Anand Choudhary

Anand Choudhary, Xiaowu Sun, Thabo Mahendiran et al.

Invasive Coronary Angiography (ICA) is the clinical gold standard for the assessment of coronary artery disease. However, its interpretation remains subjective and prone to intra- and inter-operator variability. In this work, we introduce ODySSeI: an Open-source end-to-end framework for automated Detection, Segmentation, and Severity estimation of lesions in ICA images. ODySSeI integrates deep learning-based lesion detection and lesion segmentation models trained using a novel Pyramidal Augmentation Scheme (PAS) to enhance robustness and real-time performance across diverse patient cohorts (2149 patients from Europe, North America, and Asia). Furthermore, we propose a quantitative coronary angiography-free Lesion Severity Estimation (LSE) technique that directly computes the Minimum Lumen Diameter (MLD) and diameter stenosis from the predicted lesion geometry. Extensive evaluation on both in-distribution and out-of-distribution clinical datasets demonstrates ODySSeI's strong generalizability. Our PAS yields large performance gains in highly complex tasks as compared to relatively simpler ones, notably, a 2.5-fold increase in lesion detection performance versus a 1-3\% increase in lesion segmentation performance over their respective baselines. Our LSE technique achieves high accuracy, with predicted MLD values differing by only $\pm$ 2-3 pixels from the corresponding ground truths. On average, ODySSeI processes a raw ICA image within only a few seconds on a CPU and in a fraction of a second on a GPU and is available as a plug-and-play web interface at swisscardia.epfl.ch. Overall, this work establishes ODySSeI as a comprehensive and open-source framework which supports automated, reproducible, and scalable ICA analysis for real-time clinical decision-making.

Anand Choudhary, Yasser Sulaıman, Lukas Mauch et al.

Sparse fine-tuning techniques adapt LLMs to downstream tasks by only tuning a sparse subset of model parameters. However, the effectiveness of sparse adaptation depends on optimally selecting the model parameters to be fine-tuned. In this work, we introduce a novel sparse fine-tuning technique named GaLLoP: Gradient-based Sparse Learning on Low-Magnitude Parameters, which fine-tunes only those model parameters which have the largest gradient magnitudes on downstream tasks and the smallest pre-trained magnitudes, intuitively prioritizing parameters that are highly task-relevant, but minimally disruptive to pre-trained knowledge. Our experimentation with LLaMA3 8B and Gemma 2B as base models shows that GaLLoP consistently improves or matches the in-distribution as well as out-of-distribution performance obtained via the usage of other leading parameter-efficient fine-tuning techniques, including LoRA, DoRA, and SAFT. Our analysis demonstrates that GaLLoP mitigates catastrophic forgetting and memorization of task data, as important pre-trained parameters remain unchanged, and stabilizes performance relative to other fine-tuning techniques, robustly generalizing across most random seeds.