Kimmo Kaski

Jorma Järnstedt, Jaakko Sahlsten, Joel Jaskari et al.

Deep learning approach has been demonstrated to automatically segment the bilateral mandibular canals from CBCT scans, yet systematic studies of its clinical and technical validation are scarce. To validate the mandibular canal localization accuracy of a deep learning system (DLS) we trained it with 982 CBCT scans and evaluated using 150 scans of five scanners from clinical workflow patients of European and Southeast Asian Institutes, annotated by four radiologists. The interobserver variability was compared to the variability between the DLS and the radiologists. In addition, the generalization of DLS to CBCT scans from scanners not used in the training data was examined to evaluate the out-of-distribution generalization capability. The DLS had lower variability to the radiologists than the interobserver variability between them and it was able to generalize to three new devices. For the radiologists' consensus segmentation, used as gold standard, the DLS had a symmetric mean curve distance of 0.39 mm compared to those of the individual radiologists with 0.62 mm, 0.55 mm, 0.47 mm, and 0.42 mm. The DLS showed comparable or slightly better performance in the segmentation of the mandibular canal with the radiologists and generalization capability to new scanners.

Jorma Järnstedt, Jaakko Sahlsten, Joel Jaskari et al.

Preoperative radiological identification of mandibular canals is essential for maxillofacial surgery. This study demonstrates the reproducibility of a deep learning system (DLS) by evaluating its localisation performance on 165 heterogeneous cone beam computed tomography (CBCT) scans from 72 patients in comparison to an experienced radiologist's annotations. We evaluated the performance of the DLS using the symmetric mean curve distance (SMCD), the average symmetric surface distance (ASSD), and the Dice similarity coefficient (DSC). The reproducibility of the SMCD was assessed using the within-subject coefficient of repeatability (RC). Three other experts rated the diagnostic validity twice using a 0-4 Likert scale. The reproducibility of the Likert scoring was assessed using the repeatability measure (RM). The RC of SMCD was 0.969 mm, the median (interquartile range) SMCD and ASSD were 0.643 (0.186) mm and 0.351 (0.135) mm, respectively, and the mean (standard deviation) DSC was 0.548 (0.138). The DLS performance was most affected by postoperative changes. The RM of the Likert scoring was 0.923 for the radiologist and 0.877 for the DLS. The mean (standard deviation) Likert score was 3.94 (0.27) for the radiologist and 3.84 (0.65) for the DLS. The DLS demonstrated proficient qualitative and quantitative reproducibility, temporal generalisability, and clinical validity.

Joni Herttuainen, Vesa Kuikka, Kimmo K. Kaski

Cyberattacks on enterprise networks exploit complex dependencies among infrastructure, services, and applications, which challenge traditional analysis methods that focus on attack paths or network topology in isolation. In this study, we introduce a novel probabilistic multilayer modelling framework, based on influence propagation in networks, that integrates attack graphs with the communication network topology, enabling a service-centric impact analysis of cyberattacks. Our method captures both the vulnerability exploitability and network connectivity, allowing us to assess the likelihood of attack propagation and cumulative impacts across interconnected services. By integrating standard vulnerability metrics (such as CVSS) with the network-level connectivity probabilities, the framework provides a cohesive view of the dynamics of cyberattacks. We validate this approach using a realistic case study of an enterprise network, demonstrating its ability to determine critical nodes, vulnerabilities, and service dependencies that significantly influence attack outcomes. Our findings show that integrating network and attack graph perspectives offers more actionable insights into risk assessment and mitigation planning, advancing the analysis of cyberattacks in complex networked environments.

Alberto García-Rodríguez, Matias Núñez, Miguel Robles Pérez et al.

The 2030 Agenda for Sustainable Development of the United Nations outlines 17 goals for countries of the world to address global challenges in their development. However, the progress of countries towards these goal has been slower than expected and, consequently, there is a need to investigate the reasons behind this fact. In this study, we have used a novel data-driven methodology to analyze time-series data for over 20 years (2000-2022) from 107 countries using unsupervised machine learning (ML) techniques. Our analysis reveals strong positive and negative correlations between certain SDGs (Sustainable Development Goals). Our findings show that progress toward the SDGs is heavily influenced by geographical, cultural and socioeconomic factors, with no country on track to achieve all the goals by 2030. This highlights the need for a region-specific, systemic approach to sustainable development that acknowledges the complex interdependencies between the goals and the variable capacities of countries to reach them. For this our machine learning based approach provides a robust framework for developing efficient and data-informed strategies to promote cooperative and targeted initiatives for sustainable progress.

Mikko Saukkoriipi, Jaakko Sahlsten, Joel Jaskari et al.

The main treatment modality for oropharyngeal cancer (OPC) is radiotherapy, where accurate segmentation of the primary gross tumor volume (GTVp) is essential. However, accurate GTVp segmentation is challenging due to significant interobserver variability and the time-consuming nature of manual annotation, while fully automated methods can occasionally fail. An interactive deep learning (DL) model offers the advantage of automatic high-performance segmentation with the flexibility for user correction when necessary. In this study, we examine interactive DL for GTVp segmentation in OPC. We implement state-of-the-art algorithms and propose a novel two-stage Interactive Click Refinement (2S-ICR) framework. Using the 2021 HEad and neCK TumOR (HECKTOR) dataset for development and an external dataset from The University of Texas MD Anderson Cancer Center for evaluation, the 2S-ICR framework achieves a Dice similarity coefficient of 0.713 $\pm$ 0.152 without user interaction and 0.824 $\pm$ 0.099 after five interactions, outperforming existing methods in both cases.

Varpu Vehomäki, Kimmo K. Kaski

Understanding cyber security is increasingly important for individuals and organizations. However, a lot of information related to cyber security can be difficult to understand to those not familiar with the topic. In this study, we focus on investigating how large language models (LLMs) could be utilized in automatic text simplification (ATS) of Common Vulnerability and Exposure (CVE) descriptions. Automatic text simplification has been studied in several contexts, such as medical, scientific, and news texts, but it has not yet been studied to simplify texts in the rapidly changing and complex domain of cyber security. We created a baseline for cyber security ATS and a test dataset of 40 CVE descriptions, evaluated by two groups of cyber security experts in two survey rounds. We have found that while out-of-the box LLMs can make the text appear simpler, they struggle with meaning preservation. Code and data are available at https://version.aalto.fi/gitlab/vehomav1/simplification\_nmi.

Joel Jaskari, Chandreyee Roy, Fumiko Ogushi et al.

Graph neural networks (GNNs) have emerged as a state-of-the-art data-driven tool for modeling connectivity data of graph-structured complex networks and integrating information of their nodes and edges in space and time. However, as of yet, the analysis of social networks using the time series of people's mobile connectivity data has not been extensively investigated. In the present study, we investigate four snapshot - based temporal GNNs in predicting the phone call and SMS activity between users of a mobile communication network. In addition, we develop a simple non - GNN baseline model using recently proposed EdgeBank method. Our analysis shows that the ROLAND temporal GNN outperforms the baseline model in most cases, whereas the other three GNNs perform on average worse than the baseline. The results show that GNN based approaches hold promise in the analysis of temporal social networks through mobile connectivity data. However, due to the relatively small performance margin between ROLAND and the baseline model, further research is required on specialized GNN architectures for temporal social network analysis.

Joel Jaskari, Jaakko Sahlsten, Theodoros Damoulas et al.

Automatic classification of diabetic retinopathy from retinal images has been widely studied using deep neural networks with impressive results. However, there is a clinical need for estimation of the uncertainty in the classifications, a shortcoming of modern neural networks. Recently, approximate Bayesian deep learning methods have been proposed for the task but the studies have only considered the binary referable/non-referable diabetic retinopathy classification applied to benchmark datasets. We present novel results by systematically investigating a clinical dataset and a clinically relevant 5-class classification scheme, in addition to benchmark datasets and the binary classification scheme. Moreover, we derive a connection between uncertainty measures and classifier risk, from which we develop a new uncertainty measure. We observe that the previously proposed entropy-based uncertainty measure generalizes to the clinical dataset on the binary classification scheme but not on the 5-class scheme, whereas our new uncertainty measure generalizes to the latter case.

Tuomas Takko, Kunal Bhattacharya, Martti Lehto et al.

Information on cyber-related crimes, incidents, and conflicts is abundantly available in numerous open online sources. However, processing the large volumes and streams of data is a challenging task for the analysts and experts, and entails the need for newer methods and techniques. In this article we present and implement a novel knowledge graph and knowledge mining framework for extracting the relevant information from free-form text about incidents in the cyberdomain. The framework includes a machine learning based pipeline for generating graphs of organizations, countries, industries, products and attackers with a non-technical cyber-ontology. The extracted knowledge graph is utilized to estimate the incidence of cyberattacks on a given graph configuration. We use publicly available collections of real cyber-incident reports to test the efficacy of our methods. The knowledge extraction is found to be sufficiently accurate, and the graph-based threat estimation demonstrates a level of correlation with the actual records of attacks. In practical use, an analyst utilizing the presented framework can infer additional information from the current cyber-landscape in terms of risk to various entities and propagation of the risk heuristic between industries and countries.

Jaakko Sahlsten, Joel Jaskari, Jyri Kivinen et al.

Diabetes is a globally prevalent disease that can cause visible microvascular complications such as diabetic retinopathy and macular edema in the human eye retina, the images of which are today used for manual disease screening. This labor-intensive task could greatly benefit from automatic detection using deep learning technique. Here we present a deep learning system that identifies referable diabetic retinopathy comparably or better than presented in the previous studies, although we use only a small fraction of images (<1/4) in training but are aided with higher image resolutions. We also provide novel results for five different screening and clinical grading systems for diabetic retinopathy and macular edema classification, including results for accurately classifying images according to clinical five-grade diabetic retinopathy and four-grade diabetic macular edema scales. These results suggest, that a deep learning system could increase the cost-effectiveness of screening while attaining higher than recommended performance, and that the system could be applied in clinical examinations requiring finer grading.