7.5CVMay 13
ProtoMedAgent: Multimodal Clinical Interpretability via Privacy-Aware Agentic WorkflowsAlvaro Lopez Pellicer, Plamen Angelov, Marwan Bukhari et al.
While interpretable prototype networks offer compelling case-based reasoning for clinical diagnostics, their raw continuous outputs lack the semantic structure required for medical documentation. Bridging this gap via standard Retrieval-Augmented Generation (RAG) routinely triggers ``retrieval sycophancy,'' where Large Language Models (LLMs) hallucinate post-hoc rationalizations to align with visual predictions. We introduce ProtoMedAgent, a framework that formalizes multimodal clinical reporting as an iterative, zero-gradient test-time optimization problem over a strict neuro-symbolic bottleneck. Operating on a frozen prototype backbone, we distill latent visual and tabular features into a discrete semantic memory. Online generation is strictly constrained by exact set-theoretic differentials and a reflective Scribe-Critic loop, mathematically precluding unsupported narrative claims. To safely bound data disclosure, we introduce a semantic privacy gate governed by $k$-anonymity and $\ell$-diversity. Evaluated on a 4,160-patient clinical cohort, ProtoMedAgent achieves 91.2\% Comparison Set Faithfulness where it fundamentally outperforms standard RAG (46.2\%). ProtoMedAgent additionally leverages a binding $\ell$-diversity phase transition to systematically reduce artifact-level membership inference risks by an absolute 9.8\%.
14.1CVJun 22, 2024
PUDD: Towards Robust Multi-modal Prototype-based Deepfake DetectionAlvaro Lopez Pellcier, Yi Li, Plamen Angelov
Deepfake techniques generate highly realistic data, making it challenging for humans to discern between actual and artificially generated images. Recent advancements in deep learning-based deepfake detection methods, particularly with diffusion models, have shown remarkable progress. However, there is a growing demand for real-world applications to detect unseen individuals, deepfake techniques, and scenarios. To address this limitation, we propose a Prototype-based Unified Framework for Deepfake Detection (PUDD). PUDD offers a detection system based on similarity, comparing input data against known prototypes for video classification and identifying potential deepfakes or previously unseen classes by analyzing drops in similarity. Our extensive experiments reveal three key findings: (1) PUDD achieves an accuracy of 95.1% on Celeb-DF, outperforming state-of-the-art deepfake detection methods; (2) PUDD leverages image classification as the upstream task during training, demonstrating promising performance in both image classification and deepfake detection tasks during inference; (3) PUDD requires only 2.7 seconds for retraining on new data and emits 10$^{5}$ times less carbon compared to the state-of-the-art model, making it significantly more environmentally friendly.