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 quality assessment




Explainable Fundus Image Curation and Lesion Detection in Diabetic Retinopathy

Mihai, Anca, Groza, Adrian

arXiv.org Artificial Intelligence

Diabetic Retinopathy (DR) affects individuals with long-term diabetes. Without early diagnosis, DR can lead to vision loss. Fundus photography captures the structure of the retina along with abnormalities indicative of the stage of the disease. Artificial Intelligence (AI) can support clinicians in identifying these lesions, reducing manual workload, but models require high-quality annotated datasets. Due to the complexity of retinal structures, errors in image acquisition and lesion interpretation of manual annotators can occur. We proposed a quality-control framework, ensuring only high-standard data is used for evaluation and AI training. First, an explainable feature-based classifier is used to filter inadequate images. The features are extracted both using image processing and contrastive learning. Then, the images are enhanced and put subject to annotation, using deep-learning-based assistance. Lastly, the agreement between annotators calculated using derived formulas determines the usability of the annotations.


Evaluating and Preserving High-level Fidelity in Super-Resolution

Rocafort, Josep M., Su, Shaolin, Gomez-Villa, Alexandra, Vazquez-Corral, Javier

arXiv.org Artificial Intelligence

Recent image Super-Resolution (SR) models are achieving impressive effects in reconstructing details and delivering visually pleasant outputs. However, the overpowering generative ability can sometimes hallucinate and thus change the image content despite gaining high visual quality. This type of high-level change can be easily identified by humans yet not well-studied in existing low-level image quality metrics. In this paper, we establish the importance of measuring high-level fidelity for SR models as a complementary criterion to reveal the reliability of generative SR models. W e construct the first annotated dataset with fidelity scores from different SR models, and evaluate how state-of-the-art (SOTA) SR models actually perform in preserving high-level fidelity. Based on the dataset, we then analyze how existing image quality metrics correlate with fidelity measurement, and further show that this high-level task can be better addressed by foundation models. Finally, by fine-tuning SR models based on our fidelity feedback, we show that both semantic fidelity and perceptual quality can be improved, demonstrating the potential value of our proposed criteria, both in model evaluation and optimization. W e will release the dataset, code, and models upon acceptance.


SpeechQualityLLM: LLM-Based Multimodal Assessment of Speech Quality

Monjur, Mahathir, Nirjon, Shahriar

arXiv.org Artificial Intelligence

Objective speech quality assessment is central to telephony, V oIP, and streaming systems, where large volumes of degraded audio must be monitored and optimized at scale. Classical metrics such as PESQ and POLQA approximate human mean opinion scores (MOS) but require carefully controlled conditions and expensive listening tests, while learning-based models such as NISQA regress MOS and multiple perceptual dimensions from waveforms or spectrograms, achieving high correlation with subjective ratings yet remaining rigid: they yield fixed scalar scores, do not support interactive, natural-language queries, and do not natively provide textual rationales. In this work, we introduce SpeechQualityLLM, a multimodal speech quality question-answering (QA) system that couples an audio encoder with a language model and is trained on the NISQA corpus using template-based question-answer pairs covering overall MOS and four perceptual dimensions (noisiness, coloration, discontinuity, and loudness) in both single-ended (degraded only) and double-ended (degraded plus clean reference) setups. Instead of directly regressing scores, SpeechQualityLLM is supervised to generate textual answers from which numeric predictions are parsed and evaluated with standard regression and ranking metrics; on held-out NISQA clips, the double-ended model attains a MOS mean absolute error (MAE) of approximately 0.41 with Pearson correlation of 0.86, with competitive performance on dimension-wise tasks. Beyond these quantitative gains, SpeechQualityLLM offers a flexible natural-language interface in which the language model acts as an audio quality expert: practitioners can query arbitrary aspects of degradations, prompt the model to emulate different listener profiles to capture human variability and produce diverse but plausible judgments rather than a single deterministic score, and thereby reduce reliance on large-scale crowdsourced tests and their monetary cost. W e provide a general pipeline for adapting large language models to specialized audio quality assessment tasks via lightweight mul-timodal alignment. Code, model weights, and experimental results are available at GitHub.


Language Integration in Fine-Tuning Multimodal Large Language Models for Image-Based Regression

Jennings, Roy H., Paikin, Genady, Shaul, Roy, Soloveichik, Evgeny

arXiv.org Artificial Intelligence

Multimodal Large Language Models (MLLMs) show promise for image-based regression tasks, but current approaches face key limitations. Recent methods fine-tune MLLMs using preset output vocabularies and generic task-level prompts (e.g., "How would you rate this image?"), assuming this mimics human rating behavior. Our analysis reveals that these approaches provide no benefit over image-only training. Models using preset vocabularies and generic prompts perform equivalently to image-only models, failing to leverage semantic understanding from textual input. We propose Regression via Transformer-Based Classification (RvTC), which replaces vocabulary-constrained classification with a flexible bin-based approach. Unlike approaches that address discretization errors through complex distributional modeling, RvTC eliminates manual vocabulary crafting through straightforward bin increase, achieving state-of-the-art performance on four image assessment datasets using only images. More importantly, we demonstrate that data-specific prompts dramatically improve performance. Unlike generic task descriptions, prompts containing semantic information about specific images enable MLLMs to leverage cross-modal understanding. On the AVA dataset, adding challenge titles to prompts substantially improves our already state-of-the-art image-only baseline. We demonstrate through empirical evidence from the AVA and AGIQA-3k datasets that MLLMs benefit from semantic prompt information, surpassing mere statistical biases. We validate RvTC across two different MLLM architectures, demonstrating consistent improvements and method generalizability.


An AI Implementation Science Study to Improve Trustworthy Data in a Large Healthcare System

Marteau, Benoit L., Hornback, Andrew, Tan, Shaun Q., Lowson, Christian, Woloff, Jason, Wang, May D.

arXiv.org Artificial Intelligence

The rapid growth of Artificial Intelligence (AI) in healthcare has sparked interest in Trustworthy AI and AI Implementation Science, both of which are essential for accelerating clinical adoption. However, strict regulations, gaps between research and clinical settings, and challenges in evaluating AI systems continue to hinder real-world implementation. This study presents an AI implementation case study within Shriners Childrens (SC), a large multisite pediatric system, showcasing the modernization of SCs Research Data Warehouse (RDW) to OMOP CDM v5.4 within a secure Microsoft Fabric environment. We introduce a Python-based data quality assessment tool compatible with SCs infrastructure, extending OHDsi's R/Java-based Data Quality Dashboard (DQD) and integrating Trustworthy AI principles using the METRIC framework. This extension enhances data quality evaluation by addressing informative missingness, redundancy, timeliness, and distributional consistency. We also compare systematic and case-specific AI implementation strategies for Craniofacial Microsomia (CFM) using the FHIR standard. Our contributions include a real-world evaluation of AI implementations, integration of Trustworthy AI principles into data quality assessment, and insights into hybrid implementation strategies that blend systematic infrastructure with use-case-driven approaches to advance AI in healthcare.


Contract-Driven QoE Auditing for Speech and Singing Services: From MOS Regression to Service Graphs

Du, Wenzhang

arXiv.org Artificial Intelligence

Subjective mean opinion scores (MOS) remain the de-facto target for non-intrusive speech and singing quality assessment. However, MOS is a scalar that collapses heterogeneous user expectations, ignores service-level objectives, and is difficult to compare across deployment graphs. We propose a contract-driven QoE auditing framework: each service graph G is evaluated under a set of human-interpretable experience contracts C, yielding a contract-level satisfaction vector Q(G, C). We show that (i) classical MOS regression is a special case with a degenerate contract set, (ii) contract-driven quality is more stable than MOS under graph view transformations (e.g., pooling by system vs. by system type), and (iii) the effective sample complexity of learning contracts is governed by contract semantics rather than merely the dimensionality of C. We instantiate the framework on URGENT2024 MOS (6.9k speech utterances with raw rating vectors) and SingMOS v1 (7,981 singing clips; 80 systems). On URGENT, we train a contract-aware neural auditor on self-supervised WavLM embeddings; on SingMOS, we perform contract-driven graph auditing using released rating vectors and metadata without decoding audio. Empirically, our auditor matches strong MOS predictors in MOS accuracy while providing calibrated contract probabilities; on SingMOS, Q(G, C) exhibits substantially smaller cross-view drift than raw MOS and graph-only baselines; on URGENT, difficulty curves reveal that mis-specified "simple" contracts can be harder to learn than richer but better aligned contract sets.


IE-Critic-R1: Advancing the Explanatory Measurement of Text-Driven Image Editing for Human Perception Alignment

Qu, Bowen, Sun, Shangkun, Liang, Xiaoyu, Gao, Wei

arXiv.org Artificial Intelligence

Recent advances in text-driven image editing have been significant, yet the task of accurately evaluating these edited images continues to pose a considerable challenge. Different from the assessment of text-driven image generation, text-driven image editing is characterized by simultaneously conditioning on both text and a source image. The edited images often retain an intrinsic connection to the original image, which dynamically change with the semantics of the text. However, previous methods tend to solely focus on text-image alignment or have not well aligned with human perception. In this work, we introduce the Text-driven Image Editing Benchmark suite (IE-Bench) to enhance the assessment of text-driven edited images. IE-Bench includes a database contains diverse source images, various editing prompts and the corresponding edited results from different editing methods, and nearly 4,000 samples with corresponding Mean Opinion Scores (MOS) provided by 15 human subjects. Furthermore, we introduce IE-Critic-R1, which, benefiting from Reinforcement Learning from Verifiable Rewards (RLVR), provides more comprehensive and explainable quality assessment for text-driven image editing that aligns with human perception. Extensive experiments demonstrate IE-Critic-R1's superior subjective-alignments on the text-driven image editing task compared with previous metrics. Related data and codes are available to the public.


VITAL: Vision-Encoder-centered Pre-training for LMMs in Visual Quality Assessment

Jia, Ziheng, Cao, Linhan, Han, Jinliang, Zhang, Zicheng, Qian, Jiaying, Wang, Jiarui, Chen, Zijian, Zhai, Guangtao, Min, Xiongkuo

arXiv.org Artificial Intelligence

Developing a robust visual quality assessment (VQualA) large multi-modal model (LMM) requires achieving versatility, powerfulness, and transferability. However, existing VQualA LMMs typically focus on a single task and rely on full-parameter fine-tuning, which makes them prone to overfitting on specific modalities or task types, thereby limiting their generalization capacity and transferability. To address this, we propose a vision-encoder-centered generative pre-training pipeline and develop the VITAL-Series LMMs. (1) We adopt a machine-executed annotation-scrutiny paradigm, constructing over 4.5M vision-language (VL) pairs-the largest VQualA training dataset to date. (2) We employ a multi-task training workflow that simultaneously enhances the model's quantitative scoring precision and strengthens its capability for quality interpretation across both image and video modalities. (3) Building upon the vision encoder, we realize an efficient model zoo extension: the model zoo exhibits strong zero-shot performance, and each paired decoder requires only a swift warm-up using less than 1/1000 of the pre-training data to achieve performance comparable to the fully trained counterpart. Overall, our work lays a cornerstone for advancing toward the foundation LMM for VQualA.