Miguel T. Coimbra

Miguel L. Martins, Miguel T. Coimbra, Francesco Renna

Multifractal analysis has revealed regularities in many self-seeding phenomena, yet its use in modern deep learning remains limited. Existing end-to-end multifractal methods rely on heavy pooling or strong feature-space decimation, which constrain tasks such as semantic segmentation. Motivated by these limitations, we introduce two inductive priors: Monofractal and Multifractal Recalibration. These methods leverage relationships between the probability mass of the exponents and the multifractal spectrum to form statistical descriptions of encoder embeddings, implemented as channel-attention functions in convolutional networks. Using a U-Net-based framework, we show that multifractal recalibration yields substantial gains over a baseline equipped with other channel-attention mechanisms that also use higher-order statistics. Given the proven ability of multifractal analysis to capture pathological regularities, we validate our approach on three public medical-imaging datasets: ISIC18 (dermoscopy), Kvasir-SEG (endoscopy), and BUSI (ultrasound). Our empirical analysis also provides insights into the behavior of these attention layers. We find that excitation responses do not become increasingly specialized with encoder depth in U-Net architectures due to skip connections, and that their effectiveness may relate to global statistics of instance variability.

Jorge Oliveira, Francesco Renna, Paulo Dias Costa et al.

Cardiac auscultation is one of the most cost-effective techniques used to detect and identify many heart conditions. Computer-assisted decision systems based on auscultation can support physicians in their decisions. Unfortunately, the application of such systems in clinical trials is still minimal since most of them only aim to detect the presence of extra or abnormal waves in the phonocardiogram signal, i.e., only a binary ground truth variable (normal vs abnormal) is provided. This is mainly due to the lack of large publicly available datasets, where a more detailed description of such abnormal waves (e.g., cardiac murmurs) exists. To pave the way to more effective research on healthcare recommendation systems based on auscultation, our team has prepared the currently largest pediatric heart sound dataset. A total of 5282 recordings have been collected from the four main auscultation locations of 1568 patients, in the process, 215780 heart sounds have been manually annotated. Furthermore, and for the first time, each cardiac murmur has been manually annotated by an expert annotator according to its timing, shape, pitch, grading, and quality. In addition, the auscultation locations where the murmur is present were identified as well as the auscultation location where the murmur is detected more intensively. Such detailed description for a relatively large number of heart sounds may pave the way for new machine learning algorithms with a real-world application for the detection and analysis of murmur waves for diagnostic purposes.