Mohammadhadi Shateri

Banafsheh Karimian, Alexis Guichemerre, Soufiane Belharbi et al.

Breast cancer remains a leading cause of cancer-related mortality worldwide. Longitudinal mammography risk prediction models improve multi-year breast cancer risk prediction based on prior screening exams. However, in real-world clinical practice, longitudinal histories are often incomplete, irregular, or unavailable due to missed screenings, first-time examinations, heterogeneous acquisition schedules, or archival constraints. The absence of prior exams degrades the performance of longitudinal risk models and limits their practical applicability. While substantial longitudinal history is available during training, prior exams are commonly absent at test time. In this paper, we address missing history at inference time and propose a longitudinal risk prediction method that uses mammography history as privileged information during training and distills its prognostic value into a student model that only requires the current exam at inference time. The key idea is a privileged multi-teacher distillation scheme with horizon-specific teachers: each teacher is trained on the full longitudinal history to specialize in one prediction horizon, while the student receives only a reconstructed history derived from the current exam. This allows the student to inherit horizon-dependent longitudinal risk cues without requiring prior screening exams at deployment. Our new Privileged History Distillation (PHD) method is validated on a large longitudinal mammography dataset with multi-year cancer outcomes, CSAW-CC, comparing full-history and no-history baselines to their distilled counterparts. Using time-dependent AUC across horizons, our privileged history distillation method markedly improves the performance of long-horizon prediction over no-history models and is comparable to that of full-history models, while using only the current exam at inference time.

Mohammadhadi Shateri, Francisco Messina, Fabrice Labeau et al.

Generative Adversarial Networks (GANs) have been widely used for generating synthetic data for cases where there is a limited size real-world dataset or when data holders are unwilling to share their data samples. Recent works showed that GANs, due to overfitting and memorization, might leak information regarding their training data samples. This makes GANs vulnerable to Membership Inference Attacks (MIAs). Several defense strategies have been proposed in the literature to mitigate this privacy issue. Unfortunately, defense strategies based on differential privacy are proven to reduce extensively the quality of the synthetic data points. On the other hand, more recent frameworks such as PrivGAN and PAR-GAN are not suitable for small-size training datasets. In the present work, the overfitting in GANs is studied in terms of the discriminator, and a more general measure of overfitting based on the Bhattacharyya coefficient is defined. Then, inspired by Fano's inequality, our first defense mechanism against MIAs is proposed. This framework, which requires only a simple modification in the loss function of GANs, is referred to as the maximum entropy GAN or MEGAN and significantly improves the robustness of GANs to MIAs. As a second defense strategy, a more heuristic model based on minimizing the information leaked from generated samples about the training data points is presented. This approach is referred to as mutual information minimization GAN (MIMGAN) and uses a variational representation of the mutual information to minimize the information that a synthetic sample might leak about the whole training data set. Applying the proposed frameworks to some commonly used data sets against state-of-the-art MIAs reveals that the proposed methods can reduce the accuracy of the adversaries to the level of random guessing accuracy with a small reduction in the quality of the synthetic data samples.

Alexis Guichemerre, Soufiane Belharbi, Mohammadhadi Shateri et al.

Weakly supervised object localization (WSOL) methods allow training models to classify images and localize ROIs. WSOL only requires low-cost image-class annotations yet provides a visually interpretable classifier. Standard WSOL methods rely on class activation mapping (CAM) methods to produce spatial localization maps according to a single- or two-step strategy. While both strategies have made significant progress, they still face several limitations with histology images. Single-step methods can easily result in under- or over-activation due to the limited visual ROI saliency in histology images and scarce localization cues. They also face the well-known issue of asynchronous convergence between classification and localization tasks. The two-step approach is sub-optimal because it is constrained to a frozen classifier, limiting the capacity for localization. Moreover, these methods also struggle when applied to out-of-distribution (OOD) datasets. In this paper, a multi-task approach for WSOL is introduced for simultaneous training of both tasks to address the asynchronous convergence problem. In particular, localization is performed in the pixel-feature space of an image encoder that is shared with classification. This allows learning discriminant features and accurate delineation of foreground/background regions to support ROI localization and image classification. We propose PixelCAM, a cost-effective foreground/background pixel-wise classifier in the pixel-feature space that allows for spatial object localization. Using partial-cross entropy, PixelCAM is trained using pixel pseudo-labels collected from a pretrained WSOL model. Both image and pixel-wise classifiers are trained simultaneously using standard gradient descent. In addition, our pixel classifier can easily be integrated into CNN- and transformer-based architectures without any modifications.

Alexis Guichemerre, Banafsheh Karimian, Soufiane Belharbi et al.

Weakly Supervised Object Localization (WSOL) models enable joint classification and region-of-interest localization in histology images using only image-class supervision. When deployed in a target domain, distributions shift remains a major cause of performance degradation, especially when applied on new organs or institutions with different staining protocols and scanner characteristics. Under stronger cross-domain shifts, WSOL predictions can become biased toward dominant classes, producing highly skewed pseudo-label distributions in the target domain. Source-Free (Unsupervised) Domain Adaptation (SFDA) methods are commonly employed to address domain shift. However, because they rely on self-training, the initial bias is reinforced over training iterations, degrading both classification and localization tasks. We identify this amplification of prediction bias as a primary obstacle to the SFDA of WSOL models in histopathology. This paper introduces \sfdadep, a method inspired by machine unlearning that formulates SFDA as an iterative process of identifying and correcting prediction bias. It periodically identifies target images from over-predicted classes and selectively reduces the predictive confidence for uncertain (high entropy) images, while preserving confident predictions. This process reduces the drift of decision boundaries and bias toward dominant classes. A jointly optimized pixel-level classifier further restores discriminative localization features under distribution shift. Extensive experiments on cross-organ and -center histopathology benchmarks (glas, CAMELYON-16, CAMELYON-17) with several WSOL models show that SFDA-DeP consistently improves classification and localization over state-of-the-art SFDA baselines. {\small Code: \href{https://anonymous.4open.science/r/SFDA-DeP-1797/}{anonymous.4open.science/r/SFDA-DeP-1797/}}

Philippe Formont, Maxime Darrin, Banafsheh Karimian et al.

Casting complex inputs into tractable representations is a critical step across various fields. Diverse embedding models emerge from differences in architectures, loss functions, input modalities and datasets, each capturing unique aspects of the input. Multi-teacher distillation leverages this diversity to enrich representations but often remains tailored to specific tasks. In this paper, we introduce a task-agnostic framework based on a ``majority vote" objective function. We demonstrate that this function is bounded by the mutual information between student and teachers' embeddings, leading to a task-agnostic distillation loss that eliminates dependence on task-specific labels or prior knowledge. Our evaluations across text, vision models, and molecular modeling show that our method effectively leverages teacher diversity, resulting in representations enabling better performance for a wide range of downstream tasks such as classification, clustering, or regression. Additionally, we train and release state-of-the-art embedding models, enhancing downstream performance in various modalities.

Banafsheh Karimian, Giulia Avanzato, Soufian Belharbi et al.

Multimodal learning has shown promise in medical imaging, combining complementary modalities like images and text. Vision-language models (VLMs) capture rich diagnostic cues but often require large paired datasets and prompt- or text-based inference, limiting their practicality due to annotation cost, privacy, and compute demands. Crucially, available free unpaired external text, like pathology reports, can still provide complementary diagnostic cues if semantically relevant content is retrievable per image. To address this, we introduce CLIP-IT, a novel framework that relies on rich unpaired text reports. Specifically, CLIP-IT uses a CLIP model pre-trained on histology image-text pairs from a separate dataset to retrieve the most relevant unpaired textual report for each image in the downstream unimodal dataset. These reports, sourced from the same disease domain and tissue type, form pseudo-pairs that reflect shared clinical semantics rather than exact alignment. Knowledge from these texts is distilled into the vision model during training, while LoRA-based adaptation mitigates the semantic gap between unaligned modalities. At inference, only the vision model is used, keeping overhead low while still benefiting from multimodal training without requiring paired data in the downstream dataset. Experiments on histology image datasets confirm that CLIP-IT consistently improves classification accuracy over both unimodal and multimodal CLIP-based baselines in most cases, without the burden of per-dataset paired annotation or inference-time complexity.