Joris Vankerschaver

Joris Vankerschaver, Melvin Leok

In this paper, we present a novel Lagrangian formulation of the equations of motion for point vortices on the unit 2-sphere. We show first that no linear Lagrangian formulation exists directly on the 2-sphere but that a Lagrangian may be constructed by pulling back the dynamics to the 3-sphere by means of the Hopf fibration. We then use the isomorphism of the 3-sphere with the Lie group SU(2) to derive a variational Lie group integrator for point vortices which is symplectic, second-order, and preserves the unit-length constraint. At the end of the paper, we compare our integrator with classical fourth-order Runge--Kutta, the second-order midpoint method, and a standard Lie group Munthe-Kaas method.

Khoa Tuan Nguyen, Francesca Tozzi, Nikdokht Rashidian et al.

Given that a conventional laparoscope only provides a two-dimensional (2-D) view, the detection and diagnosis of medical ailments can be challenging. To overcome the visual constraints associated with laparoscopy, the use of laparoscopic images and videos to reconstruct the three-dimensional (3-D) anatomical structure of the abdomen has proven to be a promising approach. Neural Radiance Fields (NeRFs) have recently gained attention thanks to their ability to generate photorealistic images from a 3-D static scene, thus facilitating a more comprehensive exploration of the abdomen through the synthesis of new views. This distinguishes NeRFs from alternative methods such as Simultaneous Localization and Mapping (SLAM) and depth estimation. In this paper, we present a comprehensive examination of NeRFs in the context of laparoscopy surgical videos, with the goal of rendering abdominal scenes in 3-D. Although our experimental results are promising, the proposed approach encounters substantial challenges, which require further exploration in future research.

Utku Ozbulak, Solha Kang, Jasper Zuallaert et al.

Even though deep neural networks (DNNs) achieve state-of-the-art results for a number of problems involving genomic data, getting DNNs to explain their decision-making process has been a major challenge due to their black-box nature. One way to get DNNs to explain their reasoning for prediction is via attribution methods which are assumed to highlight the parts of the input that contribute to the prediction the most. Given the existence of numerous attribution methods and a lack of quantitative results on the fidelity of those methods, selection of an attribution method for sequence-based tasks has been mostly done qualitatively. In this work, we take a step towards identifying the most faithful attribution method by proposing a computational approach that utilizes point mutations. Providing quantitative results on seven popular attribution methods, we find Layerwise Relevance Propagation (LRP) to be the most appropriate one for translation initiation, with LRP identifying two important biological features for translation: the integrity of Kozak sequence as well as the detrimental effects of premature stop codons.

Khoa Tuan Nguyen, Ho-min Park, Gaeun Oh et al.

We propose a novel approach to cervical cell image classification for cervical cancer screening using the EVA-02 transformer model. We developed a four-step pipeline: fine-tuning EVA-02, feature extraction, selecting important features through multiple machine learning models, and training a new artificial neural network with optional loss weighting for improved generalization. With this design, our best model achieved an F1-score of 0.85227, outperforming the baseline EVA-02 model (0.84878). We also utilized Kernel SHAP analysis and identified key features correlating with cell morphology and staining characteristics, providing interpretable insights into the decision-making process of the fine-tuned model. Our code is available at https://github.com/Khoa-NT/isbi2025_ps3c.

Jong Bum Won, Wesley De Neve, Joris Vankerschaver et al.

Deep neural networks (DNNs) have demonstrated remarkable success in medical imaging, yet their real-world deployment remains challenging due to spurious correlations, where models can learn non-clinical features instead of meaningful medical patterns. Existing medical imaging datasets are not designed to systematically study this issue, largely due to restrictive licensing and limited supplementary patient data. To address this gap, we introduce SpurBreast, a curated breast MRI dataset that intentionally incorporates spurious correlations to evaluate their impact on model performance. Analyzing over 100 features involving patient, device, and imaging protocol, we identify two dominant spurious signals: magnetic field strength (a global feature influencing the entire image) and image orientation (a local feature affecting spatial alignment). Through controlled dataset splits, we demonstrate that DNNs can exploit these non-clinical signals, achieving high validation accuracy while failing to generalize to unbiased test data. Alongside these two datasets containing spurious correlations, we also provide benchmark datasets without spurious correlations, allowing researchers to systematically investigate clinically relevant and irrelevant features, uncertainty estimation, adversarial robustness, and generalization strategies. Models and datasets are available at https://github.com/utkuozbulak/spurbreast.

Utku Ozbulak, Michaela Cohrs, Hristo L. Svilenov et al.

Sub-visible particle analysis using flow imaging microscopy combined with deep learning has proven effective in identifying particle types, enabling the distinction of harmless components such as silicone oil from protein particles. However, the scarcity of available data and severe imbalance between particle types within datasets remain substantial hurdles when applying multi-class classifiers to such problems, often forcing researchers to rely on less effective methods. The aforementioned issue is particularly challenging for particle types that appear unintentionally and in lower numbers, such as silicone oil and air bubbles, as opposed to protein particles, where obtaining large numbers of images through controlled settings is comparatively straightforward. In this work, we develop a state-of-the-art diffusion model to address data imbalance by generating high-fidelity images that can augment training datasets, enabling the effective training of multi-class deep neural networks. We validate this approach by demonstrating that the generated samples closely resemble real particle images in terms of visual quality and structure. To assess the effectiveness of using diffusion-generated images in training datasets, we conduct large-scale experiments on a validation dataset comprising 500,000 protein particle images and demonstrate that this approach improves classification performance with no negligible downside. Finally, to promote open research and reproducibility, we publicly release both our diffusion models and the trained multi-class deep neural network classifiers, along with a straightforward interface for easy integration into future studies, at https://github.com/utkuozbulak/svp-generative-ai.

Solha Kang, Joris Vankerschaver, Utku Ozbulak

With the advancements in self-supervised learning (SSL), transformer-based computer vision models have recently demonstrated superior results compared to convolutional neural networks (CNNs) and are poised to dominate the field of artificial intelligence (AI)-based medical imaging in the upcoming years. Nevertheless, similar to CNNs, unveiling the decision-making process of transformer-based models remains a challenge. In this work, we take a step towards demystifying the decision-making process of transformer-based medical imaging models and propose Token Insight, a novel method that identifies the critical tokens that contribute to the prediction made by the model. Our method relies on the principled approach of token discarding native to transformer-based models, requires no additional module, and can be applied to any transformer model. Using the proposed approach, we quantify the importance of each token based on its contribution to the prediction and enable a more nuanced understanding of the model's decisions. Our experimental results which are showcased on the problem of colonic polyp identification using both supervised and self-supervised pretrained vision transformers indicate that Token Insight contributes to a more transparent and interpretable transformer-based medical imaging model, fostering trust and facilitating broader adoption in clinical settings.

Utku Ozbulak, Esla Timothy Anzaku, Solha Kang et al.

Machine learning (ML) research strongly relies on benchmarks in order to determine the relative effectiveness of newly proposed models. Recently, a number of prominent research effort argued that a number of models that improve the state-of-the-art by a small margin tend to do so by winning what they call a "benchmark lottery". An important benchmark in the field of machine learning and computer vision is the ImageNet where newly proposed models are often showcased based on their performance on this dataset. Given the large number of self-supervised learning (SSL) frameworks that has been proposed in the past couple of years each coming with marginal improvements on the ImageNet dataset, in this work, we evaluate whether those marginal improvements on ImageNet translate to improvements on similar datasets or not. To do so, we investigate twelve popular SSL frameworks on five ImageNet variants and discover that models that seem to perform well on ImageNet may experience significant performance declines on similar datasets. Specifically, state-of-the-art frameworks such as DINO and Swav, which are praised for their performance, exhibit substantial drops in performance while MoCo and Barlow Twins displays comparatively good results. As a result, we argue that otherwise good and desirable properties of models remain hidden when benchmarking is only performed on the ImageNet validation set, making us call for more adequate benchmarking. To avoid the "benchmark lottery" on ImageNet and to ensure a fair benchmarking process, we investigate the usage of a unified metric that takes into account the performance of models on other ImageNet variant datasets.

Khoa Tuan Nguyen, Francesca Tozzi, Wouter Willaert et al.

While the availability of open 3D medical shape datasets is increasing, offering substantial benefits to the research community, we have found that many of these datasets are, unfortunately, disorganized and contain artifacts. These issues limit the development and training of robust models, particularly for accurate 3D reconstruction tasks. In this paper, we examine the current state of available 3D liver shape datasets and propose a solution using diffusion models combined with implicit neural representations (INRs) to augment and expand existing datasets. Our approach utilizes the generative capabilities of diffusion models to create realistic, diverse 3D liver shapes, capturing a wide range of anatomical variations and addressing the problem of data scarcity. Experimental results indicate that our method enhances dataset diversity, providing a scalable solution to improve the accuracy and reliability of 3D liver reconstruction and generation in medical applications. Finally, we suggest that diffusion models can also be applied to other downstream tasks in 3D medical imaging.

Utku Ozbulak, Seyed Amir Mousavi, Francesca Tozzi et al.

Real-time video segmentation is a promising opportunity for AI-assisted surgery, offering intraoperative guidance by identifying tools and anatomical structures. Despite growing interest in surgical video segmentation, annotation protocols vary widely across datasets -- some provide dense, frame-by-frame labels, while others rely on sparse annotations sampled at low frame rates such as 1 FPS. In this study, we investigate how such inconsistencies in annotation density and frame rate sampling influence the evaluation of zero-shot segmentation models, using SAM2 as a case study for cholecystectomy procedures. Surprisingly, we find that under conventional sparse evaluation settings, lower frame rates can appear to outperform higher ones due to a smoothing effect that conceals temporal inconsistencies. However, when assessed under real-time streaming conditions, higher frame rates yield superior segmentation stability, particularly for dynamic objects like surgical graspers. To understand how these differences align with human perception, we conducted a survey among surgeons, nurses, and machine learning engineers and found that participants consistently preferred high-FPS segmentation overlays, reinforcing the importance of evaluating every frame in real-time applications rather than relying on sparse sampling strategies. Our findings highlight the risk of evaluation bias that is introduced by inconsistent dataset protocols and bring attention to the need for temporally fair benchmarking in surgical video AI.

Solha Kang, Esla Timothy Anzaku, Wesley De Neve et al.

Due to their powerful feature association capabilities, neural network-based computer vision models have the ability to detect and exploit unintended patterns within the data, potentially leading to correct predictions based on incorrect or unintended but statistically relevant signals. These clues may vary from simple color aberrations to small texts within the image. In situations where these unintended signals align with the predictive task, models can mistakenly link these features with the task and rely on them for making predictions. This phenomenon is referred to as spurious correlations, where patterns appear to be associated with the task but are actually coincidental. As a result, detection and mitigation of spurious correlations have become crucial tasks for building trustworthy, reliable, and generalizable machine learning models. In this work, we present a novel method to detect spurious correlations in vision transformers, a type of neural network architecture that gained significant popularity in recent years. Using both supervised and self-supervised trained models, we present large-scale experiments on the ImageNet dataset demonstrating the ability of the proposed method to identify spurious correlations. We also find that, even if the same architecture is used, the training methodology has a significant impact on the model's reliance on spurious correlations. Furthermore, we show that certain classes in the ImageNet dataset contain spurious signals that are easily detected by the models and discuss the underlying reasons for those spurious signals. In light of our findings, we provide an exhaustive list of the aforementioned images and call for caution in their use in future research efforts. Lastly, we present a case study investigating spurious signals in invasive breast mass classification, grounding our work in real-world scenarios.

Khoa Tuan Nguyen, Gaeun Oh, Ho-min Park et al.

While 3D medical shape generative models such as diffusion models have shown promise in synthesizing diverse and anatomically plausible structures, the absence of ground truth makes quality evaluation challenging. Existing evaluation metrics commonly measure distributional distances between training and generated sets, while the medical field requires assessing quality at the individual level for each generated shape, which demands labor-intensive expert review. In this paper, we investigate the use of classical machine learning (ML) methods and PointNet as an alternative, interpretable approach for assessing the quality of generated liver shapes. We sample point clouds from the surfaces of the generated liver shapes, extract handcrafted geometric features, and train a group of supervised ML and PointNet models to classify liver shapes as good or bad. These trained models are then used as proxy discriminators to assess the quality of synthetic liver shapes produced by generative models. Our results show that ML-based shape classifiers provide not only interpretable feedback but also complementary insights compared to expert evaluation. This suggests that ML classifiers can serve as lightweight, task-relevant quality metrics in 3D organ shape generation, supporting more transparent and clinically aligned evaluation protocols in medical shape modeling.

Solha Kang, Eugene Kim, Joris Vankerschaver et al.

Breast MRI provides high-resolution volumetric imaging critical for tumor assessment and treatment planning, yet manual interpretation of 3D scans remains labor-intensive and subjective. While AI-powered tools hold promise for accelerating medical image analysis, adoption of commercial medical AI products remains limited in low- and middle-income countries due to high license costs, proprietary software, and infrastructure demands. In this work, we investigate whether the Segment Anything Model 2 (SAM2) can be adapted for low-cost, minimal-input 3D tumor segmentation in breast MRI. Using a single bounding box annotation on one slice, we propagate segmentation predictions across the 3D volume using three different slice-wise tracking strategies: top-to-bottom, bottom-to-top, and center-outward. We evaluate these strategies across a large cohort of patients and find that center-outward propagation yields the most consistent and accurate segmentations. Despite being a zero-shot model not trained for volumetric medical data, SAM2 achieves strong segmentation performance under minimal supervision. We further analyze how segmentation performance relates to tumor size, location, and shape, identifying key failure modes. Our results suggest that general-purpose foundation models such as SAM2 can support 3D medical image analysis with minimal supervision, offering an accessible and affordable alternative for resource-constrained settings.

Seyed Amir Mousavi, Utku Ozbulak, Francesca Tozzi et al.

Video object segmentation is an emerging technology that is well-suited for real-time surgical video segmentation, offering valuable clinical assistance in the operating room by ensuring consistent frame tracking. However, its adoption is limited by the need for manual intervention to select the tracked object, making it impractical in surgical settings. In this work, we tackle this challenge with an innovative solution: using previously annotated frames from other patients as the tracking frames. We find that this unconventional approach can match or even surpass the performance of using patients' own tracking frames, enabling more autonomous and efficient AI-assisted surgical workflows. Furthermore, we analyze the benefits and limitations of this approach, highlighting its potential to enhance segmentation accuracy while reducing the need for manual input. Our findings provide insights into key factors influencing performance, offering a foundation for future research on optimizing cross-patient frame selection for real-time surgical video analysis.

Utku Ozbulak, Hyun Jung Lee, Beril Boga et al.

Although supervised learning has been highly successful in improving the state-of-the-art in the domain of image-based computer vision in the past, the margin of improvement has diminished significantly in recent years, indicating that a plateau is in sight. Meanwhile, the use of self-supervised learning (SSL) for the purpose of natural language processing (NLP) has seen tremendous successes during the past couple of years, with this new learning paradigm yielding powerful language models. Inspired by the excellent results obtained in the field of NLP, self-supervised methods that rely on clustering, contrastive learning, distillation, and information-maximization, which all fall under the banner of discriminative SSL, have experienced a swift uptake in the area of computer vision. Shortly afterwards, generative SSL frameworks that are mostly based on masked image modeling, complemented and surpassed the results obtained with discriminative SSL. Consequently, within a span of three years, over $100$ unique general-purpose frameworks for generative and discriminative SSL, with a focus on imaging, were proposed. In this survey, we review a plethora of research efforts conducted on image-oriented SSL, providing a historic view and paying attention to best practices as well as useful software packages. While doing so, we discuss pretext tasks for image-based SSL, as well as techniques that are commonly used in image-based SSL. Lastly, to aid researchers who aim at contributing to image-focused SSL, we outline a number of promising research directions.