HCJun 25, 2025
Voice-guided Orchestrated Intelligence for Clinical Evaluation (VOICE): A Voice AI Agent System for Prehospital Stroke AssessmentJulian Acosta, Scott Adams, Julius Kernbach et al.
We developed a voice-driven artificial intelligence (AI) system that guides anyone - from paramedics to family members - through expert-level stroke evaluations using natural conversation, while also enabling smartphone video capture of key examination components for documentation and potential expert review. This addresses a critical gap in emergency care: current stroke recognition by first responders is inconsistent and often inaccurate, with sensitivity for stroke detection as low as 58%, causing life-threatening delays in treatment. Three non-medical volunteers used our AI system to assess ten simulated stroke patients, including cases with likely large vessel occlusion (LVO) strokes and stroke-like conditions, while we measured diagnostic accuracy, completion times, user confidence, and expert physician review of the AI-generated reports. The AI system correctly identified 84% of individual stroke signs and detected 75% of likely LVOs, completing evaluations in just over 6 minutes. Users reported high confidence (median 4.5/5) and ease of use (mean 4.67/5). The system successfully identified 86% of actual strokes but also incorrectly flagged 2 of 3 non-stroke cases as strokes. When an expert physician reviewed the AI reports with videos, they identified the correct diagnosis in 100% of cases, but felt confident enough to make preliminary treatment decisions in only 40% of cases due to observed AI errors including incorrect scoring and false information. While the current system's limitations necessitate human oversight, ongoing rapid advancements in speech-to-speech AI models suggest that future versions are poised to enable highly accurate assessments. Achieving human-level voice interaction could transform emergency medical care, putting expert-informed assessment capabilities in everyone's hands.
LGMay 22, 2025
Performance Guaranteed Poisoning Attacks in Federated Learning: A Sliding Mode ApproachHuazi Pan, Yanjun Zhang, Leo Yu Zhang et al.
Manipulation of local training data and local updates, i.e., the poisoning attack, is the main threat arising from the collaborative nature of the federated learning (FL) paradigm. Most existing poisoning attacks aim to manipulate local data/models in a way that causes denial-of-service (DoS) issues. In this paper, we introduce a novel attack method, named Federated Learning Sliding Attack (FedSA) scheme, aiming at precisely introducing the extent of poisoning in a subtle controlled manner. It operates with a predefined objective, such as reducing global model's prediction accuracy by 10%. FedSA integrates robust nonlinear control-Sliding Mode Control (SMC) theory with model poisoning attacks. It can manipulate the updates from malicious clients to drive the global model towards a compromised state, achieving this at a controlled and inconspicuous rate. Additionally, leveraging the robust control properties of FedSA allows precise control over the convergence bounds, enabling the attacker to set the global accuracy of the poisoned model to any desired level. Experimental results demonstrate that FedSA can accurately achieve a predefined global accuracy with fewer malicious clients while maintaining a high level of stealth and adjustable learning rates.
CVMar 29, 2022
Self-Supervised Leaf Segmentation under Complex Lighting ConditionsXufeng Lin, Chang-Tsun Li, Scott Adams et al.
As an essential prerequisite task in image-based plant phenotyping, leaf segmentation has garnered increasing attention in recent years. While self-supervised learning is emerging as an effective alternative to various computer vision tasks, its adaptation for image-based plant phenotyping remains rather unexplored. In this work, we present a self-supervised leaf segmentation framework consisting of a self-supervised semantic segmentation model, a color-based leaf segmentation algorithm, and a self-supervised color correction model. The self-supervised semantic segmentation model groups the semantically similar pixels by iteratively referring to the self-contained information, allowing the pixels of the same semantic object to be jointly considered by the color-based leaf segmentation algorithm for identifying the leaf regions. Additionally, we propose to use a self-supervised color correction model for images taken under complex illumination conditions. Experimental results on datasets of different plant species demonstrate the potential of the proposed self-supervised framework in achieving effective and generalizable leaf segmentation.
CVJun 4, 2018
Automatic catheter detection in pediatric X-ray images using a scale-recurrent network and synthetic dataXin Yi, Scott Adams, Paul Babyn et al.
Catheters are commonly inserted life supporting devices. X-ray images are used to assess the position of a catheter immediately after placement as serious complications can arise from malpositioned catheters. Previous computer vision approaches to detect catheters on X-ray images either relied on low-level cues that are not sufficiently robust or only capable of processing a limited number or type of catheters. With the resurgence of deep learning, supervised training approaches are begining to showing promising results. However, dense annotation maps are required, and the work of a human annotator is hard to scale. In this work, we proposed a simple way of synthesizing catheters on X-ray images and a scale recurrent network for catheter detection. By training on adult chest X-rays, the proposed network exhibits promising detection results on pediatric chest/abdomen X-rays in terms of both precision and recall.