Christoph Balada

Adriano Lucieri, Fabian Schmeisser, Christoph Peter Balada et al.

It is generally believed that the human visual system is biased towards the recognition of shapes rather than textures. This assumption has led to a growing body of work aiming to align deep models' decision-making processes with the fundamental properties of human vision. The reliance on shape features is primarily expected to improve the robustness of these models under covariate shift. In this paper, we revisit the significance of shape-biases for the classification of skin lesion images. Our analysis shows that different skin lesion datasets exhibit varying biases towards individual image features. Interestingly, despite deep feature extractors being inclined towards learning entangled features for skin lesion classification, individual features can still be decoded from this entangled representation. This indicates that these features are still represented in the learnt embedding spaces of the models, but not used for classification. In addition, the spectral analysis of different datasets shows that in contrast to common visual recognition, dermoscopic skin lesion classification, by nature, is reliant on complex feature combinations beyond shape-bias. As a natural consequence, shifting away from the prevalent desire of shape-biasing models can even improve skin lesion classifiers in some cases.

Christoph Balada, Aida Romano-Martinez, Payal Varshney et al.

Cardiovascular diseases (CVDs) remain the leading cause of mortality worldwide, yet early risk detection is often limited by available diagnostics. Carotid ultrasound, a non-invasive and widely accessible modality, encodes rich structural and hemodynamic information that is largely untapped. Here, we present a machine learning (ML) framework that extracts clinically meaningful representations of vascular damage (VD) from carotid ultrasound videos, using hypertension as a weak proxy label. The model learns robust features that are biologically plausible, interpretable, and strongly associated with established cardiovascular risk factors, comorbidities, and laboratory measures. High VD stratifies individuals for myocardial infarction, cardiac death, and all-cause mortality, matching or outperforming conventional risk models such as SCORE2. Explainable AI analyses reveal that the model relies on vessel morphology and perivascular tissue characteristics, uncovering novel functional and anatomical signatures of vascular damage. This work demonstrates that routine carotid ultrasound contains far more prognostic information than previously recognized. Our approach provides a scalable, non-invasive, and cost-effective tool for population-wide cardiovascular risk assessment, enabling earlier and more personalized prevention strategies without reliance on laboratory tests or complex clinical inputs.

Christoph Balada, Max Bondorf, Sheraz Ahmed et al.

Electricity grids have become an essential part of daily life, even if they are often not noticed in everyday life. We usually only become particularly aware of this dependence by the time the electricity grid is no longer available. However, significant changes, such as the transition to renewable energy (photovoltaic, wind turbines, etc.) and an increasing number of energy consumers with complex load profiles (electric vehicles, home battery systems, etc.), pose new challenges for the electricity grid. To address these challenges, we propose two first-of-its-kind datasets based on measurements in a broadband powerline communications (PLC) infrastructure. Both datasets FiN-1 and FiN-2, were collected during real practical use in a part of the German low-voltage grid that supplies around 4.4 million people and show more than 13 billion datapoints collected by more than 5100 sensors. In addition, we present different use cases in asset management, grid state visualization, forecasting, predictive maintenance, and novelty detection to highlight the benefits of these types of data. For these applications, we particularly highlight the use of novel machine learning architectures to extract rich information from real-world data that cannot be captured using traditional approaches. By publishing the first large-scale real-world dataset, we aim to shed light on the previously largely unrecognized potential of PLC data and emphasize machine-learning-based research in low-voltage distribution networks by presenting a variety of different use cases.

Payal Varshney, Adriano Lucieri, Christoph Balada et al.

Trustworthiness is a major prerequisite for the safe application of opaque deep learning models in high-stakes domains like medicine. Understanding the decision-making process not only contributes to fostering trust but might also reveal previously unknown decision criteria of complex models that could advance the state of medical research. The discovery of decision-relevant concepts from black box models is a particularly challenging task. This study proposes Concept Discovery through Latent Diffusion-based Counterfactual Trajectories (CDCT), a novel three-step framework for concept discovery leveraging the superior image synthesis capabilities of diffusion models. In the first step, CDCT uses a Latent Diffusion Model (LDM) to generate a counterfactual trajectory dataset. This dataset is used to derive a disentangled representation of classification-relevant concepts using a Variational Autoencoder (VAE). Finally, a search algorithm is applied to identify relevant concepts in the disentangled latent space. The application of CDCT to a classifier trained on the largest public skin lesion dataset revealed not only the presence of several biases but also meaningful biomarkers. Moreover, the counterfactuals generated within CDCT show better FID scores than those produced by a previously established state-of-the-art method, while being 12 times more resource-efficient. Unsupervised concept discovery holds great potential for the application of trustworthy AI and the further development of human knowledge in various domains. CDCT represents a further step in this direction.

Payal Varshney, Adriano Lucieri, Christoph Balada et al.

Video-based AI systems are increasingly adopted in safety-critical domains such as autonomous driving and healthcare. However, interpreting their decisions remains challenging due to the inherent spatiotemporal complexity of video data and the opacity of deep learning models. Existing explanation techniques often suffer from limited temporal coherence, insufficient robustness, and a lack of actionable causal insights. Current counterfactual explanation methods typically do not incorporate guidance from the target model, reducing semantic fidelity and practical utility. We introduce Latent Diffusion for Video Counterfactual Explanations (LD-ViCE), a novel framework designed to explain the behavior of video-based AI models. Compared to previous approaches, LD-ViCE reduces the computational costs of generating explanations by operating in latent space using a state-of-the-art diffusion model, while producing realistic and interpretable counterfactuals through an additional refinement step. Our experiments demonstrate the effectiveness of LD-ViCE across three diverse video datasets, including EchoNet-Dynamic (cardiac ultrasound), FERV39k (facial expression), and Something-Something V2 (action recognition). LD-ViCE outperforms a recent state-of-the-art method, achieving an increase in R2 score of up to 68% while reducing inference time by half. Qualitative analysis confirms that LD-ViCE generates semantically meaningful and temporally coherent explanations, offering valuable insights into the target model behavior. LD-ViCE represents a valuable step toward the trustworthy deployment of AI in safety-critical domains.

Payal Varshney, Adriano Lucieri, Christoph Balada et al.

Concept-based explanations have emerged as an effective approach within Explainable Artificial Intelligence, enabling interpretable insights by aligning model decisions with human-understandable concepts. However, existing methods rely on computationally intensive procedures and struggle to efficiently capture complex, semantic concepts. Recently, the Concept Discovery through Latent Diffusion-based Counterfactual Trajectories (CDCT) framework, introduced by Varshney et al. (2025), attempts to identify concepts via dimension-wise traversal of the latent space of a Variational Autoencoder trained on counterfactual trajectories. Extending the CDCT framework, this work introduces Concept Directions via Latent Clustering (CDLC), which extracts global, class-specific concept directions by clustering latent difference vectors derived from factual and diffusion-generated counterfactual image pairs. CDLC substantially reduces computational complexity by eliminating the exhaustive latent dimension traversal required in CDCT and enables the extraction of multidimensional semantic concepts encoded across the latent dimensions. This approach is validated on a real-world skin lesion dataset, demonstrating that the extracted concept directions align with clinically recognized dermoscopic features and, in some cases, reveal dataset-specific biases or unknown biomarkers. These results highlight that CDLC is interpretable, scalable, and applicable across high-stakes domains and diverse data modalities.

Christoph Balada, Aida Romano-Martinez, Vincent ten Cate et al.

In this study, hypertension is utilized as an indicator of individual vascular damage. This damage can be identified through machine learning techniques, providing an early risk marker for potential major cardiovascular events and offering valuable insights into the overall arterial condition of individual patients. To this end, the VideoMAE deep learning model, originally developed for video classification, was adapted by finetuning for application in the domain of ultrasound imaging. The model was trained and tested using a dataset comprising over 31,000 carotid sonography videos sourced from the Gutenberg Health Study (15,010 participants), one of the largest prospective population health studies. This adaptation facilitates the classification of individuals as hypertensive or non-hypertensive (75.7% validation accuracy), functioning as a proxy for detecting visual arterial damage. We demonstrate that our machine learning model effectively captures visual features that provide valuable insights into an individual's overall cardiovascular health.

Pramod Vadiraja, Christoph Peter Balada

The problem of finding K-nearest neighbors in the given dataset for a given query point has been worked upon since several years. In very high dimensional spaces the K-nearest neighbor search (KNNS) suffers in terms of complexity in computation of high dimensional distances. With the issue of curse of dimensionality, it gets quite tedious to reliably bank on the results of variety approximate nearest neighbor search approaches. In this paper, we survey some novel K-Nearest Neighbor Search approaches that tackles the problem of Search from the perspectives of computations, the accuracy of approximated results and leveraging parallelism to speed-up computations. We attempt to derive a relationship between the true positive and false points for a given KNNS approach. Finally, in order to evaluate the robustness of a KNNS approach against adversarial points, we propose a generic Reinforcement Learning based framework for the same.