Tahir Qasim Syed

Tahir Qasim Syed, Behraj Khan

Often, constraints arise in deployment settings where even lightweight parameter updates e.g. parameter-efficient fine-tuning could induce model shift or tuning instability. We study test-time adaptation of foundation models for few-shot classification under a completely frozen-model regime, where additionally, no upstream data are accessible. We propose arguably the first training-free inference method that adapts predictions to the new task by performing a change of measure over the latent embedding distribution induced by the encoder. Using task-similarity scores derived from a small labeled support set, exponential tilting reweights latent distributions in a KL-optimal manner without modifying model parameters. Empirically, the method consistently competes with parameter-update-based methods across multiple benchmarks and shot regimes, while operating under strictly and universally stronger constraints. These results demonstrate the viability of inference-level distributional correction for test-time adaptation even with a fully-frozen model pipeline.

Annayah Usman, Behraj Khan, Tahir Qasim Syed

Precise volumetric delineation of hippocampal structures is essential for quantifying neurodevelopmental trajectories in pre-term and term infants, where subtle morphological variations may carry prognostic significance. While foundation encoders trained on large-scale visual data offer discriminative representations, their 2D formulation is a limitation with respect to the $3$D organization of brain anatomy. We propose a volumetric segmentation strategy that reconciles this tension through a structured window-based disassembly-reassembly mechanism: the global MRI volume is decomposed into non-overlapping 3D windows or sub-cubes, each processed via a separate decoding arm built upon frozen high-fidelity features, and subsequently reassembled prior to a ground-truth correspendence using a dense-prediction head. This architecture preserves constant a decoder memory footprint while forcing predictions to lie within an anatomically consistent geometry. Evaluated on the ALBERT dataset for hippocampal segmentation, the proposed approach achieves a Dice score of 0.65 for a single 3D window. The method demonstrates that volumetric anatomical structure could be recovered from frozen 2D foundation representations through structured compositional decoding, and offers a principled and generalizable extension for foundation models for 3D medical applications.

Hiba Azeem, Behraj Khan, Tahir Qasim Syed

Rapid infarct assessment on non-contrast CT (NCCT) is essential for acute ischemic stroke management. Most deep learning methods perform pixel-wise segmentation without modeling the structured anatomical reasoning underlying ASPECTS scoring, where basal ganglia (BG) and supraganglionic (SG) levels are clinically interpreted in a coupled manner. We propose a clinically aligned framework that combines a frozen DINOv3 backbone with a lightweight decoder and introduce a Territory-Aware Gated Loss (TAGL) to enforce BG-SG consistency during training. This anatomically informed supervision adds no inference-time complexity. Our method achieves a Dice score of 0.6385 on AISD, outperforming prior CNN and foundation-model baselines. On a proprietary ASPECTS dataset, TAGL improves mean Dice from 0.698 to 0.767. These results demonstrate that integrating foundation representations with structured clinical priors improves NCCT stroke segmentation and ASPECTS delineation.