Alessandro Gambetti

LG
h-index5
5papers
38citations
Novelty38%
AI Score42

5 Papers

48.6CVJun 3Code
Beyond Symmetric Alignment: Spectral Diagnostics of Modality Imbalance in Vision-Language Models in the Medical Domain

Alessandro Gambetti, Qiwei Han, Cláudia Soares et al.

Vision-Language Models (VLMs) struggle when applied to medical image-text data, yet the tools available to diagnose this failure remain limited. Existing representation alignment metrics are symmetric, collapsing both modalities into a single score and hiding which modality drives cross-modal degradation. We introduce the Spectral Alignment Score (SAS), an asymmetric metric that projects both modalities onto the principal eigenbasis of an anchor modality and computes eigenvalue-weighted per-eigenmode correlations, resulting in directional scores whose difference quantifies modality information imbalance. We embed SAS within a benchmarking framework evaluating 15 VLMs across natural and medical image-text datasets alongside 6 alignment metrics and bidirectional retrieval. Our experiments show that medical images retain richer structural information than their paired clinical reports, a directional asymmetry invisible to all competing metrics, and that SAS achieves the strongest zero-label correlation with retrieval performance in the medical domain, positioning it as a practical diagnostic tool for clinical deployment. Code is available at this URL: https://github.com/iamalegambetti/medical-vlms-assessment.

CLFeb 10, 2023
Combat AI With AI: Counteract Machine-Generated Fake Restaurant Reviews on Social Media

Alessandro Gambetti, Qiwei Han

Recent advances in generative models such as GPT may be used to fabricate indistinguishable fake customer reviews at a much lower cost, thus posing challenges for social media platforms to detect these machine-generated fake reviews. We propose to leverage the high-quality elite restaurant reviews verified by Yelp to generate fake reviews from the OpenAI GPT review creator and ultimately fine-tune a GPT output detector to predict fake reviews that significantly outperform existing solutions. We further apply the model to predict non-elite reviews and identify the patterns across several dimensions, such as review, user and restaurant characteristics, and writing style. We show that social media platforms are continuously challenged by machine-generated fake reviews, although they may implement detection systems to filter out suspicious reviews.

LGFeb 14, 2025
A Survey on Human-Centered Evaluation of Explainable AI Methods in Clinical Decision Support Systems

Alessandro Gambetti, Qiwei Han, Hong Shen et al.

Explainable Artificial Intelligence (XAI) is essential for the transparency and clinical adoption of Clinical Decision Support Systems (CDSS). However, the real-world effectiveness of existing XAI methods remains limited and is inconsistently evaluated. This study conducts a systematic PRISMA-guided survey of 31 human-centered evaluations (HCE) of XAI applied to CDSS, classifying them by XAI methodology, evaluation design, and adoption barrier. Our findings reveal that most existing studies employ post-hoc, model-agnostic approaches such as SHAP and Grad-CAM, typically assessed through small-scale clinician studies. The results show that over 80% of the studies adopt post-hoc, model-agnostic approaches such as SHAP and Grad-CAM, and that clinician sample sizes remain below 25 participants. The findings indicate that explanations generally improve clinician trust and diagnostic confidence, but frequently increase cognitive load and exhibit misalignment with domain reasoning processes. To bridge these gaps, we propose a stakeholder-centric evaluation framework that integrates socio-technical principles and human-computer interaction to guide the future development of clinically viable and trustworthy XAI-based CDSS.

LGAug 27, 2025
Cross-Platform E-Commerce Product Categorization and Recategorization: A Multimodal Hierarchical Classification Approach

Lotte Gross, Rebecca Walter, Nicole Zoppi et al.

This study addresses critical industrial challenges in e-commerce product categorization, namely platform heterogeneity and the structural limitations of existing taxonomies, by developing and deploying a multimodal hierarchical classification framework. Using a dataset of 271,700 products from 40 international fashion e-commerce platforms, we integrate textual features (RoBERTa), visual features (ViT), and joint vision-language representations (CLIP). We investigate fusion strategies, including early, late, and attention-based fusion within a hierarchical architecture enhanced by dynamic masking to ensure taxonomic consistency. Results show that CLIP embeddings combined via an MLP-based late-fusion strategy achieve the highest hierarchical F1 (98.59%), outperforming unimodal baselines. To address shallow or inconsistent categories, we further introduce a self-supervised "product recategorization" pipeline using SimCLR, UMAP, and cascade clustering, which discovered new, fine-grained categories (for example, subtypes of "Shoes") with cluster purities above 86%. Cross-platform experiments reveal a deployment-relevant trade-off: complex late-fusion methods maximize accuracy with diverse training data, while simpler early-fusion methods generalize more effectively to unseen platforms. Finally, we demonstrate the framework's industrial scalability through deployment in EURWEB's commercial transaction intelligence platform via a two-stage inference pipeline, combining a lightweight RoBERTa stage with a GPU-accelerated multimodal stage to balance cost and accuracy.

LGJan 16, 2024
AiGen-FoodReview: A Multimodal Dataset of Machine-Generated Restaurant Reviews and Images on Social Media

Alessandro Gambetti, Qiwei Han

Online reviews in the form of user-generated content (UGC) significantly impact consumer decision-making. However, the pervasive issue of not only human fake content but also machine-generated content challenges UGC's reliability. Recent advances in Large Language Models (LLMs) may pave the way to fabricate indistinguishable fake generated content at a much lower cost. Leveraging OpenAI's GPT-4-Turbo and DALL-E-2 models, we craft AiGen-FoodReview, a multi-modal dataset of 20,144 restaurant review-image pairs divided into authentic and machine-generated. We explore unimodal and multimodal detection models, achieving 99.80% multimodal accuracy with FLAVA. We use attributes from readability and photographic theories to score reviews and images, respectively, demonstrating their utility as hand-crafted features in scalable and interpretable detection models, with comparable performance. The paper contributes by open-sourcing the dataset and releasing fake review detectors, recommending its use in unimodal and multimodal fake review detection tasks, and evaluating linguistic and visual features in synthetic versus authentic data.