A Robust Ensemble Algorithm for Ischemic Stroke Lesion Segmentation: Generalizability and Clinical Utility Beyond the ISLES ChallengeEzequiel de la Rosa, Mauricio Reyes, Sook-Lei Liew et al.
Diffusion-weighted MRI (DWI) is essential for stroke diagnosis, treatment decisions, and prognosis. However, image and disease variability hinder the development of generalizable AI algorithms with clinical value. We address this gap by presenting a novel ensemble algorithm derived from the 2022 Ischemic Stroke Lesion Segmentation (ISLES) challenge. ISLES'22 provided 400 patient scans with ischemic stroke from various medical centers, facilitating the development of a wide range of cutting-edge segmentation algorithms by the research community. Through collaboration with leading teams, we combined top-performing algorithms into an ensemble model that overcomes the limitations of individual solutions. Our ensemble model achieved superior ischemic lesion detection and segmentation accuracy on our internal test set compared to individual algorithms. This accuracy generalized well across diverse image and disease variables. Furthermore, the model excelled in extracting clinical biomarkers. Notably, in a Turing-like test, neuroradiologists consistently preferred the algorithm's segmentations over manual expert efforts, highlighting increased comprehensiveness and precision. Validation using a real-world external dataset (N=1686) confirmed the model's generalizability. The algorithm's outputs also demonstrated strong correlations with clinical scores (admission NIHSS and 90-day mRS) on par with or exceeding expert-derived results, underlining its clinical relevance. This study offers two key findings. First, we present an ensemble algorithm (https://github.com/Tabrisrei/ISLES22_Ensemble) that detects and segments ischemic stroke lesions on DWI across diverse scenarios on par with expert (neuro)radiologists. Second, we show the potential for biomedical challenge outputs to extend beyond the challenge's initial objectives, demonstrating their real-world clinical applicability.
Towards Secure and Usable 3D Assets: A Novel Framework for Automatic Visible WatermarkingGursimran Singh, Tianxi Hu, Mohammad Akbari et al.
3D models, particularly AI-generated ones, have witnessed a recent surge across various industries such as entertainment. Hence, there is an alarming need to protect the intellectual property and avoid the misuse of these valuable assets. As a viable solution to address these concerns, we rigorously define the novel task of automated 3D visible watermarking in terms of two competing aspects: watermark quality and asset utility. Moreover, we propose a method of embedding visible watermarks that automatically determines the right location, orientation, and number of watermarks to be placed on arbitrary 3D assets for high watermark quality and asset utility. Our method is based on a novel rigid-body optimization that uses back-propagation to automatically learn transforms for ideal watermark placement. In addition, we propose a novel curvature-matching method for fusing the watermark into the 3D model that further improves readability and security. Finally, we provide a detailed experimental analysis on two benchmark 3D datasets validating the superior performance of our approach in comparison to baselines. Code and demo are available.
CL-Attack: Textual Backdoor Attacks via Cross-Lingual TriggersJingyi Zheng, Tianyi Hu, Tianshuo Cong et al.
Backdoor attacks significantly compromise the security of large language models by triggering them to output specific and controlled content. Currently, triggers for textual backdoor attacks fall into two categories: fixed-token triggers and sentence-pattern triggers. However, the former are typically easy to identify and filter, while the latter, such as syntax and style, do not apply to all original samples and may lead to semantic shifts. In this paper, inspired by cross-lingual (CL) prompts of LLMs in real-world scenarios, we propose a higher-dimensional trigger method at the paragraph level, namely CL-attack. CL-attack injects the backdoor by using texts with specific structures that incorporate multiple languages, thereby offering greater stealthiness and universality compared to existing backdoor attack techniques. Extensive experiments on different tasks and model architectures demonstrate that CL-attack can achieve nearly 100% attack success rate with a low poisoning rate in both classification and generation tasks. We also empirically show that the CL-attack is more robust against current major defense methods compared to baseline backdoor attacks. Additionally, to mitigate CL-attack, we further develop a new defense called TranslateDefense, which can partially mitigate the impact of CL-attack.