Jadie Adams

Jadie Adams, Steven Lu, Krzysztof M. Gorski et al.

The cosmic microwave background (CMB) is a significant source of knowledge about the origin and evolution of our universe. However, observations of the CMB are contaminated by foreground emissions, obscuring the CMB signal and reducing its efficacy in constraining cosmological parameters. We employ deep learning as a data-driven approach to CMB cleaning from multi-frequency full-sky maps. In particular, we develop a graph-based Bayesian convolutional neural network based on the U-Net architecture that predicts cleaned CMB with pixel-wise uncertainty estimates. We demonstrate the potential of this technique on realistic simulated data based on the Planck mission. We show that our model accurately recovers the cleaned CMB sky map and resulting angular power spectrum while identifying regions of uncertainty. Finally, we discuss the current challenges and the path forward for deploying our model for CMB recovery on real observations.

Jadie Adams, Nawazish Khan, Alan Morris et al.

Clinical investigations of anatomy's structural changes over time could greatly benefit from population-level quantification of shape, or spatiotemporal statistic shape modeling (SSM). Such a tool enables characterizing patient organ cycles or disease progression in relation to a cohort of interest. Constructing shape models requires establishing a quantitative shape representation (e.g., corresponding landmarks). Particle-based shape modeling (PSM) is a data-driven SSM approach that captures population-level shape variations by optimizing landmark placement. However, it assumes cross-sectional study designs and hence has limited statistical power in representing shape changes over time. Existing methods for modeling spatiotemporal or longitudinal shape changes require predefined shape atlases and pre-built shape models that are typically constructed cross-sectionally. This paper proposes a data-driven approach inspired by the PSM method to learn population-level spatiotemporal shape changes directly from shape data. We introduce a novel SSM optimization scheme that produces landmarks that are in correspondence both across the population (inter-subject) and across time-series (intra-subject). We apply the proposed method to 4D cardiac data from atrial-fibrillation patients and demonstrate its efficacy in representing the dynamic change of the left atrium. Furthermore, we show that our method outperforms an image-based approach for spatiotemporal SSM with respect to a generative time-series model, the Linear Dynamical System (LDS). LDS fit using a spatiotemporal shape model optimized via our approach provides better generalization and specificity, indicating it accurately captures the underlying time-dependency.

Jadie Adams, Shireen Elhabian

Statistical shape modeling (SSM) directly from 3D medical images is an underutilized tool for detecting pathology, diagnosing disease, and conducting population-level morphology analysis. Deep learning frameworks have increased the feasibility of adopting SSM in medical practice by reducing the expert-driven manual and computational overhead in traditional SSM workflows. However, translating such frameworks to clinical practice requires calibrated uncertainty measures as neural networks can produce over-confident predictions that cannot be trusted in sensitive clinical decision-making. Existing techniques for predicting shape with aleatoric (data-dependent) uncertainty utilize a principal component analysis (PCA) based shape representation computed in isolation from the model training. This constraint restricts the learning task to solely estimating pre-defined shape descriptors from 3D images and imposes a linear relationship between this shape representation and the output (i.e., shape) space. In this paper, we propose a principled framework based on the variational information bottleneck theory to relax these assumptions while predicting probabilistic shapes of anatomy directly from images without supervised encoding of shape descriptors. Here, the latent representation is learned in the context of the learning task, resulting in a more scalable, flexible model that better captures data non-linearity. Additionally, this model is self-regularized and generalizes better given limited training data. Our experiments demonstrate that the proposed method provides improved accuracy and better calibrated aleatoric uncertainty estimates than state-of-the-art methods.

Jadie Adams, Shireen Y. Elhabian

Deep learning based methods for automatic organ segmentation have shown promise in aiding diagnosis and treatment planning. However, quantifying and understanding the uncertainty associated with model predictions is crucial in critical clinical applications. While many techniques have been proposed for epistemic or model-based uncertainty estimation, it is unclear which method is preferred in the medical image analysis setting. This paper presents a comprehensive benchmarking study that evaluates epistemic uncertainty quantification methods in organ segmentation in terms of accuracy, uncertainty calibration, and scalability. We provide a comprehensive discussion of the strengths, weaknesses, and out-of-distribution detection capabilities of each method as well as recommendations for future improvements. These findings contribute to the development of reliable and robust models that yield accurate segmentations while effectively quantifying epistemic uncertainty.

Abu Zahid Bin Aziz, Jadie Adams, Shireen Elhabian

Statistical shape modeling (SSM) is an enabling quantitative tool to study anatomical shapes in various medical applications. However, directly using 3D images in these applications still has a long way to go. Recent deep learning methods have paved the way for reducing the substantial preprocessing steps to construct SSMs directly from unsegmented images. Nevertheless, the performance of these models is not up to the mark. Inspired by multiscale/multiresolution learning, we propose a new training strategy, progressive DeepSSM, to train image-to-shape deep learning models. The training is performed in multiple scales, and each scale utilizes the output from the previous scale. This strategy enables the model to learn coarse shape features in the first scales and gradually learn detailed fine shape features in the later scales. We leverage shape priors via segmentation-guided multi-task learning and employ deep supervision loss to ensure learning at each scale. Experiments show the superiority of models trained by the proposed strategy from both quantitative and qualitative perspectives. This training methodology can be employed to improve the stability and accuracy of any deep learning method for inferring statistical representations of anatomies from medical images and can be adopted by existing deep learning methods to improve model accuracy and training stability.

Bharadwaj Ravichandran, David Joy, Paul Elliott et al.

Large language models (LLMs) are increasingly being used as decision aids. However, users have diverse values and preferences that can affect their decision-making, which requires novel methods for LLM alignment and personalization. Existing LLM comparison tools largely focus on benchmarking tasks, such as knowledge-based question answering. In contrast, our proposed ALIGN system focuses on dynamic personalization of LLM-based decision-makers through prompt-based alignment to a set of fine-grained attributes. Key features of our system include robust configuration management, structured output generation with reasoning, and several algorithm implementations with swappable LLM backbones, enabling different types of analyses. Our user interface enables a qualitative, side-by-side comparison of LLMs and their alignment to various attributes, with a modular backend for easy algorithm integration. Additionally, we perform a quantitative analysis comparing alignment approaches in two different domains: demographic alignment for public opinion surveys and value alignment for medical triage decision-making. The entire ALIGN framework is open source and will enable new research on reliable, responsible, and personalized LLM-based decision-makers.

Tharindu Kumarage, Cameron Johnson, Jadie Adams et al.

The rapid advancement of conversational agents, particularly chatbots powered by Large Language Models (LLMs), poses a significant risk of social engineering (SE) attacks on social media platforms. SE detection in multi-turn, chat-based interactions is considerably more complex than single-instance detection due to the dynamic nature of these conversations. A critical factor in mitigating this threat is understanding the SE attack mechanisms through which SE attacks operate, specifically how attackers exploit vulnerabilities and how victims' personality traits contribute to their susceptibility. In this work, we propose an LLM-agentic framework, SE-VSim, to simulate SE attack mechanisms by generating multi-turn conversations. We model victim agents with varying personality traits to assess how psychological profiles influence susceptibility to manipulation. Using a dataset of over 1000 simulated conversations, we examine attack scenarios in which adversaries, posing as recruiters, funding agencies, and journalists, attempt to extract sensitive information. Based on this analysis, we present a proof of concept, SE-OmniGuard, to offer personalized protection to users by leveraging prior knowledge of the victims personality, evaluating attack strategies, and monitoring information exchanges in conversations to identify potential SE attempts.

Krithika Iyer, Jadie Adams, Shireen Y. Elhabian

Statistical shape modeling (SSM) is a powerful computational framework for quantifying and analyzing the geometric variability of anatomical structures, facilitating advancements in medical research, diagnostics, and treatment planning. Traditional methods for shape modeling from imaging data demand significant manual and computational resources. Additionally, these methods necessitate repeating the entire modeling pipeline to derive shape descriptors (e.g., surface-based point correspondences) for new data. While deep learning approaches have shown promise in streamlining the construction of SSMs on new data, they still rely on traditional techniques to supervise the training of the deep networks. Moreover, the predominant linearity assumption of traditional approaches restricts their efficacy, a limitation also inherited by deep learning models trained using optimized/established correspondences. Consequently, representing complex anatomies becomes challenging. To address these limitations, we introduce SCorP, a novel framework capable of predicting surface-based correspondences directly from unsegmented images. By leveraging the shape prior learned directly from surface meshes in an unsupervised manner, the proposed model eliminates the need for an optimized shape model for training supervision. The strong shape prior acts as a teacher and regularizes the feature learning of the student network to guide it in learning image-based features that are predictive of surface correspondences. The proposed model streamlines the training and inference phases by removing the supervision for the correspondence prediction task while alleviating the linearity assumption.

Jadie Adams, Krithika Iyer, Shireen Elhabian

Anatomical shape analysis plays a pivotal role in clinical research and hypothesis testing, where the relationship between form and function is paramount. Correspondence-based statistical shape modeling (SSM) facilitates population-level morphometrics but requires a cumbersome, potentially bias-inducing construction pipeline. Recent advancements in deep learning have streamlined this process in inference by providing SSM prediction directly from unsegmented medical images. However, the proposed approaches are fully supervised and require utilizing a traditional SSM construction pipeline to create training data, thus inheriting the associated burdens and limitations. To address these challenges, we introduce a weakly supervised deep learning approach to predict SSM from images using point cloud supervision. Specifically, we propose reducing the supervision associated with the state-of-the-art fully Bayesian variational information bottleneck DeepSSM (BVIB-DeepSSM) model. BVIB-DeepSSM is an effective, principled framework for predicting probabilistic anatomical shapes from images with quantification of both aleatoric and epistemic uncertainties. Whereas the original BVIB-DeepSSM method requires strong supervision in the form of ground truth correspondence points, the proposed approach utilizes weak supervision via point cloud surface representations, which are more readily obtainable. Furthermore, the proposed approach learns correspondence in a completely data-driven manner without prior assumptions about the expected variability in shape cohort. Our experiments demonstrate that this approach yields similar accuracy and uncertainty estimation to the fully supervised scenario while substantially enhancing the feasibility of model training for SSM construction.

Jadie Adams, Shireen Elhabian

Correspondence-based statistical shape modeling (SSM) stands as a powerful technology for morphometric analysis in clinical research. SSM facilitates population-level characterization and quantification of anatomical shapes such as bones and organs, aiding in pathology and disease diagnostics and treatment planning. Despite its potential, SSM remains under-utilized in medical research due to the significant overhead associated with automatic construction methods, which demand complete, aligned shape surface representations. Additionally, optimization-based techniques rely on bias-inducing assumptions or templates and have prolonged inference times as the entire cohort is simultaneously optimized. To overcome these challenges, we introduce Point2SSM++, a principled, self-supervised deep learning approach that directly learns correspondence points from point cloud representations of anatomical shapes. Point2SSM++ is robust to misaligned and inconsistent input, providing SSM that accurately samples individual shape surfaces while effectively capturing population-level statistics. Additionally, we present principled extensions of Point2SSM++ to adapt it for dynamic spatiotemporal and multi-anatomy use cases, demonstrating the broad versatility of the Point2SSM++ framework. Furthermore, we present extensions of Point2SSM++ tailored for dynamic spatiotemporal and multi-anatomy scenarios, showcasing the broad versatility of the framework. Through extensive validation across diverse anatomies, evaluation metrics, and clinically relevant downstream tasks, we demonstrate Point2SSM++'s superiority over existing state-of-the-art deep learning models and traditional approaches. Point2SSM++ substantially enhances the feasibility of SSM generation and significantly broadens its array of potential clinical applications.

Jadie Adams, Brian Hu, Emily Veenhuis et al.

Large language models (LLMs) are currently aligned using techniques such as reinforcement learning from human feedback (RLHF). However, these methods use scalar rewards that can only reflect user preferences on average. Pluralistic alignment instead seeks to capture diverse user preferences across a set of attributes, moving beyond just helpfulness and harmlessness. Toward this end, we propose a steerable pluralistic model based on few-shot comparative regression that can adapt to individual user preferences. Our approach leverages in-context learning and reasoning, grounded in a set of fine-grained attributes, to compare response options and make aligned choices. To evaluate our algorithm, we also propose two new steerable pluralistic benchmarks by adapting the Moral Integrity Corpus (MIC) and the HelpSteer2 datasets, demonstrating the applicability of our approach to value-aligned decision-making and reward modeling, respectively. Our few-shot comparative regression approach is interpretable and compatible with different attributes and LLMs, while outperforming multiple baseline and state-of-the-art methods. Our work provides new insights and research directions in pluralistic alignment, enabling a more fair and representative use of LLMs and advancing the state-of-the-art in ethical AI.

Rachaell Nihalaani, Tushar Kataria, Jadie Adams et al.

Supervised methods for 3D anatomy segmentation demonstrate superior performance but are often limited by the availability of annotated data. This limitation has led to a growing interest in self-supervised approaches in tandem with the abundance of available un-annotated data. Slice propagation has emerged as an self-supervised approach that leverages slice registration as a self-supervised task to achieve full anatomy segmentation with minimal supervision. This approach significantly reduces the need for domain expertise, time, and the cost associated with building fully annotated datasets required for training segmentation networks. However, this shift toward reduced supervision via deterministic networks raises concerns about the trustworthiness and reliability of predictions, especially when compared with more accurate supervised approaches. To address this concern, we propose the integration of calibrated uncertainty quantification (UQ) into slice propagation methods, providing insights into the model's predictive reliability and confidence levels. Incorporating uncertainty measures enhances user confidence in self-supervised approaches, thereby improving their practical applicability. We conducted experiments on three datasets for 3D abdominal segmentation using five UQ methods. The results illustrate that incorporating UQ improves not only model trustworthiness, but also segmentation accuracy. Furthermore, our analysis reveals various failure modes of slice propagation methods that might not be immediately apparent to end-users. This study opens up new research avenues to improve the accuracy and trustworthiness of slice propagation methods.

Jadie Adams, Shireen Elhabian

We present Point2SSM, a novel unsupervised learning approach for constructing correspondence-based statistical shape models (SSMs) directly from raw point clouds. SSM is crucial in clinical research, enabling population-level analysis of morphological variation in bones and organs. Traditional methods of SSM construction have limitations, including the requirement of noise-free surface meshes or binary volumes, reliance on assumptions or templates, and prolonged inference times due to simultaneous optimization of the entire cohort. Point2SSM overcomes these barriers by providing a data-driven solution that infers SSMs directly from raw point clouds, reducing inference burdens and increasing applicability as point clouds are more easily acquired. While deep learning on 3D point clouds has seen success in unsupervised representation learning and shape correspondence, its application to anatomical SSM construction is largely unexplored. We conduct a benchmark of state-of-the-art point cloud deep networks on the SSM task, revealing their limited robustness to clinical challenges such as noisy, sparse, or incomplete input and limited training data. Point2SSM addresses these issues through an attention-based module, providing effective correspondence mappings from learned point features. Our results demonstrate that the proposed method significantly outperforms existing networks in terms of accurate surface sampling and correspondence, better capturing population-level statistics.

Jadie Adams, Shireen Elhabian

Statistical shape modeling (SSM) enables population-based quantitative analysis of anatomical shapes, informing clinical diagnosis. Deep learning approaches predict correspondence-based SSM directly from unsegmented 3D images but require calibrated uncertainty quantification, motivating Bayesian formulations. Variational information bottleneck DeepSSM (VIB-DeepSSM) is an effective, principled framework for predicting probabilistic shapes of anatomy from images with aleatoric uncertainty quantification. However, VIB is only half-Bayesian and lacks epistemic uncertainty inference. We derive a fully Bayesian VIB formulation and demonstrate the efficacy of two scalable implementation approaches: concrete dropout and batch ensemble. Additionally, we introduce a novel combination of the two that further enhances uncertainty calibration via multimodal marginalization. Experiments on synthetic shapes and left atrium data demonstrate that the fully Bayesian VIB network predicts SSM from images with improved uncertainty reasoning without sacrificing accuracy.

Jadie Adams, Shireen Elhabian

Statistical Shape Modeling (SSM) is a valuable tool for investigating and quantifying anatomical variations within populations of anatomies. However, traditional correspondence-based SSM generation methods have a prohibitive inference process and require complete geometric proxies (e.g., high-resolution binary volumes or surface meshes) as input shapes to construct the SSM. Unordered 3D point cloud representations of shapes are more easily acquired from various medical imaging practices (e.g., thresholded images and surface scanning). Point cloud deep networks have recently achieved remarkable success in learning permutation-invariant features for different point cloud tasks (e.g., completion, semantic segmentation, classification). However, their application to learning SSM from point clouds is to-date unexplored. In this work, we demonstrate that existing point cloud encoder-decoder-based completion networks can provide an untapped potential for SSM, capturing population-level statistical representations of shapes while reducing the inference burden and relaxing the input requirement. We discuss the limitations of these techniques to the SSM application and suggest future improvements. Our work paves the way for further exploration of point cloud deep learning for SSM, a promising avenue for advancing shape analysis literature and broadening SSM to diverse use cases.

Riddhish Bhalodia, Shireen Elhabian, Jadie Adams et al.

Statistical shape modeling (SSM) characterizes anatomical variations in a population of shapes generated from medical images. SSM requires consistent shape representation across samples in shape cohort. Establishing this representation entails a processing pipeline that includes anatomy segmentation, re-sampling, registration, and non-linear optimization. These shape representations are then used to extract low-dimensional shape descriptors that facilitate subsequent analyses in different applications. However, the current process of obtaining these shape descriptors from imaging data relies on human and computational resources, requiring domain expertise for segmenting anatomies of interest. Moreover, this same taxing pipeline needs to be repeated to infer shape descriptors for new image data using a pre-trained/existing shape model. Here, we propose DeepSSM, a deep learning-based framework for learning the functional mapping from images to low-dimensional shape descriptors and their associated shape representations, thereby inferring statistical representation of anatomy directly from 3D images. Once trained using an existing shape model, DeepSSM circumvents the heavy and manual pre-processing and segmentation and significantly improves the computational time, making it a viable solution for fully end-to-end SSM applications. In addition, we introduce a model-based data-augmentation strategy to address data scarcity. Finally, this paper presents and analyzes two different architectural variants of DeepSSM with different loss functions using three medical datasets and their downstream clinical application. Experiments showcase that DeepSSM performs comparably or better to the state-of-the-art SSM both quantitatively and on application-driven downstream tasks. Therefore, DeepSSM aims to provide a comprehensive blueprint for deep learning-based image-to-shape models.

Jadie Adams, Riddhish Bhalodia, Shireen Elhabian

Statistical shape modeling (SSM) has recently taken advantage of advances in deep learning to alleviate the need for a time-consuming and expert-driven workflow of anatomy segmentation, shape registration, and the optimization of population-level shape representations. DeepSSM is an end-to-end deep learning approach that extracts statistical shape representation directly from unsegmented images with little manual overhead. It performs comparably with state-of-the-art shape modeling methods for estimating morphologies that are viable for subsequent downstream tasks. Nonetheless, DeepSSM produces an overconfident estimate of shape that cannot be blindly assumed to be accurate. Hence, conveying what DeepSSM does not know, via quantifying granular estimates of uncertainty, is critical for its direct clinical application as an on-demand diagnostic tool to determine how trustworthy the model output is. Here, we propose Uncertain-DeepSSM as a unified model that quantifies both, data-dependent aleatoric uncertainty by adapting the network to predict intrinsic input variance, and model-dependent epistemic uncertainty via a Monte Carlo dropout sampling to approximate a variational distribution over the network parameters. Experiments show an accuracy improvement over DeepSSM while maintaining the same benefits of being end-to-end with little pre-processing.