Michael A. Riegler

Debesh Jha, Vanshali Sharma, Debapriya Banik et al. · oxford

Automatic analysis of colonoscopy images has been an active field of research motivated by the importance of early detection of precancerous polyps. However, detecting polyps during the live examination can be challenging due to various factors such as variation of skills and experience among the endoscopists, lack of attentiveness, and fatigue leading to a high polyp miss-rate. Deep learning has emerged as a promising solution to this challenge as it can assist endoscopists in detecting and classifying overlooked polyps and abnormalities in real time. In addition to the algorithm's accuracy, transparency and interpretability are crucial to explaining the whys and hows of the algorithm's prediction. Further, most algorithms are developed in private data, closed source, or proprietary software, and methods lack reproducibility. Therefore, to promote the development of efficient and transparent methods, we have organized the "Medico automatic polyp segmentation (Medico 2020)" and "MedAI: Transparency in Medical Image Segmentation (MedAI 2021)" competitions. We present a comprehensive summary and analyze each contribution, highlight the strength of the best-performing methods, and discuss the possibility of clinical translations of such methods into the clinic. For the transparency task, a multi-disciplinary team, including expert gastroenterologists, accessed each submission and evaluated the team based on open-source practices, failure case analysis, ablation studies, usability and understandability of evaluations to gain a deeper understanding of the models' credibility for clinical deployment. Through the comprehensive analysis of the challenge, we not only highlight the advancements in polyp and surgical instrument segmentation but also encourage qualitative evaluation for building more transparent and understandable AI-based colonoscopy systems.

Lena Maier-Hein, Annika Reinke, Patrick Godau et al. · utoronto

Increasing evidence shows that flaws in machine learning (ML) algorithm validation are an underestimated global problem. Particularly in automatic biomedical image analysis, chosen performance metrics often do not reflect the domain interest, thus failing to adequately measure scientific progress and hindering translation of ML techniques into practice. To overcome this, our large international expert consortium created Metrics Reloaded, a comprehensive framework guiding researchers in the problem-aware selection of metrics. Following the convergence of ML methodology across application domains, Metrics Reloaded fosters the convergence of validation methodology. The framework was developed in a multi-stage Delphi process and is based on the novel concept of a problem fingerprint - a structured representation of the given problem that captures all aspects that are relevant for metric selection, from the domain interest to the properties of the target structure(s), data set and algorithm output. Based on the problem fingerprint, users are guided through the process of choosing and applying appropriate validation metrics while being made aware of potential pitfalls. Metrics Reloaded targets image analysis problems that can be interpreted as a classification task at image, object or pixel level, namely image-level classification, object detection, semantic segmentation, and instance segmentation tasks. To improve the user experience, we implemented the framework in the Metrics Reloaded online tool, which also provides a point of access to explore weaknesses, strengths and specific recommendations for the most common validation metrics. The broad applicability of our framework across domains is demonstrated by an instantiation for various biological and medical image analysis use cases.

Debesh Jha, Nikhil Kumar Tomar, Vanshali Sharma et al.

Colonoscopy is the primary method for examination, detection, and removal of polyps. However, challenges such as variations among the endoscopists' skills, bowel quality preparation, and the complex nature of the large intestine contribute to high polyp miss-rate. These missed polyps can develop into cancer later, underscoring the importance of improving the detection methods. To address this gap of lack of publicly available, multi-center large and diverse datasets for developing automatic methods for polyp detection and segmentation, we introduce PolypDB, a large scale publicly available dataset that contains 3934 still polyp images and their corresponding ground truth from real colonoscopy videos. PolypDB comprises images from five modalities: Blue Light Imaging (BLI), Flexible Imaging Color Enhancement (FICE), Linked Color Imaging (LCI), Narrow Band Imaging (NBI), and White Light Imaging (WLI) from three medical centers in Norway, Sweden, and Vietnam. We provide a benchmark on each modality and center, including federated learning settings using popular segmentation and detection benchmarks. PolypDB is public and can be downloaded at \url{https://osf.io/pr7ms/}. More information about the dataset, segmentation, detection, federated learning benchmark and train-test split can be found at \url{https://github.com/DebeshJha/PolypDB}.

Annika Reinke, Minu D. Tizabi, Michael Baumgartner et al.

Validation metrics are key for the reliable tracking of scientific progress and for bridging the current chasm between artificial intelligence (AI) research and its translation into practice. However, increasing evidence shows that particularly in image analysis, metrics are often chosen inadequately in relation to the underlying research problem. This could be attributed to a lack of accessibility of metric-related knowledge: While taking into account the individual strengths, weaknesses, and limitations of validation metrics is a critical prerequisite to making educated choices, the relevant knowledge is currently scattered and poorly accessible to individual researchers. Based on a multi-stage Delphi process conducted by a multidisciplinary expert consortium as well as extensive community feedback, the present work provides the first reliable and comprehensive common point of access to information on pitfalls related to validation metrics in image analysis. Focusing on biomedical image analysis but with the potential of transfer to other fields, the addressed pitfalls generalize across application domains and are categorized according to a newly created, domain-agnostic taxonomy. To facilitate comprehension, illustrations and specific examples accompany each pitfall. As a structured body of information accessible to researchers of all levels of expertise, this work enhances global comprehension of a key topic in image analysis validation.

Debesh Jha, Vanshali Sharma, Neethi Dasu et al.

Integrating real-time artificial intelligence (AI) systems in clinical practices faces challenges such as scalability and acceptance. These challenges include data availability, biased outcomes, data quality, lack of transparency, and underperformance on unseen datasets from different distributions. The scarcity of large-scale, precisely labeled, and diverse datasets are the major challenge for clinical integration. This scarcity is also due to the legal restrictions and extensive manual efforts required for accurate annotations from clinicians. To address these challenges, we present \textit{GastroVision}, a multi-center open-access gastrointestinal (GI) endoscopy dataset that includes different anatomical landmarks, pathological abnormalities, polyp removal cases and normal findings (a total of 27 classes) from the GI tract. The dataset comprises 8,000 images acquired from Bærum Hospital in Norway and Karolinska University Hospital in Sweden and was annotated and verified by experienced GI endoscopists. Furthermore, we validate the significance of our dataset with extensive benchmarking based on the popular deep learning based baseline models. We believe our dataset can facilitate the development of AI-based algorithms for GI disease detection and classification. Our dataset is available at \url{https://osf.io/84e7f/}.

Vajira Thambawita, Steven A. Hicks, Andrea M. Storås et al.

A manual assessment of sperm motility requires microscopy observation, which is challenging due to the fast-moving spermatozoa in the field of view. To obtain correct results, manual evaluation requires extensive training. Therefore, computer-assisted sperm analysis (CASA) has become increasingly used in clinics. Despite this, more data is needed to train supervised machine learning approaches in order to improve accuracy and reliability in the assessment of sperm motility and kinematics. In this regard, we provide a dataset called VISEM-Tracking with 20 video recordings of 30 seconds (comprising 29,196 frames) of wet sperm preparations with manually annotated bounding-box coordinates and a set of sperm characteristics analyzed by experts in the domain. In addition to the annotated data, we provide unlabeled video clips for easy-to-use access and analysis of the data via methods such as self- or unsupervised learning. As part of this paper, we present baseline sperm detection performances using the YOLOv5 deep learning (DL) model trained on the VISEM-Tracking dataset. As a result, we show that the dataset can be used to train complex DL models to analyze spermatozoa.

Roman Macháček, Leila Mozaffari, Zahra Sepasdar et al.

In order to take advantage of AI solutions in endoscopy diagnostics, we must overcome the issue of limited annotations. These limitations are caused by the high privacy concerns in the medical field and the requirement of getting aid from experts for the time-consuming and costly medical data annotation process. In computer vision, image synthesis has made a significant contribution in recent years as a result of the progress of generative adversarial networks (GANs) and diffusion probabilistic models (DPM). Novel DPMs have outperformed GANs in text, image, and video generation tasks. Therefore, this study proposes a conditional DPM framework to generate synthetic GI polyp images conditioned on given generated segmentation masks. Our experimental results show that our system can generate an unlimited number of high-fidelity synthetic polyp images with the corresponding ground truth masks of polyps. To test the usefulness of the generated data, we trained binary image segmentation models to study the effect of using synthetic data. Results show that the best micro-imagewise IOU of 0.7751 was achieved from DeepLabv3+ when the training data consists of both real data and synthetic data. However, the results reflect that achieving good segmentation performance with synthetic data heavily depends on model architectures.

Jan Andre Fagereng, Vajira Thambawita, Andrea M. Storås et al.

Early identification of a polyp in the lower gastrointestinal (GI) tract can lead to prevention of life-threatening colorectal cancer. Developing computer-aided diagnosis (CAD) systems to detect polyps can improve detection accuracy and efficiency and save the time of the domain experts called endoscopists. Lack of annotated data is a common challenge when building CAD systems. Generating synthetic medical data is an active research area to overcome the problem of having relatively few true positive cases in the medical domain. To be able to efficiently train machine learning (ML) models, which are the core of CAD systems, a considerable amount of data should be used. In this respect, we propose the PolypConnect pipeline, which can convert non-polyp images into polyp images to increase the size of training datasets for training. We present the whole pipeline with quantitative and qualitative evaluations involving endoscopists. The polyp segmentation model trained using synthetic data, and real data shows a 5.1% improvement of mean intersection over union (mIOU), compared to the model trained only using real data. The codes of all the experiments are available on GitHub to reproduce the results.

Thu Nguyen, Rabindra Khadka, Nhan Phan et al.

For many use cases, combining information from different datasets can be of interest to improve a machine learning model's performance, especially when the number of samples from at least one of the datasets is small. However, a potential challenge in such cases is that the features from these datasets are not identical, even though there are some commonly shared features among the datasets. To tackle this challenge, we propose a novel framework called Combine datasets based on Imputation (ComImp). In addition, we propose a variant of ComImp that uses Principle Component Analysis (PCA), PCA-ComImp in order to reduce dimension before combining datasets. This is useful when the datasets have a large number of features that are not shared between them. Furthermore, our framework can also be utilized for data preprocessing by imputing missing data, i.e., filling in the missing entries while combining different datasets. To illustrate the power of the proposed methods and their potential usages, we conduct experiments for various tasks: regression, classification, and for different data types: tabular data, time series data, when the datasets to be combined have missing data. We also investigate how the devised methods can be used with transfer learning to provide even further model training improvement. Our results indicate that the proposed methods are somewhat similar to transfer learning in that the merge can significantly improve the accuracy of a prediction model on smaller datasets. In addition, the methods can boost performance by a significant margin when combining small datasets together and can provide extra improvement when being used with transfer learning.

Sushant Gautam, Cise Midoglu, Vajira Thambawita et al.

Hallucinations in video-capable vision-language models (Video-VLMs) remain frequent and high-confidence, while existing uncertainty metrics often fail to align with correctness. We introduce VideoHEDGE, a modular framework for hallucination detection in video question answering that extends entropy-based reliability estimation from images to temporally structured inputs. Given a video-question pair, VideoHEDGE draws a baseline answer and multiple high-temperature generations from both clean clips and photometrically and spatiotemporally perturbed variants, then clusters the resulting textual outputs into semantic hypotheses using either Natural Language Inference (NLI)-based or embedding-based methods. Cluster-level probability masses yield three reliability scores: Semantic Entropy (SE), RadFlag, and Vision-Amplified Semantic Entropy (VASE). We evaluate VideoHEDGE on the SoccerChat benchmark using an LLM-as-a-judge to obtain binary hallucination labels. Across three 7B Video-VLMs (Qwen2-VL, Qwen2.5-VL, and a SoccerChat-finetuned model), VASE consistently achieves the highest ROC-AUC, especially at larger distortion budgets, while SE and RadFlag often operate near chance. We further show that embedding-based clustering matches NLI-based clustering in detection performance at substantially lower computational cost, and that domain fine-tuning reduces hallucination frequency but yields only modest improvements in calibration. The hedge-bench PyPI library enables reproducible and extensible benchmarking, with full code and experimental resources available at https://github.com/Simula/HEDGE#videohedge .

Sidney Pontes-Filho, Kristoffer Olsen, Anis Yazidi et al.

In this work, we argue that the search for Artificial General Intelligence (AGI) should start from a much lower level than human-level intelligence. The circumstances of intelligent behavior in nature resulted from an organism interacting with its surrounding environment, which could change over time and exert pressure on the organism to allow for learning of new behaviors or environment models. Our hypothesis is that learning occurs through interpreting sensory feedback when an agent acts in an environment. For that to happen, a body and a reactive environment are needed. We evaluate a method to evolve a biologically-inspired artificial neural network that learns from environment reactions named Neuroevolution of Artificial General Intelligence (NAGI), a framework for low-level AGI. This method allows the evolutionary complexification of a randomly-initialized spiking neural network with adaptive synapses, which controls agents instantiated in mutable environments. Such a configuration allows us to benchmark the adaptivity and generality of the controllers. The chosen tasks in the mutable environments are food foraging, emulation of logic gates, and cart-pole balancing. The three tasks are successfully solved with rather small network topologies and therefore it opens up the possibility of experimenting with more complex tasks and scenarios where curriculum learning is beneficial.

Birk Torpmann-Hagen, Vajira Thambawita, Kyrre Glette et al.

Generalizability is seen as one of the major challenges in deep learning, in particular in the domain of medical imaging, where a change of hospital or in imaging routines can lead to a complete failure of a model. To tackle this, we introduce Consistency Training, a training procedure and alternative to data augmentation based on maximizing models' prediction consistency across augmented and unaugmented data in order to facilitate better out-of-distribution generalization. To this end, we develop a novel region-based segmentation loss function called Segmentation Inconsistency Loss (SIL), which considers the differences between pairs of augmented and unaugmented predictions and labels. We demonstrate that Consistency Training outperforms conventional data augmentation on several out-of-distribution datasets on polyp segmentation, a popular medical task.

Mai Anh Vu, Thu Nguyen, Tu T. Do et al.

Missing data frequently occurs in datasets across various domains, such as medicine, sports, and finance. In many cases, to enable proper and reliable analyses of such data, the missing values are often imputed, and it is necessary that the method used has a low root mean square error (RMSE) between the imputed and the true values. In addition, for some critical applications, it is also often a requirement that the imputation method is scalable and the logic behind the imputation is explainable, which is especially difficult for complex methods that are, for example, based on deep learning. Based on these considerations, we propose a new algorithm named "conditional Distribution-based Imputation of Missing Values with Regularization" (DIMV). DIMV operates by determining the conditional distribution of a feature that has missing entries, using the information from the fully observed features as a basis. As will be illustrated via experiments in the paper, DIMV (i) gives a low RMSE for the imputed values compared to state-of-the-art methods; (ii) fast and scalable; (iii) is explainable as coefficients in a regression model, allowing reliable and trustable analysis, makes it a suitable choice for critical domains where understanding is important such as in medical fields, finance, etc; (iv) can provide an approximated confidence region for the missing values in a given sample; (v) suitable for both small and large scale data; (vi) in many scenarios, does not require a huge number of parameters as deep learning approaches; (vii) handle multicollinearity in imputation effectively; and (viii) is robust to the normally distributed assumption that its theoretical grounds rely on.

Andrea M. Storås, Anders Åsberg, Pål Halvorsen et al.

Tacrolimus is one of the cornerstone immunosuppressive drugs in most transplantation centers worldwide following solid organ transplantation. Therapeutic drug monitoring of tacrolimus is necessary in order to avoid rejection of the transplanted organ or severe side effects. However, finding the right dose for a given patient is challenging, even for experienced clinicians. Consequently, a tool that can accurately estimate the drug exposure for individual dose adaptions would be of high clinical value. In this work, we propose a new technique using machine learning to estimate the tacrolimus exposure in kidney transplant recipients. Our models achieve predictive errors that are at the same level as an established population pharmacokinetic model, but are faster to develop and require less knowledge about the pharmacokinetic properties of the drug.

Thu Nguyen, Tuan L. Vo, Pål Halvorsen et al.

Missing data is a common problem in practical data science settings. Various imputation methods have been developed to deal with missing data. However, even though the labels are available in the training data in many situations, the common practice of imputation usually only relies on the input and ignores the label. We propose Classification Based on MissForest Imputation (CBMI), a classification strategy that initializes the predicted test label with missing values and stacks the label with the input for imputation, allowing the label and the input to be imputed simultaneously. In addition, we propose the imputation using labels (IUL) algorithm, an imputation strategy that stacks the label into the input and illustrates how it can significantly improve the imputation quality. Experiments show that CBMI has classification accuracy when the test set contains missing data, especially for imbalanced data and categorical data. Moreover, for both the regression and classification, IUL consistently shows significantly better results than imputation based on only the input data.

Vajira Thambawita, Andrea M. Storås, Steven A. Hicks et al.

Head and neck cancers are the fifth most common cancer worldwide, and recently, analysis of Positron Emission Tomography (PET) and Computed Tomography (CT) images has been proposed to identify patients with a prognosis. Even though the results look promising, more research is needed to further validate and improve the results. This paper presents the work done by team MLC for the 2022 version of the HECKTOR grand challenge held at MICCAI 2022. For Task 1, the automatic segmentation task, our approach was, in contrast to earlier solutions using 3D segmentation, to keep it as simple as possible using a 2D model, analyzing every slice as a standalone image. In addition, we were interested in understanding how different modalities influence the results. We proposed two approaches; one using only the CT scans to make predictions and another using a combination of the CT and PET scans. For Task 2, the prediction of recurrence-free survival, we first proposed two approaches, one where we only use patient data and one where we combined the patient data with segmentations from the image model. For the prediction of the first two approaches, we used Random Forest. In our third approach, we combined patient data and image data using XGBoost. Low kidney function might worsen cancer prognosis. In this approach, we therefore estimated the kidney function of the patients and included it as a feature. Overall, we conclude that our simple methods were not able to compete with the highest-ranking submissions, but we still obtained reasonably good scores. We also got interesting insights into how the combination of different modalities can influence the segmentation and predictions.

Vladimir Monakhov, Vajira Thambawita, Pål Halvorsen et al.

The interest for video anomaly detection systems has gained traction for the past few years. The current approaches use deep learning to perform anomaly detection in videos, but this approach has multiple problems. For starters, deep learning in general has issues with noise, concept drift, explainability, and training data volumes. Additionally, anomaly detection in itself is a complex task and faces challenges such as unknowness, heterogeneity, and class imbalance. Anomaly detection using deep learning is therefore mainly constrained to generative models such as generative adversarial networks and autoencoders due to their unsupervised nature, but even they suffer from general deep learning issues and are hard to train properly. In this paper, we explore the capabilities of the Hierarchical Temporal Memory (HTM) algorithm to perform anomaly detection in videos, as it has favorable properties such as noise tolerance and online learning which combats concept drift. We introduce a novel version of HTM, namely, Grid HTM, which is an HTM-based architecture specifically for anomaly detection in complex videos such as surveillance footage.

Annika Reinke, Evangelia Christodoulou, Sthuthi Sadananda et al.

Benchmarking competitions are central to the development of artificial intelligence (AI) in medical imaging, defining performance standards and shaping methodological progress. However, it remains unclear whether these benchmarks provide data that are sufficiently representative, accessible, and reusable to support clinically meaningful AI. In this work, we assess fairness along two complementary dimensions: (1) whether challenge datasets are representative of real-world clinical diversity, and (2) whether they are accessible and legally reusable in line with the FAIR principles. To address this question, we conducted a large-scale systematic study of 241 biomedical image analysis challenges comprising 458 tasks across 19 imaging modalities. Our findings show substantial biases in dataset composition, including geographic location, modality-, and problem type-related biases, indicating that current benchmarks do not adequately reflect real-world clinical diversity. Despite their widespread influence, challenge datasets were frequently constrained by restrictive or ambiguous access conditions, inconsistent or non-compliant licensing practices, and incomplete documentation, limiting reproducibility and long-term reuse. Together, these shortcomings expose foundational fairness limitations in our benchmarking ecosystem and highlight a disconnect between leaderboard success and clinical relevance.

Michael A. Riegler, Inga Strümke

We present swarm-attack, an open-source adversarial testing framework in which multiple lightweight LLM agents coordinate through shared memory, parallel exploration, and evolutionary optimization. Together, our results demonstrate that both safety bypass of frontier models and software vulnerability discovery, i.e., the capability class that motivated restricted release of Anthropic's Mythos Preview, are achievable at effectively zero cost using commodity hardware and openly available models. We report two experiments. In the first, five instances of a 1.2 billion parameter model conducted 225 jailbreak attacks each against GPT-4o and Claude Sonnet~4. Against GPT-4o, the swarm achieved an Effective Harm Rate of 45.8%, producing 49 critical-severity breaches; against Claude Sonnet-4, the Effective Harm Rate was 0% despite a 40% technical success rate. In the second experiment, the same models performed combined source code analysis and binary fuzzing against a vulnerable C application with 9 planted CWEs. With a hand-crafted exploit seed corpus, regex pattern detection, and AddressSanitizer-based crash classification, the pipeline recovers 9 of 9 vulnerabilities (100% recall) in approximately four minutes on a consumer MacBook. With those scaffold components disabled, the same model recovers 0 of 9 by crash verification and 2 of 9 by citation. The capability class that motivated restricted release of Anthropic's Mythos Preview is therefore reproducible at effectively zero cost; the important enabler is the system scaffold itself, which compensates for the limited reasoning capacity of small individual models.

Sushant Gautam, Andrea Storås, Cise Midoglu et al.

We introduce Kvasir-VQA, an extended dataset derived from the HyperKvasir and Kvasir-Instrument datasets, augmented with question-and-answer annotations to facilitate advanced machine learning tasks in Gastrointestinal (GI) diagnostics. This dataset comprises 6,500 annotated images spanning various GI tract conditions and surgical instruments, and it supports multiple question types including yes/no, choice, location, and numerical count. The dataset is intended for applications such as image captioning, Visual Question Answering (VQA), text-based generation of synthetic medical images, object detection, and classification. Our experiments demonstrate the dataset's effectiveness in training models for three selected tasks, showcasing significant applications in medical image analysis and diagnostics. We also present evaluation metrics for each task, highlighting the usability and versatility of our dataset. The dataset and supporting artifacts are available at https://datasets.simula.no/kvasir-vqa.

Zahra Sepasdar, Sushant Gautam, Cise Midoglu et al.

Extracting meaningful insights from large and complex datasets poses significant challenges, particularly in ensuring the accuracy and relevance of retrieved information. Traditional data retrieval methods such as sequential search and index-based retrieval often fail when handling intricate and interconnected data structures, resulting in incomplete or misleading outputs. To overcome these limitations, we introduce Structured-GraphRAG, a versatile framework designed to enhance information retrieval across structured datasets in natural language queries. Structured-GraphRAG utilizes multiple knowledge graphs, which represent data in a structured format and capture complex relationships between entities, enabling a more nuanced and comprehensive retrieval of information. This graph-based approach reduces the risk of errors in language model outputs by grounding responses in a structured format, thereby enhancing the reliability of results. We demonstrate the effectiveness of Structured-GraphRAG by comparing its performance with that of a recently published method using traditional retrieval-augmented generation. Our findings show that Structured-GraphRAG significantly improves query processing efficiency and reduces response times. While our case study focuses on soccer data, the framework's design is broadly applicable, offering a powerful tool for data analysis and enhancing language model applications across various structured domains.

Sushant Gautam, Michael A. Riegler, Pål Halvorsen

Medical Visual Question Answering (MedVQA) is a promising field for developing clinical decision support systems, yet progress is often limited by the available datasets, which can lack clinical complexity and visual diversity. To address these gaps, we introduce Kvasir-VQA-x1, a new, large-scale dataset for gastrointestinal (GI) endoscopy. Our work significantly expands upon the original Kvasir-VQA by incorporating 159,549 new question-answer pairs that are designed to test deeper clinical reasoning. We developed a systematic method using large language models to generate these questions, which are stratified by complexity to better assess a model's inference capabilities. To ensure our dataset prepares models for real-world clinical scenarios, we have also introduced a variety of visual augmentations that mimic common imaging artifacts. The dataset is structured to support two main evaluation tracks: one for standard VQA performance and another to test model robustness against these visual perturbations. By providing a more challenging and clinically relevant benchmark, Kvasir-VQA-x1 aims to accelerate the development of more reliable and effective multimodal AI systems for use in clinical settings. The dataset is fully accessible and adheres to FAIR data principles, making it a valuable resource for the wider research community. Code and data: https://github.com/Simula/Kvasir-VQA-x1 and https://huggingface.co/datasets/SimulaMet/Kvasir-VQA-x1

Pegah Salehi, Sajad Amouei Sheshkal, Vajira Thambawita et al.

This paper examines the integration of real-time talking-head generation for interviewer training, focusing on overcoming challenges in Audio Feature Extraction (AFE), which often introduces latency and limits responsiveness in real-time applications. To address these issues, we propose and implement a fully integrated system that replaces conventional AFE models with Open AI's Whisper, leveraging its encoder to optimize processing and improve overall system efficiency. Our evaluation of two open-source real-time models across three different datasets shows that Whisper not only accelerates processing but also improves specific aspects of rendering quality, resulting in more realistic and responsive talking-head interactions. These advancements make the system a more effective tool for immersive, interactive training applications, expanding the potential of AI-driven avatars in interviewer training.

Sushant Gautam, Michael A. Riegler, Pål Halvorsen

We investigate fine-tuning Vision-Language Models (VLMs) for multi-task medical image understanding, focusing on detection, localization, and counting of findings in medical images. Our objective is to evaluate whether instruction-tuned VLMs can simultaneously improve these tasks, with the goal of enhancing diagnostic accuracy and efficiency. Using MedMultiPoints, a multimodal dataset with annotations from endoscopy (polyps and instruments) and microscopy (sperm cells), we reformulate each task into instruction-based prompts suitable for vision-language reasoning. We fine-tune Qwen2.5-VL-7B-Instruct using Low-Rank Adaptation (LoRA) across multiple task combinations. Results show that multi-task training improves robustness and accuracy. For example, it reduces the Count Mean Absolute Error (MAE) and increases Matching Accuracy in the Counting + Pointing task. However, trade-offs emerge, such as more zero-case point predictions, indicating reduced reliability in edge cases despite overall performance gains. Our study highlights the potential of adapting general-purpose VLMs to specialized medical tasks via prompt-driven fine-tuning. This approach mirrors clinical workflows, where radiologists simultaneously localize, count, and describe findings - demonstrating how VLMs can learn composite diagnostic reasoning patterns. The model produces interpretable, structured outputs, offering a promising step toward explainable and versatile medical AI. Code, model weights, and scripts will be released for reproducibility at https://github.com/simula/PointDetectCount.

Sushant Gautam, Cise Midoglu, Vajira Thambawita et al.

The integration of artificial intelligence in sports analytics has transformed soccer video understanding, enabling real-time, automated insights into complex game dynamics. Traditional approaches rely on isolated data streams, limiting their effectiveness in capturing the full context of a match. To address this, we introduce SoccerChat, a multimodal conversational AI framework that integrates visual and textual data for enhanced soccer video comprehension. Leveraging the extensive SoccerNet dataset, enriched with jersey color annotations and automatic speech recognition (ASR) transcripts, SoccerChat is fine-tuned on a structured video instruction dataset to facilitate accurate game understanding, event classification, and referee decision making. We benchmark SoccerChat on action classification and referee decision-making tasks, demonstrating its performance in general soccer event comprehension while maintaining competitive accuracy in referee decision making. Our findings highlight the importance of multimodal integration in advancing soccer analytics, paving the way for more interactive and explainable AI-driven sports analysis. https://github.com/simula/SoccerChat

Sushant Gautam, Michael A. Riegler, Pål Halvorsen

Vision-language models (VLMs) enable open-ended visual question answering but remain prone to hallucinations. We present HEDGE, a unified framework for hallucination detection that combines controlled visual perturbations, semantic clustering, and robust uncertainty metrics. HEDGE integrates sampling, distortion synthesis, clustering (entailment- and embedding-based), and metric computation into a reproducible pipeline applicable across multimodal architectures. Evaluations on VQA-RAD and KvasirVQA-x1 with three representative VLMs (LLaVA-Med, Med-Gemma, Qwen2.5-VL) reveal clear architecture- and prompt-dependent trends. Hallucination detectability is highest for unified-fusion models with dense visual tokenization (Qwen2.5-VL) and lowest for architectures with restricted tokenization (Med-Gemma). Embedding-based clustering often yields stronger separation when applied directly to the generated answers, whereas NLI-based clustering remains advantageous for LLaVA-Med and for longer, sentence-level responses. Across configurations, the VASE metric consistently provides the most robust hallucination signal, especially when paired with embedding clustering and a moderate sampling budget (n ~ 10-15). Prompt design also matters: concise, label-style outputs offer clearer semantic structure than syntactically constrained one-sentence responses. By framing hallucination detection as a geometric robustness problem shaped jointly by sampling scale, prompt structure, model architecture, and clustering strategy, HEDGE provides a principled, compute-aware foundation for evaluating multimodal reliability. The hedge-bench PyPI library enables reproducible and extensible benchmarking, with full code and experimental resources available at https://github.com/Simula/HEDGE .

Vajira Thambawita, Pegah Salehi, Sajad Amouei Sheshkal et al.

Analyzing medical data to find abnormalities is a time-consuming and costly task, particularly for rare abnormalities, requiring tremendous efforts from medical experts. Artificial intelligence has become a popular tool for the automatic processing of medical data, acting as a supportive tool for doctors. However, the machine learning models used to build these tools are highly dependent on the data used to train them. Large amounts of data can be difficult to obtain in medicine due to privacy, expensive and time-consuming annotations, and a general lack of data samples for infrequent lesions. Here, we present a novel synthetic data generation pipeline, called SinGAN-Seg, to produce synthetic medical images with corresponding masks using a single training image. Our method is different from the traditional GANs because our model needs only a single image and the corresponding ground truth to train. Our method produces alternative artificial segmentation datasets with ground truth masks when real datasets are not allowed to share. The pipeline is evaluated using qualitative and quantitative comparisons between real and synthetic data to show that the style transfer technique used in our pipeline significantly improves the quality of the generated data and our method is better than other state-of-the-art GANs to prepare synthetic images when the size of training datasets are limited. By training UNet++ using both real and the synthetic data generated from the SinGAN-Seg pipeline, we show that models trained with synthetic data have very close performances to those trained on real data when the datasets have a considerable amount of data. In contrast, Synthetic data generated from the SinGAN-Seg pipeline can improve the performance of segmentation models when training datasets do not have a considerable amount of data. The code is available on GitHub.

Nikhil Kumar Tomar, Debesh Jha, Michael A. Riegler et al.

The increase of available large clinical and experimental datasets has contributed to a substantial amount of important contributions in the area of biomedical image analysis. Image segmentation, which is crucial for any quantitative analysis, has especially attracted attention. Recent hardware advancement has led to the success of deep learning approaches. However, although deep learning models are being trained on large datasets, existing methods do not use the information from different learning epochs effectively. In this work, we leverage the information of each training epoch to prune the prediction maps of the subsequent epochs. We propose a novel architecture called feedback attention network (FANet) that unifies the previous epoch mask with the feature map of the current training epoch. The previous epoch mask is then used to provide a hard attention to the learned feature maps at different convolutional layers. The network also allows to rectify the predictions in an iterative fashion during the test time. We show that our proposed \textit{feedback attention} model provides a substantial improvement on most segmentation metrics tested on seven publicly available biomedical imaging datasets demonstrating the effectiveness of FANet. The source code is available at \url{https://github.com/nikhilroxtomar/FANet}.

Sushant Gautam, Finn Schwall, Annika Willoch Olstad et al.

Many deployments must compare candidate language models for safety before a labeled benchmark exists for the relevant language, sector, or regulatory regime. We formalize this setting as benchmarkless comparative safety scoring and specify the contract under which a scenario-based audit can be interpreted as deployment evidence. Scores are valid only under a fixed scenario pack, rubric, auditor, judge, sampling configuration, and rerun budget. Because no labels are available, we replace ground-truth agreement with an instrumental-validity chain: responsiveness to a controlled safe-versus-abliterated contrast, dominance of target-driven variance over auditor and judge artifacts, and stability across reruns. We instantiate the chain in SimpleAudit, a local-first scoring instrument, and validate it on a Norwegian safety pack. Safe and abliterated targets separate with AUROC values between 0.89 and 1.00, target identity is the dominant variance component ($η^2 \approx 0.52$), and severity profiles stabilize by ten reruns. Applying the same chain to Petri shows that it admits both tools. The substantial differences arise upstream of the chain, in claim-contract enforcement and deployment fit. A Norwegian public-sector procurement case comparing Borealis and Gemma 3 demonstrates the resulting evidence in practice: the safer model depends on scenario category and risk measure. Consequently, scores, matched deltas, critical rates, uncertainty, and the auditor and judge used must be reported together rather than collapsed into a single ranking.

Michael A. Riegler, Birk Sebastian Frostelid Torpmann-Hagen

The standard sparse-autoencoder (SAE) interpretability protocol labels each feature from its top-activating contexts and validates by single-feature steering. We propose the pairwise matrix protocol, co-varying steering coefficient with joint condition, and report three findings the standard one-corner protocol misses on Qwen3-1.7B-Instruct, replicated on Gemma-2-2B-it. First, a feature labelled "AI self-disclaimer" from its top contexts produces an inverted U-shape under a coefficient sweep: at c=+500 the model substitutes a fluent contemplative-philosopher voice for the disclaimer. Two further features anchor the criterion (one monotonic, one pure breakdown). Second, three near-orthogonal cluster-specific features that individually steer a philosophy-of-mind register, jointly suppressed at c=-500, damage grounded composition on recipes and engine explanations as well as introspective prompts; single-feature suppression at the same magnitude leaves controls intact. Third, a matched-geometry comparison of single-feature, joint, and random-direction perturbations (norm ~1.55, cosine ~0.64) yields three distinct output regimes: single-feature substitutes strategy filler, random direction substitutes diverse content, joint suppression alone produces placeholder text. Coherence loss is direction-pattern-dependent, not magnitude-dependent. All three findings reproduce on Gemma with model-specific damage signatures; the matched-geometry control is CI-separated by ~10x. The pipeline also locates a top causally responsible feature in Llama-3.1-8B-Instruct.

Sushant Gautam, Mehdi Houshmand Sarkhoosh, Jan Held et al.

The application of Automatic Speech Recognition (ASR) technology in soccer offers numerous opportunities for sports analytics. Specifically, extracting audio commentaries with ASR provides valuable insights into the events of the game, and opens the door to several downstream applications such as automatic highlight generation. This paper presents SoccerNet-Echoes, an augmentation of the SoccerNet dataset with automatically generated transcriptions of audio commentaries from soccer game broadcasts, enhancing video content with rich layers of textual information derived from the game audio using ASR. These textual commentaries, generated using the Whisper model and translated with Google Translate, extend the usefulness of the SoccerNet dataset in diverse applications such as enhanced action spotting, automatic caption generation, and game summarization. By incorporating textual data alongside visual and auditory content, SoccerNet-Echoes aims to serve as a comprehensive resource for the development of algorithms specialized in capturing the dynamics of soccer games. We detail the methods involved in the curation of this dataset and the integration of ASR. We also highlight the implications of a multimodal approach in sports analytics, and how the enriched dataset can support diverse applications, thus broadening the scope of research and development in the field of sports analytics.

Oriana Presacan, Alexandru Dorobantiu, Vajira Thambawita et al.

Accurate embryo morphology assessment is essential in assisted reproductive technology for selecting the most viable embryo. Artificial intelligence has the potential to enhance this process. However, the limited availability of embryo data presents challenges for training deep learning models. To address this, we trained two generative models using two datasets-one we created and made publicly available, and one existing public dataset-to generate synthetic embryo images at various cell stages, including 2-cell, 4-cell, 8-cell, morula, and blastocyst. These were combined with real images to train classification models for embryo cell stage prediction. Our results demonstrate that incorporating synthetic images alongside real data improved classification performance, with the model achieving 97% accuracy compared to 94.5% when trained solely on real data. This trend remained consistent when tested on an external Blastocyst dataset from a different clinic. Notably, even when trained exclusively on synthetic data and tested on real data, the model achieved a high accuracy of 92%. Furthermore, combining synthetic data from both generative models yielded better classification results than using data from a single generative model. Four embryologists evaluated the fidelity of the synthetic images through a Turing test, during which they annotated inaccuracies and offered feedback. The analysis showed the diffusion model outperformed the generative adversarial network, deceiving embryologists 66.6% versus 25.3% and achieving lower Frechet inception distance scores.

Sushant Gautam, Annika W. Olstad, Klas H. Pettersen et al.

Moltbook is a social media platform in which posts and comments are authored exclusively by autonomous AI agents. We present the Moltbook Observatory Archive, an incremental dataset that passively records agent profiles, posts, comments, community metadata (``submolts''), platform-level time-series snapshots, and word-frequency trend aggregates obtained by continuously polling the Moltbook API. Data are stored in a live SQLite observatory database and exported as date-partitioned Parquet files to enable efficient analysis and reproducible research. The documented release covers 78~days of platform activity (2026-01-27 to 2026-04-14) and contains 2,615,098~posts and 1,213,007~comments from 175,886~unique posting agents across 6,730~communities. This is, to our knowledge, the first large-scale observational dataset of a social network populated exclusively by autonomous AI agents. The archive is intended to support research on multi-agent communication, emergent social behavior, and safety-relevant phenomena in agent-only online environments, and it is released under the MIT license with code for collection and export.

Lien P. Le, Xuan-Hien Nguyen Thi, Thu Nguyen et al.

Healthcare time series data is vital for monitoring patient activity but often contains noise and missing values due to various reasons such as sensor errors or data interruptions. Imputation, i.e., filling in the missing values, is a common way to deal with this issue. In this study, we compare imputation methods, including Multiple Imputation with Random Forest (MICE-RF) and advanced deep learning approaches (SAITS, BRITS, Transformer) for noisy, missing time series data in terms of MAE, F1-score, AUC, and MCC, across missing data rates (10 % - 80 %). Our results show that MICE-RF can effectively impute missing data compared to deep learning methods and the improvement in classification of data imputed indicates that imputation can have denoising effects. Therefore, using an imputation algorithm on time series with missing data can, at the same time, offer denoising effects.

Tuan L. Vo, Quan Huu Do, Uyen Dang et al.

The covariance matrix is a foundation in numerous statistical and machine-learning applications such as Principle Component Analysis, Correlation Heatmap, etc. However, missing values within datasets present a formidable obstacle to accurately estimating this matrix. While imputation methods offer one avenue for addressing this challenge, they often entail a trade-off between computational efficiency and estimation accuracy. Consequently, attention has shifted towards direct parameter estimation, given its precision and reduced computational burden. In this paper, we propose Direct Parameter Estimation for Randomly Missing Data with Categorical Features (DPERC), an efficient approach for direct parameter estimation tailored to mixed data that contains missing values within continuous features. Our method is motivated by leveraging information from categorical features, which can significantly enhance covariance matrix estimation for continuous features. Our approach effectively harnesses the information embedded within mixed data structures. Through comprehensive evaluations of diverse datasets, we demonstrate the competitive performance of DPERC compared to various contemporary techniques. In addition, we also show by experiments that DPERC is a valuable tool for visualizing the correlation heatmap.

Alireza Nik, Michael A. Riegler, Pål Halvorsen

Decoding strategies significantly influence the quality and diversity of the generated text in Large Language Models (LLMs), yet their impact on computational resources, particularly GPU energy consumption, is insufficiently studied. This paper investigates the relationship between text generation decoding techniques and energy efficiency, focusing on the trade-off between generation quality and GPU energy usage across diverse tasks and decoding configurations. By benchmarking multiple strategies across various tasks, including Translation, Math Problem Solving, Coding, and Open-ended text generation, we reveal how selecting appropriate decoding techniques with their tuned hyperparameters affects text quality and has measurable implications for energy consumption. Our findings show that the choice of decoding strategy can greatly impact GPU energy usage, even when it has a minimal effect on output quality. Different strategies also involve trade-offs between quality and energy efficiency, and no single decoding method is best in all cases across every metric. To the best of our knowledge, this is one of the first studies to examine decoding strategies in LLMs from the perspective of energy consumption, providing useful insights for building energy-efficient applications without compromising text generation quality.

Nhan Phan, Thu Nguyen, Uyen Dang et al.

Principal Component Analysis (PCA) is a commonly used tool for dimension reduction and denoising. Therefore, it is also widely used on the data prior to training a neural network. However, this approach can complicate the explanation of eXplainable Artificial Intelligence (XAI) methods for the decision of the model. In this work, we analyze the potential issues with this approach and propose Principal Components-based Initialization (PCsInit), a strategy to incorporate PCA into the first layer of a neural network via initialization of the first layer in the network with the principal components, and its two variants PCsInit-Act and PCsInit-Sub. We will show that explanations using these strategies are more simple, direct and straightforward than using PCA prior to training a neural network on the principal components. We also show that the proposed techniques possess desirable theoretical properties. Moreover, as will be illustrated in the experiments, such training strategies can also allow further improvement of training via backpropagation compared to training neural networks on principal components.

Birk Torpmann-Hagen, Pål Halvorsen, Michael A. Riegler et al.

Despite achieving excellent performance on benchmarks, deep neural networks often underperform in real-world deployment due to sensitivity to minor, often imperceptible shifts in input data, known as distributional shifts. These shifts are common in practical scenarios but are rarely accounted for during evaluation, leading to inflated performance metrics. To address this gap, we propose a novel methodology for the verification, evaluation, and risk assessment of deep learning systems. Our approach explicitly models the incidence of distributional shifts at runtime by estimating their probability from outputs of out-of-distribution detectors. We combine these estimates with conditional probabilities of network correctness, structuring them in a binary tree. By traversing this tree, we can compute credible and precise estimates of network accuracy. We assess our approach on five different datasets, with which we simulate deployment conditions characterized by differing frequencies of distributional shift. Our approach consistently outperforms conventional evaluation, with accuracy estimation errors typically ranging between 0.01 and 0.1. We further showcase the potential of our approach on a medical segmentation benchmark, wherein we apply our methods towards risk assessment by associating costs with tree nodes, informing cost-benefit analyses and value-judgments. Ultimately, our approach offers a robust framework for improving the reliability and trustworthiness of deep learning systems, particularly in safety-critical applications, by providing more accurate performance estimates and actionable risk assessments.

Birk Torpmann-Hagen, Michael A. Riegler, Pål Halvorsen et al.

Deep neural networks are being utilized in a growing number of applications, both in production systems and for personal use. Network checkpoints are as a consequence often shared and distributed on various platforms to ease the development process. This work considers the threat of neural network stegomalware, where malware is embedded in neural network checkpoints at a negligible cost to network accuracy. This constitutes a significant security concern, but is nevertheless largely neglected by the deep learning practitioners and security specialists alike. We propose the first effective countermeasure to these attacks. In particular, we show that state-of-the-art neural network stegomalware can be efficiently and effectively neutralized through shuffling the column order of the weight- and bias-matrices, or equivalently the channel-order of convolutional layers. We show that this effectively corrupts payloads that have been embedded by state-of-the-art methods in neural network steganography at no cost to network accuracy, outperforming competing methods by a significant margin. We then discuss possible means by which to bypass this defense, additional defense methods, and advocate for continued research into the security of machine learning systems.

Michael A. Riegler, Kristoffer Herland Hellton, Vajira Thambawita et al.

Selecting prior distributions in Bayesian statistics is challenging, resource-intensive, and subjective. We analyze using large-language models (LLMs) to suggest suitable, knowledge-based informative priors. We developed an extensive prompt asking LLMs not only to suggest priors but also to verify and reflect on their choices. We evaluated Claude Opus, Gemini 2.5 Pro, and ChatGPT-4o-mini on two real datasets: heart disease risk and concrete strength. All LLMs correctly identified the direction for all associations (e.g., that heart disease risk is higher for males). The quality of suggested priors was measured by their Kullback-Leibler divergence from the maximum likelihood estimator's distribution. The LLMs suggested both moderately and weakly informative priors. The moderate priors were often overconfident, resulting in distributions misaligned with the data. In our experiments, Claude and Gemini provided better priors than ChatGPT. For weakly informative priors, a key performance difference emerged: ChatGPT and Gemini defaulted to an "unnecessarily vague" mean of 0, while Claude did not, demonstrating a significant advantage. The ability of LLMs to identify correct associations shows their great potential as an efficient, objective method for developing informative priors. However, the primary challenge remains in calibrating the width of these priors to avoid over- and under-confidence.

Pegah Salehi, Sajad Amouei Sheshkal, Vajira Thambawita et al.

Dynamic facial emotion is essential for believable AI-generated avatars, yet most systems remain visually static, limiting their use in simulations like virtual training for investigative interviews with abused children. We present a real-time architecture combining Unreal Engine 5 MetaHuman rendering with NVIDIA Omniverse Audio2Face to generate facial expressions from vocal prosody in photorealistic child avatars. Due to limited TTS options, both avatars were voiced using young adult female models from two systems to better fit character profiles, introducing a voice-age mismatch. This confound may affect audiovisual alignment. We used a two-PC setup to decouple speech generation from GPU-intensive rendering, enabling low-latency interaction in desktop and VR. A between-subjects study (N=70) compared audio+visual vs. visual-only conditions as participants rated emotional clarity, facial realism, and empathy for avatars expressing joy, sadness, and anger. While emotions were generally recognized - especially sadness and joy - anger was harder to detect without audio, highlighting the role of voice in high-arousal expressions. Interestingly, silencing clips improved perceived realism by removing mismatches between voice and animation, especially when tone or age felt incongruent. These results emphasize the importance of audiovisual congruence: mismatched voice undermines expression, while a good match can enhance weaker visuals - posing challenges for emotionally coherent avatars in sensitive contexts.

Tuan L. Vo, Thu Nguyen, Luis M. Lopez-Ramos et al.

Missing data is a prevalent issue that can significantly impair model performance and explainability. This paper briefly summarizes the development of the field of missing data with respect to Explainable Artificial Intelligence and experimentally investigates the effects of various imputation methods on SHAP (SHapley Additive exPlanations), a popular technique for explaining the output of complex machine learning models. Next, we compare different imputation strategies and assess their impact on feature importance and interaction as determined by Shapley values. Moreover, we also theoretically analyze the effects of missing values on Shapley values. Importantly, our findings reveal that the choice of imputation method can introduce biases that could lead to changes in the Shapley values, thereby affecting the explainability of the model. Moreover, we also show that a lower test prediction MSE (Mean Square Error) does not necessarily imply a lower MSE in Shapley values and vice versa. Also, while XGBoost (eXtreme Gradient Boosting) is a method that could handle missing data directly, using XGBoost directly on missing data can seriously affect explainability compared to imputing the data before training XGBoost. This study provides a comprehensive evaluation of imputation methods in the context of model explanations, offering practical guidance for selecting appropriate techniques based on dataset characteristics and analysis objectives. The results underscore the importance of considering imputation effects to ensure robust and reliable insights from machine learning models.

Nhat-Hao Pham, Khanh-Linh Vo, Mai Anh Vu et al.

Correlation matrix visualization is essential for understanding the relationships between variables in a dataset, but missing data can pose a significant challenge in estimating correlation coefficients. In this paper, we compare the effects of various missing data methods on the correlation plot, focusing on two common missing patterns: random and monotone. We aim to provide practical strategies and recommendations for researchers and practitioners in creating and analyzing the correlation plot. Our experimental results suggest that while imputation is commonly used for missing data, using imputed data for plotting the correlation matrix may lead to a significantly misleading inference of the relation between the features. We recommend using DPER, a direct parameter estimation approach, for plotting the correlation matrix based on its performance in the experiments.

Tu T. Do, Mai Anh Vu, Tuan L. Vo et al.

Monotone missing data is a common problem in data analysis. However, imputation combined with dimensionality reduction can be computationally expensive, especially with the increasing size of datasets. To address this issue, we propose a Blockwise principal component analysis Imputation (BPI) framework for dimensionality reduction and imputation of monotone missing data. The framework conducts Principal Component Analysis (PCA) on the observed part of each monotone block of the data and then imputes on merging the obtained principal components using a chosen imputation technique. BPI can work with various imputation techniques and can significantly reduce imputation time compared to conducting dimensionality reduction after imputation. This makes it a practical and efficient approach for large datasets with monotone missing data. Our experiments validate the improvement in speed. In addition, our experiments also show that while applying MICE imputation directly on missing data may not yield convergence, applying BPI with MICE for the data may lead to convergence.

Sharib Ali, Noha Ghatwary, Debesh Jha et al.

Polyps are well-known cancer precursors identified by colonoscopy. However, variability in their size, location, and surface largely affect identification, localisation, and characterisation. Moreover, colonoscopic surveillance and removal of polyps (referred to as polypectomy ) are highly operator-dependent procedures. There exist a high missed detection rate and incomplete removal of colonic polyps due to their variable nature, the difficulties to delineate the abnormality, the high recurrence rates, and the anatomical topography of the colon. There have been several developments in realising automated methods for both detection and segmentation of these polyps using machine learning. However, the major drawback in most of these methods is their ability to generalise to out-of-sample unseen datasets that come from different centres, modalities and acquisition systems. To test this hypothesis rigorously we curated a multi-centre and multi-population dataset acquired from multiple colonoscopy systems and challenged teams comprising machine learning experts to develop robust automated detection and segmentation methods as part of our crowd-sourcing Endoscopic computer vision challenge (EndoCV) 2021. In this paper, we analyse the detection results of the four top (among seven) teams and the segmentation results of the five top teams (among 16). Our analyses demonstrate that the top-ranking teams concentrated on accuracy (i.e., accuracy > 80% on overall Dice score on different validation sets) over real-time performance required for clinical applicability. We further dissect the methods and provide an experiment-based hypothesis that reveals the need for improved generalisability to tackle diversity present in multi-centre datasets.

Syed Zohaib Hassan, Kashif Ahmad, Michael A. Riegler et al.

The Visual Sentiment Analysis task is being offered for the first time at MediaEval. The main purpose of the task is to predict the emotional response to images of natural disasters shared on social media. Disaster-related images are generally complex and often evoke an emotional response, making them an ideal use case of visual sentiment analysis. We believe being able to perform meaningful analysis of natural disaster-related data could be of great societal importance, and a joint effort in this regard can open several interesting directions for future research. The task is composed of three sub-tasks, each aiming to explore a different aspect of the challenge. In this paper, we provide a detailed overview of the task, the general motivation of the task, and an overview of the dataset and the metrics to be used for the evaluation of the proposed solutions.

Abhishek Srivastava, Sukalpa Chanda, Debesh Jha et al.

Medical image segmentation can provide detailed information for clinical analysis which can be useful for scenarios where the detailed location of a finding is important. Knowing the location of disease can play a vital role in treatment and decision-making. Convolutional neural network (CNN) based encoder-decoder techniques have advanced the performance of automated medical image segmentation systems. Several such CNN-based methodologies utilize techniques such as spatial- and channel-wise attention to enhance performance. Another technique that has drawn attention in recent years is residual dense blocks (RDBs). The successive convolutional layers in densely connected blocks are capable of extracting diverse features with varied receptive fields and thus, enhancing performance. However, consecutive stacked convolutional operators may not necessarily generate features that facilitate the identification of the target structures. In this paper, we propose a progressive alternating attention network (PAANet). We develop progressive alternating attention dense (PAAD) blocks, which construct a guiding attention map (GAM) after every convolutional layer in the dense blocks using features from all scales. The GAM allows the following layers in the dense blocks to focus on the spatial locations relevant to the target region. Every alternate PAAD block inverts the GAM to generate a reverse attention map which guides ensuing layers to extract boundary and edge-related information, refining the segmentation process. Our experiments on three different biomedical image segmentation datasets exhibit that our PAANet achieves favourable performance when compared to other state-of-the-art methods.

Imanol Luengo, Maria Grammatikopoulou, Rahim Mohammadi et al.

Surgical scene segmentation is essential for anatomy and instrument localization which can be further used to assess tissue-instrument interactions during a surgical procedure. In 2017, the Challenge on Automatic Tool Annotation for cataRACT Surgery (CATARACTS) released 50 cataract surgery videos accompanied by instrument usage annotations. These annotations included frame-level instrument presence information. In 2020, we released pixel-wise semantic annotations for anatomy and instruments for 4670 images sampled from 25 videos of the CATARACTS training set. The 2020 CATARACTS Semantic Segmentation Challenge, which was a sub-challenge of the 2020 MICCAI Endoscopic Vision (EndoVis) Challenge, presented three sub-tasks to assess participating solutions on anatomical structure and instrument segmentation. Their performance was assessed on a hidden test set of 531 images from 10 videos of the CATARACTS test set.

Andrea M. Storås, Inga Strümke, Michael A. Riegler et al.

Dry eye disease (DED) has a prevalence of between 5 and 50\%, depending on the diagnostic criteria used and population under study. However, it remains one of the most underdiagnosed and undertreated conditions in ophthalmology. Many tests used in the diagnosis of DED rely on an experienced observer for image interpretation, which may be considered subjective and result in variation in diagnosis. Since artificial intelligence (AI) systems are capable of advanced problem solving, use of such techniques could lead to more objective diagnosis. Although the term `AI' is commonly used, recent success in its applications to medicine is mainly due to advancements in the sub-field of machine learning, which has been used to automatically classify images and predict medical outcomes. Powerful machine learning techniques have been harnessed to understand nuances in patient data and medical images, aiming for consistent diagnosis and stratification of disease severity. This is the first literature review on the use of AI in DED. We provide a brief introduction to AI, report its current use in DED research and its potential for application in the clinic. Our review found that AI has been employed in a wide range of DED clinical tests and research applications, primarily for interpretation of interferometry, slit-lamp and meibography images. While initial results are promising, much work is still needed on model development, clinical testing and standardisation.

Debesh Jha, Pia H. Smedsrud, Dag Johansen et al.

Colonoscopy is considered the gold standard for detection of colorectal cancer and its precursors. Existing examination methods are, however, hampered by high overall miss-rate, and many abnormalities are left undetected. Computer-Aided Diagnosis systems based on advanced machine learning algorithms are touted as a game-changer that can identify regions in the colon overlooked by the physicians during endoscopic examinations, and help detect and characterize lesions. In previous work, we have proposed the ResUNet++ architecture and demonstrated that it produces more efficient results compared with its counterparts U-Net and ResUNet. In this paper, we demonstrate that further improvements to the overall prediction performance of the ResUNet++ architecture can be achieved by using conditional random field and test-time augmentation. We have performed extensive evaluations and validated the improvements using six publicly available datasets: Kvasir-SEG, CVC-ClinicDB, CVC-ColonDB, ETIS-Larib Polyp DB, ASU-Mayo Clinic Colonoscopy Video Database, and CVC-VideoClinicDB. Moreover, we compare our proposed architecture and resulting model with other State-of-the-art methods. To explore the generalization capability of ResUNet++ on different publicly available polyp datasets, so that it could be used in a real-world setting, we performed an extensive cross-dataset evaluation. The experimental results show that applying CRF and TTA improves the performance on various polyp segmentation datasets both on the same dataset and cross-dataset.