Abstract-- Numerous visual impairments can be detected in red-eye reflex images from young children. The so-called Bruckner test is traditionally performed by ophthalmologists in clinical settings. Thanks to the recent technological advances in smartphones and artificial intelligence, it is now possible to recreate the Bruckner test using a mobile device. In this paper, we present a first study conducted during the development of KidsVisionCheck, a free application that can perform vision screening with a mobile device using red-eye reflex images. The underlying model relies on deep neural networks trained on children's pupil images collected and labeled by an ophthalmologist. With an accuracy of 90% on unseen test data, our model provides highly reliable performance without the necessity of specialist equipment. Furthermore, we can identify the optimal conditions for data collection, which can in turn be used to provide immediate feedback to the users. In summary, this work marks a first step toward accessible pediatric vision screenings and early intervention for vision abnormalities worldwide.

Retinal anomaly detection plays a pivotal role in screening ocular and systemic diseases. Despite its significance, progress in the field has been hindered by the absence of a comprehensive and publicly available benchmark, which is essential for the fair evaluation and advancement of methodologies. Due to this limitation, previous anomaly detection work related to retinal images has been constrained by (1) a limited and overly simplistic set of anomaly types, (2) test sets that are nearly saturated, and (3) a lack of generalization evaluation, resulting in less convincing experimental setups. Furthermore, existing benchmarks in medical anomaly detection predominantly focus on one-class supervised approaches (training only with negative samples), overlooking the vast amounts of labeled abnormal data and unlabeled data that are commonly available in clinical practice. To bridge these gaps, we introduce a benchmark for retinal anomaly detection, which is comprehensive and systematic in terms of data and algorithm. Through categorizing and bench-marking previous methods, we find that a fully supervised approach leveraging disentangled representations of abnormalities (DRA) achieves the best performance but suffers from significant drops in performance when encountering certain unseen anomalies. Inspired by the memory bank mechanisms in one-class supervised learning, we propose NFM-DRA, which integrates DRA with a Normal Feature Memory to mitigate the performance degradation, establishing a new SOTA.

Image anomaly detection (IAD) is essential in applications such as industrial inspection, medical imaging, and security. Despite the progress achieved with deep learning models like Deep Semi-Supervised Anomaly Detection (DeepSAD), these models remain susceptible to backdoor attacks, presenting significant security challenges. In this paper, we introduce BadSAD, a novel backdoor attack framework specifically designed to target DeepSAD models. Our approach involves two key phases: trigger injection, where subtle triggers are embedded into normal images, and latent space manipulation, which positions and clusters the poisoned images near normal images to make the triggers appear benign. Extensive experiments on benchmark datasets validate the effectiveness of our attack strategy, highlighting the severe risks that backdoor attacks pose to deep learning-based anomaly detection systems.

Sharing retrospectively acquired data is essential for both clinical research and training. Synthetic Data Generation (SDG), using Artificial Intelligence (AI) models, can overcome privacy barriers in sharing clinical data, enabling advancements in medical diagnostics. This study focuses on the clinical evaluation of medical SDG, with a proof-of-concept investigation on diagnosing Inflammatory Bowel Disease (IBD) using Wireless Capsule Endoscopy (WCE) images. The paper contributes by a) presenting a protocol for the systematic evaluation of synthetic images by medical experts and b) applying it to assess TIDE-II, a novel variational autoencoder-based model for high-resolution WCE image synthesis, with a comprehensive qualitative evaluation conducted by 10 international WCE specialists, focusing on image quality, diversity, realism, and clinical decision-making. The results show that TIDE-II generates clinically relevant WCE images, helping to address data scarcity and enhance diagnostic tools. The proposed protocol serves as a reference for future research on medical image-generation techniques.

Visual attribution in medical imaging seeks to make evident the diagnostically-relevant components of a medical image, in contrast to the more common detection of diseased tissue deployed in standard machine vision pipelines (which are less straightforwardly interpretable/explainable to clinicians). We here present a novel generative visual attribution technique, one that leverages latent diffusion models in combination with domain-specific large language models, in order to generate normal counterparts of abnormal images. The discrepancy between the two hence gives rise to a mapping indicating the diagnostically-relevant image components. To achieve this, we deploy image priors in conjunction with appropriate conditioning mechanisms in order to control the image generative process, including natural language text prompts acquired from medical science and applied radiology. We perform experiments and quantitatively evaluate our results on the COVID-19 Radiography Database containing labelled chest X-rays with differing pathologies via the Frechet Inception Distance (FID), Structural Similarity (SSIM) and Multi Scale Structural Similarity Metric (MS-SSIM) metrics obtained between real and generated images. The resulting system also exhibits a range of latent capabilities including zero-shot localized disease induction, which are evaluated with real examples from the cheXpert dataset.

In recent years, the industrial sector has evolved towards its fourth revolution. The quality control domain is particularly interested in advanced machine learning for computer vision anomaly detection. Nevertheless, several challenges have to be faced, including imbalanced datasets, the image complexity, and the zero-false-negative (ZFN) constraint to guarantee the high-quality requirement. This paper illustrates a use case for an industrial partner, where Printed Circuit Board Assembly (PCBA) images are first reconstructed with a Vector Quantized Generative Adversarial Network (VQGAN) trained on normal products. Then, several multi-level metrics are extracted on a few normal and abnormal images, highlighting anomalies through reconstruction differences. Finally, a classifer is trained to build a composite anomaly score thanks to the metrics extracted. This three-step approach is performed on the public MVTec-AD datasets and on the partner PCBA dataset, where it achieves a regular accuracy of 95.69% and 87.93% under the ZFN constraint.

Many anomaly detection approaches, especially deep learning methods, have been recently developed to identify abnormal image morphology by only employing normal images during training. Unfortunately, many prior anomaly detection methods were optimized for a specific "known" abnormality (e.g., brain tumor, bone fraction, cell types). Moreover, even though only the normal images were used in the training process, the abnormal images were often employed during the validation process (e.g., epoch selection, hyper-parameter tuning), which might leak the supposed ``unknown" abnormality unintentionally. In this study, we investigated these two essential aspects regarding universal anomaly detection in medical images by (1) comparing various anomaly detection methods across four medical datasets, (2) investigating the inevitable but often neglected issues on how to unbiasedly select the optimal anomaly detection model during the validation phase using only normal images, and (3) proposing a simple decision-level ensemble method to leverage the advantage of different kinds of anomaly detection without knowing the abnormality. The results of our experiments indicate that none of the evaluated methods consistently achieved the best performance across all datasets. Our proposed method enhanced the robustness of performance in general (average AUC 0.956).

One of the many Autonomous Systems (ASs), such as autonomous driving cars, performs various safety-critical functions. Many of these autonomous systems take advantage of Artificial Intelligence (AI) techniques to perceive their environment. But these perceiving components could not be formally verified, since, the accuracy of such AI-based components has a high dependency on the quality of training data. So Machine learning (ML) based anomaly detection, a technique to identify data that does not belong to the training data could be used as a safety measuring indicator during the development and operational time of such AI-based components. Adversarial learning, a sub-field of machine learning has proven its ability to detect anomalies in images and videos with impressive results on simple data sets. Therefore, in this work, we investigate and provide insight into the performance of such techniques on a highly complex driving scenes dataset called Berkeley DeepDrive.

Model visualizations provide information that outputs alone might miss. But can we trust that model visualizations reflect model behavior? For instance, can they diagnose abnormal behavior such as planted backdoors or overregularization? To evaluate visualization methods, we test whether they assign different visualizations to anomalously trained models and normal models. We find that while existing methods can detect models with starkly anomalous behavior, they struggle to identify more subtle anomalies. Moreover, they often fail to recognize the inputs that induce anomalous behavior, e.g. images containing a spurious cue. These results reveal blind spots and limitations of some popular model visualizations. By introducing a novel evaluation framework for visualizations, our work paves the way for developing more reliable model transparency methods in the future.

Medical image synthesis has emerged as a promising solution to address the limited availability of annotated medical data needed for training machine learning algorithms in the context of image-based Clinical Decision Support (CDS) systems. To this end, Generative Adversarial Networks (GANs) have been mainly applied to support the algorithm training process by generating synthetic images for data augmentation. However, in the field of Wireless Capsule Endoscopy (WCE), the limited content diversity and size of existing publicly available annotated datasets, adversely affect both the training stability and synthesis performance of GANs. Aiming to a viable solution for WCE image synthesis, a novel Variational Autoencoder architecture is proposed, namely "This Intestine Does not Exist" (TIDE). The proposed architecture comprises multiscale feature extraction convolutional blocks and residual connections, which enable the generation of high-quality and diverse datasets even with a limited number of training images. Contrary to the current approaches, which are oriented towards the augmentation of the available datasets, this study demonstrates that using TIDE, real WCE datasets can be fully substituted by artificially generated ones, without compromising classification performance. Furthermore, qualitative and user evaluation studies by experienced WCE specialists, validate from a medical viewpoint that both the normal and abnormal WCE images synthesized by TIDE are sufficiently realistic.