Pedro Costa

Robin Klein, Benjamin Sanderse, Pedro Costa et al.

We generalize Tadmor's algebraic numerical flux condition for entropy-conservative discretizations of conservation laws to a broader class of secondary structures, i.e. possibly non-convex secondary quantities whose evolution can consist of both conservative and non-conservative contributions. The resulting generalized Tadmor condition yields a discrete local balance law for secondary structures alongside the discrete conservation law that is solved. In contrast to the convex entropy setting, non-convex secondary quantities can have singular Hessians and non-injective gradients; this introduces an additional necessary structural requirement, which we term (discrete) null-consistency. Null-consistency constrains admissible numerical work terms and is required for the existence and well-posedness of fluxes satisfying the generalized Tadmor condition. To construct such fluxes in practice, we show how discrete gradient operators provide systematic construction methods even when some of the functions entering the secondary structure are arbitrary, as in compressible flow closed by an arbitrary equation of state. As an application, we derive an entropy-conserving and kinetic-energy-consistent numerical flux for the Euler equations with an arbitrary (non-ideal) equation of state. We demonstrate the performance of the resulting scheme on a set of supercritical/transcritical compressible-flow test cases using several non-ideal equations of state, including a fully turbulent transcritical flow with a state-of-the-art equation of state and models for viscosity and heat conductivity. Computations are performed with our new open-source, flexible, JAX-based, multi-GPU compressible flow solver for Helmholtz-based equations of state available at github.com/rbklein/HelmEOS2.

Simon Graham, Quoc Dang Vu, Mostafa Jahanifar et al.

Nuclear detection, segmentation and morphometric profiling are essential in helping us further understand the relationship between histology and patient outcome. To drive innovation in this area, we setup a community-wide challenge using the largest available dataset of its kind to assess nuclear segmentation and cellular composition. Our challenge, named CoNIC, stimulated the development of reproducible algorithms for cellular recognition with real-time result inspection on public leaderboards. We conducted an extensive post-challenge analysis based on the top-performing models using 1,658 whole-slide images of colon tissue. With around 700 million detected nuclei per model, associated features were used for dysplasia grading and survival analysis, where we demonstrated that the challenge's improvement over the previous state-of-the-art led to significant boosts in downstream performance. Our findings also suggest that eosinophils and neutrophils play an important role in the tumour microevironment. We release challenge models and WSI-level results to foster the development of further methods for biomarker discovery.

Alex Gaudio, Christos Faloutsos, Asim Smailagic et al.

Is there an initialization for deep networks that requires no learning? ExplainFix adopts two design principles: the "fixed filters" principle that all spatial filter weights of convolutional neural networks can be fixed at initialization and never learned, and the "nimbleness" principle that only few network parameters suffice. We contribute (a) visual model-based explanations, (b) speed and accuracy gains, and (c) novel tools for deep convolutional neural networks. ExplainFix gives key insights that spatially fixed networks should have a steered initialization, that spatial convolution layers tend to prioritize low frequencies, and that most network parameters are not necessary in spatially fixed models. ExplainFix models have up to 100x fewer spatial filter kernels than fully learned models and matching or improved accuracy. Our extensive empirical analysis confirms that ExplainFix guarantees nimbler models (train up to 17\% faster with channel pruning), matching or improved predictive performance (spanning 13 distinct baseline models, four architectures and two medical image datasets), improved robustness to larger learning rate, and robustness to varying model size. We are first to demonstrate that all spatial filters in state-of-the-art convolutional deep networks can be fixed at initialization, not learned.

Pedro Costa, Yongpan Fu, João Nunes et al.

Cancer is one of the leading causes of death in the developed world. Cancer diagnosis is performed through the microscopic analysis of a sample of suspicious tissue. This process is time consuming and error prone, but Deep Learning models could be helpful for pathologists during cancer diagnosis. We propose to change the CenterNet2 object detection model to also perform instance segmentation, which we call SegCenterNet2. We train SegCenterNet2 in the CoNIC challenge dataset and show that it performs better than Mask R-CNN in the competition metrics.

Alvaro Riquelme, Pedro Costa, Catalina Martinez

For years, semantic interoperability standards have sought to streamline the exchange of clinical data, yet their deployment remains time-consuming, resource-intensive, and technically challenging. To address this, we introduce a semi-automated approach that leverages large language models specifically GPT-4o and Llama 3.2 405b to convert structured clinical datasets into HL7 FHIR format while assessing accuracy, reliability, and security. Applying our method to the MIMIC-IV database, we combined embedding techniques, clustering algorithms, and semantic retrieval to craft prompts that guide the models in mapping each tabular field to its corresponding FHIR resource. In an initial benchmark, resource identification achieved a perfect F1-score, with GPT-4o outperforming Llama 3.2 thanks to the inclusion of FHIR resource schemas within the prompt. Under real-world conditions, accuracy dipped slightly to 94 %, but refinements to the prompting strategy restored robust mappings. Error analysis revealed occasional hallucinations of non-existent attributes and mismatches in granularity, which more detailed prompts can mitigate. Overall, our study demonstrates the feasibility of context-aware, LLM-driven transformation of clinical data into HL7 FHIR, laying the groundwork for semi-automated interoperability workflows. Future work will focus on fine-tuning models with specialized medical corpora, extending support to additional standards such as HL7 CDA and OMOP, and developing an interactive interface to enable expert validation and iterative refinement.

Pedro Costa, Vitor Cerqueira, João Vinagre

A time series represents a set of observations collected over time. Typically, these observations are captured with a uniform sampling frequency (e.g. daily). When data points are observed in uneven time intervals the time series is referred to as irregular or intermittent. In such scenarios, the most common solution is to reconstruct the time series to make it regular, thus removing its intermittency. We hypothesise that, in irregular time series, the time at which each observation is collected may be helpful to summarise the dynamics of the data and improve forecasting performance. We study this idea by developing a novel automatic feature engineering framework, which focuses on extracting information from this point of view, i.e., when each instance is collected. We study how valuable this information is by integrating it in a time series forecasting workflow and investigate how it compares to or complements state-of-the-art methods for regular time series forecasting. In the end, we contribute by providing a novel framework that tackles feature engineering for time series from an angle previously vastly ignored. We show that our approach has the potential to further extract more information about time series that significantly improves forecasting performance.

Qiqi Xiao, Jiaxu Zou, Muqiao Yang et al.

Diabetic Retinopathy (DR) is a leading cause of blindness in working age adults. DR lesions can be challenging to identify in fundus images, and automatic DR detection systems can offer strong clinical value. Of the publicly available labeled datasets for DR, the Indian Diabetic Retinopathy Image Dataset (IDRiD) presents retinal fundus images with pixel-level annotations of four distinct lesions: microaneurysms, hemorrhages, soft exudates and hard exudates. We utilize the HEDNet edge detector to solve a semantic segmentation task on this dataset, and then propose an end-to-end system for pixel-level segmentation of DR lesions by incorporating HEDNet into a Conditional Generative Adversarial Network (cGAN). We design a loss function that adds adversarial loss to segmentation loss. Our experiments show that the addition of the adversarial loss improves the lesion segmentation performance over the baseline.

Asim Smailagic, Anupma Sharan, Pedro Costa et al.

Diabetic Retinopathy is the leading cause of blindness in the working-age population of the world. The main aim of this paper is to improve the accuracy of Diabetic Retinopathy detection by implementing a shadow removal and color correction step as a preprocessing stage from eye fundus images. For this, we rely on recent findings indicating that application of image dehazing on the inverted intensity domain amounts to illumination compensation. Inspired by this work, we propose a Shadow Removal Layer that allows us to learn the pre-processing function for a particular task. We show that learning the pre-processing function improves the performance of the network on the Diabetic Retinopathy detection task.

Asim Smailagic, Pedro Costa, Alex Gaudio et al.

Active Learning methods create an optimized labeled training set from unlabeled data. We introduce a novel Online Active Deep Learning method for Medical Image Analysis. We extend our MedAL active learning framework to present new results in this paper. Our novel sampling method queries the unlabeled examples that maximize the average distance to all training set examples. Our online method enhances performance of its underlying baseline deep network. These novelties contribute significant performance improvements, including improving the model's underlying deep network accuracy by 6.30%, using only 25% of the labeled dataset to achieve baseline accuracy, reducing backpropagated images during training by as much as 67%, and demonstrating robustness to class imbalance in binary and multi-class tasks.

Teresa Araújo, Guilherme Aresta, Adrian Galdran et al.

We propose UOLO, a novel framework for the simultaneous detection and segmentation of structures of interest in medical images. UOLO consists of an object segmentation module which intermediate abstract representations are processed and used as input for object detection. The resulting system is optimized simultaneously for detecting a class of objects and segmenting an optionally different class of structures. UOLO is trained on a set of bounding boxes enclosing the objects to detect, as well as pixel-wise segmentation information, when available. A new loss function is devised, taking into account whether a reference segmentation is accessible for each training image, in order to suitably backpropagate the error. We validate UOLO on the task of simultaneous optic disc (OD) detection, fovea detection, and OD segmentation from retinal images, achieving state-of-the-art performance on public datasets.

Asim Smailagic, Hae Young Noh, Pedro Costa et al.

Deep learning models have been successfully used in medical image analysis problems but they require a large amount of labeled images to obtain good performance.Deep learning models have been successfully used in medical image analysis problems but they require a large amount of labeled images to obtain good performance. However, such large labeled datasets are costly to acquire. Active learning techniques can be used to minimize the number of required training labels while maximizing the model's performance.In this work, we propose a novel sampling method that queries the unlabeled examples that maximize the average distance to all training set examples in a learned feature space. We then extend our sampling method to define a better initial training set, without the need for a trained model, by using ORB feature descriptors. We validate MedAL on 3 medical image datasets and show that our method is robust to different dataset properties. MedAL is also efficient, achieving 80% accuracy on the task of Diabetic Retinopathy detection using only 425 labeled images, corresponding to a 32% reduction in the number of required labeled examples compared to the standard uncertainty sampling technique, and a 40% reduction compared to random sampling.

Adrian Galdran, Aitor Alvarez-Gila, Maria Ines Meyer et al.

Dermoscopic skin images are often obtained with different imaging devices, under varying acquisition conditions. In this work, instead of attempting to perform intensity and color normalization, we propose to leverage computational color constancy techniques to build an artificial data augmentation technique suitable for this kind of images. Specifically, we apply the \emph{shades of gray} color constancy technique to color-normalize the entire training set of images, while retaining the estimated illuminants. We then draw one sample from the distribution of training set illuminants and apply it on the normalized image. We employ this technique for training two deep convolutional neural networks for the tasks of skin lesion segmentation and skin lesion classification, in the context of the ISIC 2017 challenge and without using any external dermatologic image set. Our results on the validation set are promising, and will be supplemented with extended results on the hidden test set when available.

Pedro Costa, Adrian Galdran, Maria Inês Meyer et al.

Synthesizing images of the eye fundus is a challenging task that has been previously approached by formulating complex models of the anatomy of the eye. New images can then be generated by sampling a suitable parameter space. In this work, we propose a method that learns to synthesize eye fundus images directly from data. For that, we pair true eye fundus images with their respective vessel trees, by means of a vessel segmentation technique. These pairs are then used to learn a mapping from a binary vessel tree to a new retinal image. For this purpose, we use a recent image-to-image translation technique, based on the idea of adversarial learning. Experimental results show that the original and the generated images are visually different in terms of their global appearance, in spite of sharing the same vessel tree. Additionally, a quantitative quality analysis of the synthetic retinal images confirms that the produced images retain a high proportion of the true image set quality.