age estimation
Geometric Order Learning for Rank Estimation
A novel approach to rank estimation, called geometric order learning (GOL), is proposed in this paper. First, we construct an embedding space, in which the direction and distance between objects represent order and metric relations between their ranks, by enforcing two geometric constraints: the order constraint compels objects to be sorted according to their ranks, while the metric constraint makes the distance between objects reflect their rank difference. Then, we perform the simple knearest neighbor (k-NN) search in the embedding space to estimate the rank of a test object. Moreover, to assess the quality of embedding spaces for rank estimation, we propose a metric called discriminative ratio for ranking (DRR). Extensive experiments on facial age estimation, historical color image (HCI) classification, and aesthetic score regression demonstrate that GOL constructs effective embedding spaces and thus yields excellent rank estimation performances. The source codes are available at https://github.com/seon92/GOL
Stanford Sleep Bench: Evaluating Polysomnography Pre-training Methods for Sleep Foundation Models
Kjaer, Magnus Ruud, Thapa, Rahul, Ganjoo, Gauri, Moore, Hyatt IV, Jennum, Poul Joergen, Westover, Brandon M., Zou, James, Mignot, Emmanuel, He, Bryan, Brink-Kjaer, Andreas
Polysomnography (PSG), the gold standard test for sleep analysis, generates vast amounts of multimodal clinical data, presenting an opportunity to leverage self-supervised representation learning (SSRL) for pre-training foundation models to enhance sleep analysis. However, progress in sleep foundation models is hindered by two key limitations: (1) the lack of a shared dataset and benchmark with diverse tasks for training and evaluation, and (2) the absence of a systematic evaluation of SSRL approaches across sleep-related tasks. To address these gaps, we introduce Stanford Sleep Bench, a large-scale PSG dataset comprising 17,467 recordings totaling over 163,000 hours from a major sleep clinic, including 13 clinical disease prediction tasks alongside canonical sleep-related tasks such as sleep staging, apnea diagnosis, and age estimation. We systematically evaluate SSRL pre-training methods on Stanford Sleep Bench, assessing downstream performance across four tasks: sleep staging, apnea diagnosis, age estimation, and disease and mortality prediction. Our results show that multiple pretraining methods achieve comparable performance for sleep staging, apnea diagnosis, and age estimation. However, for mortality and disease prediction, contrastive learning significantly outperforms other approaches while also converging faster during pretraining. To facilitate reproducibility and advance sleep research, we will release Stanford Sleep Bench along with pretrained model weights, training pipelines, and evaluation code.
Evaluating the Clinical Impact of Generative Inpainting on Bone Age Estimation
Matsuoka, Felipe Akio, Farina, Eduardo Moreno J. M., Serpa, Augusto Sarquis, Monteiro, Soraya, Ragazzini, Rodrigo, Abdala, Nitamar, Takahashi, Marcelo Straus, Kitamura, Felipe Campos
Generative foundation models can remove visual artifacts through realistic image inpainting, but their impact on medical AI performance remains uncertain. Pediatric hand radiographs often contain non-anatomical markers, and it is unclear whether inpainting these regions preserves features needed for bone age and gender prediction. To evaluate the clinical reliability of generative model-based inpainting for artifact removal, we used the RSNA Bone Age Challenge dataset, selecting 200 original radiographs and generating 600 inpainted versions with gpt-image-1 using natural language prompts to target non-anatomical artifacts. Downstream performance was assessed with deep learning ensembles for bone age estimation and gender classification, using mean absolute error (MAE) and area under the ROC curve (AUC) as metrics, and pixel intensity distributions to detect structural alterations. Inpainting markedly degraded model performance: bone age MAE increased from 6.26 to 30.11 months, and gender classification AUC decreased from 0.955 to 0.704. Inpainted images displayed pixel-intensity shifts and inconsistencies, indicating structural modifications not corrected by simple calibration. These findings show that, although visually realistic, foundation model-based inpainting can obscure subtle but clinically relevant features and introduce latent bias even when edits are confined to non-diagnostic regions, underscoring the need for rigorous, task-specific validation before integrating such generative tools into clinical AI workflows.
MRI-Based Brain Age Estimation with Supervised Contrastive Learning of Continuous Representation
Crête, Simon Joseph Clément, Kersten-Oertel, Marta, Xiao, Yiming
MRI-based brain age estimation models aim to assess a subject's biological brain age based on information, such as neuroanatomical features. Various factors, including neurodegenerative diseases, can accelerate brain aging and measuring this phenomena could serve as a potential biomarker for clinical applications. While deep learning (DL)-based regression has recently attracted major attention, existing approaches often fail to capture the continuous nature of neuromorphological changes, potentially resulting in sub-optimal feature representation and results. To address this, we propose to use supervised contrastive learning with the recent Rank-N-Contrast (RNC) loss to estimate brain age based on widely used T1w structural MRI for the first time and leverage Grad-RAM to visually explain regression results. Experiments show that our proposed method achieves a mean absolute error (MAE) of 4.27 years and an $R^2$ of 0.93 with a limited dataset of training samples, significantly outperforming conventional deep regression with the same ResNet backbone while performing better or comparably with the state-of-the-art methods with significantly larger training data. Furthermore, Grad-RAM revealed more nuanced features related to age regression with the RNC loss than conventional deep regression. As an exploratory study, we employed the proposed method to estimate the gap between the biological and chronological brain ages in Alzheimer's Disease and Parkinson's disease patients, and revealed the correlation between the brain age gap and disease severity, demonstrating its potential as a biomarker in neurodegenerative disorders.