Shubham Patil

Weiyi Xie, Nathalie Willems, Shubham Patil et al.

We propose a straightforward yet highly effective few-shot fine-tuning strategy for adapting the Segment Anything (SAM) to anatomical segmentation tasks in medical images. Our novel approach revolves around reformulating the mask decoder within SAM, leveraging few-shot embeddings derived from a limited set of labeled images (few-shot collection) as prompts for querying anatomical objects captured in image embeddings. This innovative reformulation greatly reduces the need for time-consuming online user interactions for labeling volumetric images, such as exhaustively marking points and bounding boxes to provide prompts slice by slice. With our method, users can manually segment a few 2D slices offline, and the embeddings of these annotated image regions serve as effective prompts for online segmentation tasks. Our method prioritizes the efficiency of the fine-tuning process by exclusively training the mask decoder through caching mechanisms while keeping the image encoder frozen. Importantly, this approach is not limited to volumetric medical images, but can generically be applied to any 2D/3D segmentation task. To thoroughly evaluate our method, we conducted extensive validation on four datasets, covering six anatomical segmentation tasks across two modalities. Furthermore, we conducted a comparative analysis of different prompting options within SAM and the fully-supervised nnU-Net. The results demonstrate the superior performance of our method compared to SAM employing only point prompts (approximately 50% improvement in IoU) and performs on-par with fully supervised methods whilst reducing the requirement of labeled data by at least an order of magnitude.

Chetan Pathade, Shubham Patil

Federated Learning (FL) offers a promising framework for collaboratively training machine learning models across decentralized genomic datasets without direct data sharing. While this approach preserves data locality, it remains susceptible to sophisticated inference attacks that can compromise individual privacy. In this study, we simulate a federated learning setup using synthetic genomic data and assess its vulnerability to three key attack vectors: Membership Inference Attack (MIA), Gradient-Based Membership Inference Attack, and Label Inference Attack (LIA). Our experiments reveal that Gradient-Based MIA achieves the highest effectiveness, with a precision of 0.79 and F1-score of 0.87, underscoring the risk posed by gradient exposure in federated updates. Additionally, we visualize comparative attack performance through radar plots and quantify model leakage across clients. The findings emphasize the inadequacy of naïve FL setups in safeguarding genomic privacy and motivate the development of more robust privacy-preserving mechanisms tailored to the unique sensitivity of genomic data.

Yu-Cheng Chou, Gary Y. Li, Li Chen et al.

Developing reliable healthcare AI models requires training with representative and diverse data. In imbalanced datasets, model performance tends to plateau on the more prevalent classes while remaining low on less common cases. To overcome this limitation, we propose DiffUltra, the first generative AI technique capable of synthesizing realistic Lung Ultrasound (LUS) images with extensive lesion variability. Specifically, we condition the generative AI by the introduced Lesion-anatomy Bank, which captures the lesion's structural and positional properties from real patient data to guide the image synthesis.We demonstrate that DiffUltra improves consolidation detection by 5.6% in AP compared to the models trained solely on real patient data. More importantly, DiffUltra increases data diversity and prevalence of rare cases, leading to a 25% AP improvement in detecting rare instances such as large lung consolidations, which make up only 10% of the dataset.