Alexander Chowdhury

Fan Xie, Alexander Chowdhury, M. Clara De Paolis Kaluza et al.

We present a deep imitation learning framework for robotic bimanual manipulation in a continuous state-action space. A core challenge is to generalize the manipulation skills to objects in different locations. We hypothesize that modeling the relational information in the environment can significantly improve generalization. To achieve this, we propose to (i) decompose the multi-modal dynamics into elemental movement primitives, (ii) parameterize each primitive using a recurrent graph neural network to capture interactions, and (iii) integrate a high-level planner that composes primitives sequentially and a low-level controller to combine primitive dynamics and inverse kinematics control. Our model is a deep, hierarchical, modular architecture. Compared to baselines, our model generalizes better and achieves higher success rates on several simulated bimanual robotic manipulation tasks. We open source the code for simulation, data, and models at: https://github.com/Rose-STL-Lab/HDR-IL.

Riya Gupta, Alexander Chowdhury, Sahil Nalawade

Federated Learning (FL) has emerged as a transformative paradigm in medical AI, enabling collaborative model training across institutions without direct data sharing. This study benchmarks three prominent FL frameworks NVIDIA FLARE, Flower, and Owkin Substra to evaluate their suitability for medical imaging applications in real-world settings. Using the PathMNIST dataset, we assess model performance, convergence efficiency, communication overhead, scalability, and developer experience. Results indicate that NVIDIA FLARE offers superior production scalability, Flower provides flexibility for prototyping and academic research, and Owkin Substra demonstrates exceptional privacy and compliance features. Each framework exhibits strengths optimized for distinct use cases, emphasizing their relevance to practical deployment in healthcare environments.

Advait Gosai, Arun Kavishwar, Stephanie L. McNamara et al.

Recent work has shown promising performance of frontier large language models (LLMs) and their multimodal counterparts in medical quizzes and diagnostic tasks, highlighting their potential for broad clinical utility given their accessible, general-purpose nature. However, beyond diagnosis, a fundamental aspect of medical image interpretation is the ability to localize pathological findings. Evaluating localization not only has clinical and educational relevance but also provides insight into a model's spatial understanding of anatomy and disease. Here, we systematically assess two general-purpose MLLMs (GPT-4 and GPT-5) and a domain-specific model (MedGemma) in their ability to localize pathologies on chest radiographs, using a prompting pipeline that overlays a spatial grid and elicits coordinate-based predictions. Averaged across nine pathologies in the CheXlocalize dataset, GPT-5 exhibited a localization accuracy of 49.7%, followed by GPT-4 (39.1%) and MedGemma (17.7%), all lower than a task-specific CNN baseline (59.9%) and a radiologist benchmark (80.1%). Despite modest performance, error analysis revealed that GPT-5's predictions were largely in anatomically plausible regions, just not always precisely localized. GPT-4 performed well on pathologies with fixed anatomical locations, but struggled with spatially variable findings and exhibited anatomically implausible predictions more frequently. MedGemma demonstrated the lowest performance on all pathologies, but showed improvements when provided examples through few shot prompting. Our findings highlight both the promise and limitations of current MLLMs in medical imaging and underscore the importance of integrating them with task-specific tools for reliable use.

James Wen, Sahil Nalawade, Zhiwei Liang et al. · deepmind, harvard

Background: Generative artificial intelligence (AI) deployment in academic medical settings raises copyright compliance concerns. Dana-Farber Cancer Institute implemented GPT4DFCI, an internal generative AI tool utilizing OpenAI models, that is approved for enterprise use in research and operations. Given (1) the exceptionally broad adoption of the tool in our organization, (2) our research mission, and (3) the shared responsibility model required to benefit from Customer Copyright Commitment in Azure OpenAI Service products, we deemed rigorous copyright compliance testing necessary. Case Description: We conducted a structured red teaming exercise in Nov. 2024, with 42 participants from academic, industry, and government institutions. Four teams attempted to extract copyrighted content from GPT4DFCI across four domains: literary works, news articles, scientific publications, and access-restricted clinical notes. Teams successfully extracted verbatim book dedications and near-exact passages through various strategies. News article extraction failed despite jailbreak attempts. Scientific article reproduction yielded only high-level summaries. Clinical note testing revealed appropriate privacy safeguards. Discussion: The successful extraction of literary content indicates potential copyrighted material presence in training data, necessitating inference-time filtering. Differential success rates across content types suggest varying protective mechanisms. The event led to implementation of a copyright-specific meta-prompt in GPT4DFCI; this mitigation has been in production since Jan. 2025. Conclusion: Systematic red teaming revealed specific vulnerabilities in generative AI copyright compliance, leading to concrete mitigation strategies. Academic medical institutions deploying generative AI should implement continuous testing protocols to ensure legal and ethical compliance.

Alexandros Karargyris, Renato Umeton, Micah J. Sheller et al.

Medical AI has tremendous potential to advance healthcare by supporting the evidence-based practice of medicine, personalizing patient treatment, reducing costs, and improving provider and patient experience. We argue that unlocking this potential requires a systematic way to measure the performance of medical AI models on large-scale heterogeneous data. To meet this need, we are building MedPerf, an open framework for benchmarking machine learning in the medical domain. MedPerf will enable federated evaluation in which models are securely distributed to different facilities for evaluation, thereby empowering healthcare organizations to assess and verify the performance of AI models in an efficient and human-supervised process, while prioritizing privacy. We describe the current challenges healthcare and AI communities face, the need for an open platform, the design philosophy of MedPerf, its current implementation status, and our roadmap. We call for researchers and organizations to join us in creating the MedPerf open benchmarking platform.