healthcare professionals in diagnosis. Object detect ion locates abnormalities for classes, while phrase grounding locates abnormalities for textual descriptions. This paper i nves-tigates how text enhances abnormality localization in ches t X-rays by comparing the performance and explainability of these two tasks. To establish an explainability benchmark, we proposed an automatic pipeline to generate image regions for report sentences using radiologists' eye-tracking dat a Index T erms -- Multi-Modal Learning, Localization, Eye-tracking Data, Data Generation, XAI 1. INTRODUCTION Since the emergence of deep neural networks (DNN), they have been applied to various medical domains and applications.

Transformers, originally prominent in NLP and computer vision, are now being adapted for ECG signal analysis. This paper introduces a novel hierarchical transformer architecture that segments the model into multiple stages by assessing the spatial size of the embeddings, thus eliminating the need for additional downsampling strategies or complex attention designs. A classification token aggregates information across feature scales, facilitating interactions between different stages of the transformer. By utilizing depth-wise convolutions in a six-layer convolutional encoder, our approach preserves the relationships between different ECG leads. Moreover, an attention gate mechanism learns associations among the leads prior to classification. This model adapts flexibly to various embedding networks and input sizes while enhancing the interpretability of transformers in ECG signal analysis.

Latent Diffusion Models (LDMs) can generate high-fidelity images from noise, offering a promising approach for augmenting histopathology images for training cancer grading models. While previous works successfully generated high-fidelity histopathology images using LDMs, the generation of image tiles to improve prostate cancer grading has not yet been explored. Additionally, LDMs face challenges in accurately generating admixtures of multiple cancer grades in a tile when conditioned by a tile mask. In this study, we train specific LDMs to generate synthetic tiles that contain multiple Gleason Grades (GGs) by leveraging pixel-wise annotations in input tiles. We introduce a novel framework named Self-Distillation from Separated Conditions (DISC) that generates GG patterns guided by GG masks. Finally, we deploy a training framework for pixel-level and slide-level prostate cancer grading, where synthetic tiles are effectively utilized to improve the cancer grading performance of existing models. As a result, this work surpasses previous works in two domains: 1) our LDMs enhanced with DISC produce more accurate tiles in terms of GG patterns, and 2) our training scheme, incorporating synthetic data, significantly improves the generalization of the baseline model for prostate cancer grading, particularly in challenging cases of rare GG5, demonstrating the potential of generative models to enhance cancer grading when data is limited.

The Frozen Section (FS) technique is a rapid and efficient method, taking only 15-30 minutes to prepare slides for pathologists' evaluation during surgery, enabling immediate decisions on further surgical interventions. However, FS process often introduces artifacts and distortions like folds and ice-crystal effects. In contrast, these artifacts and distortions are absent in the higher-quality formalin-fixed paraffin-embedded (FFPE) slides, which require 2-3 days to prepare. While Generative Adversarial Network (GAN)-based methods have been used to translate FS to FFPE images (F2F), they may leave morphological inaccuracies with remaining FS artifacts or introduce new artifacts, reducing the quality of these translations for clinical assessments. In this study, we benchmark recent generative models, focusing on GANs and Latent Diffusion Models (LDMs), to overcome these limitations. We introduce a novel approach that combines LDMs with Histopathology Pre-Trained Embeddings to enhance restoration of FS images. Our framework leverages LDMs conditioned by both text and pre-trained embeddings to learn meaningful features of FS and FFPE histopathology images. Through diffusion and denoising techniques, our approach not only preserves essential diagnostic attributes like color staining and tissue morphology but also proposes an embedding translation mechanism to better predict the targeted FFPE representation of input FS images. As a result, this work achieves a significant improvement in classification performance, with the Area Under the Curve rising from 81.99% to 94.64%, accompanied by an advantageous CaseFD. This work establishes a new benchmark for FS to FFPE image translation quality, promising enhanced reliability and accuracy in histopathology FS image analysis. Our work is available at https://minhmanho.github.io/f2f_ldm/.

Adversarial training, especially projected gradient descent (PGD), has been the most successful approach for improving robustness against adversarial attacks. After adversarial training, gradients of models with respect to their inputs are meaningful and interpretable by humans. However, the concept of interpretability is not mathematically well established, making it difficult to evaluate it quantitatively. We define interpretability as the alignment of the model gradient with the vector pointing toward the closest point of the support of the other class. We propose a method for measuring this alignment for binary classification problems, using generative adversarial model training to produce the smallest residual needed to change the class present in the image. We show that PGD-trained models are more interpretable than the baseline according to our definition, and our metric presents higher alignment values than a competing metric formulation. We also show that enforcing this alignment increases the robustness of models without adversarial training.

Data driven segmentation is an important initial step of shape prior-based segmentation methods since it is assumed that the data term brings a curve to a plausible level so that shape and data terms can then work together to produce better segmentations. When purely data driven segmentation produces poor results, the final segmentation is generally affected adversely. One challenge faced by many existing data terms is due to the fact that they consider only pixel intensities to decide whether to assign a pixel to the foreground or to the background region. When the distributions of the foreground and background pixel intensities have significant overlap, such data terms become ineffective, as they produce uncertain results for many pixels in a test image. In such cases, using prior information about the spatial context of the object to be segmented together with the data term can bring a curve to a plausible stage, which would then serve as a good initial point to launch shape-based segmentation. In this paper, we propose a new segmentation approach that combines nonparametric context priors with a learned-intensity-based data term and nonparametric shape priors. We perform experiments for dendritic spine segmentation in both 2D and 3D 2-photon microscopy images. The experimental results demonstrate that using spatial context priors leads to significant improvements.

We present a neighborhood similarity layer (NSL) which induces appearance invariance in a network when used in conjunction with convolutional layers. We are motivated by the observation that, even though convolutional networks have low generalization error, their generalization capability does not extend to samples which are not represented by the training data. For instance, while novel appearances of learned concepts pose no problem for the human visual system, feedforward convolutional networks are generally not successful in such situations. Motivated by the Gestalt principle of grouping with respect to similarity, the proposed NSL transforms its input feature map using the feature vectors at each pixel as a frame of reference, i.e. center of attention, for its surrounding neighborhood. This transformation is spatially varying, hence not a convolution. It is differentiable; therefore, networks including the proposed layer can be trained in an end-to-end manner. We analyze the invariance of NSL to significant changes in appearance that are not represented in the training data. We also demonstrate its advantages for digit recognition, semantic labeling and cell detection problems.

Effective convolutional neural networks are trained on large sets of labeled data. However, creating large labeled datasets is a very costly and time-consuming task. Semi-supervised learning uses unlabeled data to train a model with higher accuracy when there is a limited set of labeled data available. In this paper, we consider the problem of semi-supervised learning with convolutional neural networks. Techniques such as randomized data augmentation, dropout and random max-pooling provide better generalization and stability for classifiers that are trained using gradient descent. Multiple passes of an individual sample through the network might lead to different predictions due to the non-deterministic behavior of these techniques. We propose an unsupervised loss function that takes advantage of the stochastic nature of these methods and minimizes the difference between the predictions of multiple passes of a training sample through the network. We evaluate the proposed method on several benchmark datasets.

In this paper we consider the problem of semi-supervised learning with deep Convolutional Neural Networks (ConvNets). Semi-supervised learning is motivated on the observation that unlabeled data is cheap and can be used to improve the accuracy of classifiers. In this paper we propose an unsupervised regularization term that explicitly forces the classifier's prediction for multiple classes to be mutually-exclusive and effectively guides the decision boundary to lie on the low density space between the manifolds corresponding to different classes of data. Our proposed approach is general and can be used with any backpropagation-based learning method. We show through different experiments that our method can improve the object recognition performance of ConvNets using unlabeled data.