Pål Halvorsen

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.

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}.

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.

Hugo L. Hammer, Vajira Thambawita, Pål Halvorsen

A narrated e-book combines synchronized audio with digital text, highlighting the currently spoken word or sentence during playback. This format supports early literacy and assists individuals with reading challenges, while also allowing general readers to seamlessly switch between reading and listening. With the emergence of natural-sounding neural Text-to-Speech (TTS) technology, several commercial services have been developed to leverage these technology for converting standard text e-books into high-quality narrated e-books. However, no open-source solutions currently exist to perform this task. In this paper, we present Calliope, an open-source framework designed to fill this gap. Our method leverages state-of-the-art open-source TTS to convert a text e-book into a narrated e-book in the EPUB 3 Media Overlay format. The method offers several innovative steps: audio timestamps are captured directly during TTS, ensuring exact synchronization between narration and text highlighting; the publisher's original typography, styling, and embedded media are strictly preserved; and the entire pipeline operates offline. This offline capability eliminates recurring API costs, mitigates privacy concerns, and avoids copyright compliance issues associated with cloud-based services. The framework currently supports the state-of-the-art open-source TTS systems XTTS-v2 and Chatterbox. A potential alternative approach involves first generating narration via TTS and subsequently synchronizing it with the text using forced alignment. However, while our method ensures exact synchronization, our experiments show that forced alignment introduces drift between the audio and text highlighting significant enough to degrade the reading experience. Source code and usage instructions are available at https://github.com/hugohammer/TTS-Narrated-Ebook-Creator.git.

Steven Hicks, Andrea Storås, Michael Riegler et al.

Deep learning has in recent years achieved immense success in all areas of computer vision and has the potential of assisting medical doctors in analyzing visual content for disease and other abnormalities. However, the current state of deep learning is very much a black box, making medical professionals highly skeptical about integrating these methods into clinical practice. Several methods have been proposed in order to shine some light onto these black boxes, but there is no consensus on the opinion of the medical doctors that will consume these explanations. This paper presents a study asking medical doctors about their opinion of current state-of-the-art explainable artificial intelligence methods when applied to a gastrointestinal disease detection use case. We compare two different categories of explanation methods, intrinsic and extrinsic, and gauge their opinion of the current value of these explanations. The results indicate that intrinsic explanations are preferred and that explanation.

Duc-Tien Dang-Nguyen, Sohail Ahmed Khan, Cise Midoglu et al.

Cheapfake is a recently coined term that encompasses non-AI ("cheap") manipulations of multimedia content. Cheapfakes are known to be more prevalent than deepfakes. Cheapfake media can be created using editing software for image/video manipulations, or even without using any software, by simply altering the context of an image/video by sharing the media alongside misleading claims. This alteration of context is referred to as out-of-context (OOC) misuse of media. OOC media is much harder to detect than fake media, since the images and videos are not tampered. In this challenge, we focus on detecting OOC images, and more specifically the misuse of real photographs with conflicting image captions in news items. The aim of this challenge is to develop and benchmark models that can be used to detect whether given samples (news image and associated captions) are OOC, based on the recently compiled COSMOS dataset.

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 .

Thu Nguyen, Hoang Thien Ly, Michael Alexander Riegler et al.

Missing data is a commonly occurring problem in practice. Many imputation methods have been developed to fill in the missing entries. However, not all of them can scale to high-dimensional data, especially the multiple imputation techniques. Meanwhile, the data nowadays tends toward high-dimensional. Therefore, in this work, we propose Principal Component Analysis Imputation (PCAI), a simple but versatile framework based on Principal Component Analysis (PCA) to speed up the imputation process and alleviate memory issues of many available imputation techniques, without sacrificing the imputation quality in term of MSE. In addition, the frameworks can be used even when some or all of the missing features are categorical, or when the number of missing features is large. Next, we introduce PCA Imputation - Classification (PIC), an application of PCAI for classification problems with some adjustments. We validate our approach by experiments on various scenarios, which shows that PCAI and PIC can work with various imputation algorithms, including the state-of-the-art ones and improve the imputation speed significantly, while achieving competitive mean square error/classification accuracy compared to direct imputation (i.e., impute directly on the missing data).

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, Thanh Nhan Phan, Van Nhuong Nguyen et al.

The growth of data today poses a challenge in management and inference. While feature extraction methods are capable of reducing the size of the data for inference, they do not help in minimizing the cost of data storage. On the other hand, feature selection helps to remove the redundant features and therefore is helpful not only in inference but also in reducing management costs. This work presents a novel parallel feature selection approach for classification, namely Parallel Feature Selection using Trace criterion (PFST), which scales up to very large datasets. Our method uses trace criterion, a measure of class separability used in Fisher's Discriminant Analysis, to evaluate feature usefulness. We analyzed the criterion's desirable properties theoretically. Based on the criterion, PFST rapidly finds important features out of a set of features for big datasets by first making a forward selection with early removal of seemingly redundant features parallelly. After the most important features are included in the model, we check back their contribution for possible interaction that may improve the fit. Lastly, we make a backward selection to check back possible redundant added by the forward steps. We evaluate our methods via various experiments using Linear Discriminant Analysis as the classifier on selected features. The experiments show that our method can produce a small set of features in a fraction of the amount of time by the other methods under comparison. In addition, the classifier trained on the features selected by PFST not only achieves better accuracy than the ones chosen by other approaches but can also achieve better accuracy than the classification on all available features.

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.

Håkon Maric Solberg, Mehdi Houshmand Sarkhoosh, Sushant Gautam et al.

In the rapidly evolving field of sports analytics, the automation of targeted video processing is a pivotal advancement. We propose PlayerTV, an innovative framework which harnesses state-of-the-art AI technologies for automatic player tracking and identification in soccer videos. By integrating object detection and tracking, Optical Character Recognition (OCR), and color analysis, PlayerTV facilitates the generation of player-specific highlight clips from extensive game footage, significantly reducing the manual labor traditionally associated with such tasks. Preliminary results from the evaluation of our core pipeline, tested on a dataset from the Norwegian Eliteserien league, indicate that PlayerTV can accurately and efficiently identify teams and players, and our interactive Graphical User Interface (GUI) serves as a user-friendly application wrapping this functionality for streamlined use.

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.

Vajira Thambawita, Jonas L. Isaksen, Jørgen K. Kanters et al.

Deep learning has achieved expert-level performance in automated electrocardiogram (ECG) diagnosis, yet the "black-box" nature of these models hinders their clinical deployment. Trust in medical AI requires not just high accuracy but also transparency regarding the specific physiological features driving predictions. Existing explainability methods for ECGs typically rely on post-hoc approximations (e.g., Grad-CAM and SHAP), which can be unstable, computationally expensive, and unfaithful to the model's actual decision-making process. In this work, we propose the ECG-IMN, an Interpretable Mesomorphic Neural Network tailored for high-resolution 12-lead ECG classification. Unlike standard classifiers, the ECG-IMN functions as a hypernetwork: a deep convolutional backbone generates the parameters of a strictly linear model specific to each input sample. This architecture enforces intrinsic interpretability, as the decision logic is mathematically transparent and the generated weights (W) serve as exact, high-resolution feature attribution maps. We introduce a transition decoder that effectively maps latent features to sample-wise weights, enabling precise localization of pathological evidence (e.g., ST-elevation, T-wave inversion) in both time and lead dimensions. We evaluate our approach on the PTB-XL dataset for classification tasks, demonstrating that the ECG-IMN achieves competitive predictive performance (AUROC comparable to black-box baselines) while providing faithful, instance-specific explanations. By explicitly decoupling parameter generation from prediction execution, our framework bridges the gap between deep learning capability and clinical trustworthiness, offering a principled path toward "white-box" cardiac diagnostics.

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, Vajira Thambawita, Michael Riegler et al.

The Medico 2025 challenge addresses Visual Question Answering (VQA) for Gastrointestinal (GI) imaging, organized as part of the MediaEval task series. The challenge focuses on developing Explainable Artificial Intelligence (XAI) models that answer clinically relevant questions based on GI endoscopy images while providing interpretable justifications aligned with medical reasoning. It introduces two subtasks: (1) answering diverse types of visual questions using the Kvasir-VQA-x1 dataset, and (2) generating multimodal explanations to support clinical decision-making. The Kvasir-VQA-x1 dataset, created from 6,500 images and 159,549 complex question-answer (QA) pairs, serves as the benchmark for the challenge. By combining quantitative performance metrics and expert-reviewed explainability assessments, this task aims to advance trustworthy Artificial Intelligence (AI) in medical image analysis. Instructions, data access, and an updated guide for participation are available in the official competition repository: https://github.com/simula/MediaEval-Medico-2025

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, 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.

Syed Zohaib Hassan, Pierre Lison, Pål Halvorsen

Disfluencies are a natural feature of spontaneous human speech but are typically absent from the outputs of Large Language Models (LLMs). This absence can diminish the perceived naturalness of synthesized speech, which is an important criteria when building conversational agents that aim to mimick human behaviours. We show how the insertion of disfluencies can alleviate this shortcoming. The proposed approach involves (1) fine-tuning an LLM with Low-Rank Adaptation (LoRA) to incorporate various types of disfluencies into LLM-generated utterances and (2) synthesizing those utterances using a text-to-speech model that supports the generation of speech phenomena such as disfluencies. We evaluated the quality of the generated speech across two metrics: intelligibility and perceived spontaneity. We demonstrate through a user study that the insertion of disfluencies significantly increase the perceived spontaneity of the generated speech. This increase came, however, along with a slight reduction in intelligibility.

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.

Syed Zohaib Hassan, Pål Halvorsen, Miriam S. Johnson et al.

Large Language Models (LLMs), predominantly trained on adult conversational data, face significant challenges when generating authentic, child-like dialogue for specialized applications. We present a comparative study evaluating five different LLMs (GPT-4, RUTER-LLAMA-2-13b, GPTSW, NorMistral-7b, and NorBloom-7b) to generate age-appropriate Norwegian conversations for children aged 5 and 9 years. Through a blind evaluation by eleven education professionals using both real child interview data and LLM-generated text samples, we assessed authenticity and developmental appropriateness. Our results show that evaluators achieved strong inter-rater reliability (ICC=0.75) and demonstrated higher accuracy in age prediction for younger children (5-year-olds) compared to older children (9-year-olds). While GPT-4 and NorBloom-7b performed relatively well, most models generated language perceived as more linguistically advanced than the target age groups. These findings highlight critical data-related challenges in developing LLM systems for specialized applications involving children, particularly in low-resource languages where comprehensive age-appropriate lexical resources are scarce.

Mehdi Houshmand Sarkhoosh, Frøy Øye, Henrik Nestor Sørlie et al.

Quantifying sponsor visibility in sports broadcasts is a critical marketing task traditionally hindered by manual, subjective, and unscalable analysis methods. While automated systems offer an alternative, their reliance on axis-aligned Horizontal Bounding Box (HBB) leads to inaccurate exposuremetrics when logos appear rotated or skewed due to dynamic camera angles and perspective distortions. This paper introduces ExposureEngine, an end-to-end system designed for accurate, rotation-aware sponsor visibility analytics in sports broadcasts, demonstrated in a soccer case study. Our approach predicts Oriented Bounding Box (OBB) to provide a geometrically precise fit to each logo regardless of the orientation on-screen. To train and evaluate our detector, we developed a new dataset comprising 1,103 frames from Swedish elite soccer, featuring 670 unique sponsor logos annotated with OBBs. Our model achieves a mean Average Precision (mAP@0.5) of 0.859, with a precision of 0.96 and recall of 0.87, demonstrating robust performance in localizing logos under diverse broadcast conditions. The system integrates these detections into an analytical pipeline that calculates precise visibility metrics, such as exposure duration and on-screen coverage. Furthermore, we incorporate a language-driven agentic layer, enabling users to generate reports, summaries, and media content through natural language queries. The complete system, including the dataset and the analytics dashboard, provides a comprehensive solution for auditable and interpretable sponsor measurement in sports media. An overview of the ExposureEngine is available online: https://youtu.be/tRw6OBISuW4 .

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.

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.

Finn Bartels, Lu Xing, Cise Midoglu et al.

We present SoccerGuard, a novel framework for predicting injuries in women's soccer using Machine Learning (ML). This framework can ingest data from multiple sources, including subjective wellness and training load reports from players, objective GPS sensor measurements, third-party player statistics, and injury reports verified by medical personnel. We experiment with a number of different settings related to synthetic data generation, input and output window sizes, and ML models for prediction. Our results show that, given the right configurations and feature combinations, injury event prediction can be undertaken with considerable accuracy. The optimal results are achieved when input windows are reduced and larger combined output windows are defined, in combination with an ideally balanced data set. The framework also includes a dashboard with a user-friendly Graphical User Interface (GUI) to support interactive analysis and visualization.

Matthias Boeker, Vajira Thambawita, Michael Riegler et al.

Understanding sleep and activity patterns plays a crucial role in physical and mental health. This study introduces a novel approach for sleep detection using weakly supervised learning for scenarios where reliable ground truth labels are unavailable. The proposed method relies on a set of weak labels, derived from the predictions generated by conventional sleep detection algorithms. Introducing a novel approach, we suggest a novel generalised non-linear statistical model in which the number of weak sleep labels is modelled as outcome of a binomial distribution. The probability of sleep in the binomial distribution is linked to the outcomes of neural networks trained to detect sleep based on actigraphy. We show that maximizing the likelihood function of the model, is equivalent to minimizing the soft cross-entropy loss. Additionally, we explored the use of the Brier score as a loss function for weak labels. The efficacy of the suggested modelling framework was demonstrated using the Multi-Ethnic Study of Atherosclerosis dataset. A \gls{lstm} trained on the soft cross-entropy outperformed conventional sleep detection algorithms, other neural network architectures and loss functions in accuracy and model calibration. This research not only advances sleep detection techniques in scenarios where ground truth data is scarce but also contributes to the broader field of weakly supervised learning by introducing innovative approach in modelling sets of weak labels.

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.

Cise Midoglu, Steven A. Hicks, Vajira Thambawita et al.

Soccer has a considerable market share of the global sports industry, and the interest in viewing videos from soccer games continues to grow. In this respect, it is important to provide game summaries and highlights of the main game events. However, annotating and producing events and summaries often require expensive equipment and a lot of tedious, cumbersome, manual labor. Therefore, automating the video production pipeline providing fast game highlights at a much lower cost is seen as the "holy grail". In this context, recent developments in Artificial Intelligence (AI) technology have shown great potential. Still, state-of-the-art approaches are far from being adequate for practical scenarios that have demanding real-time requirements, as well as strict performance criteria (where at least the detection of official events such as goals and cards must be 100% accurate). In addition, event detection should be thoroughly enhanced by annotation and classification, proper clipping, generating short descriptions, selecting appropriate thumbnails for highlight clips, and finally, combining the event highlights into an overall game summary, similar to what is commonly aired during sports news. Even though the event tagging operation has by far received the most attention, an end-to-end video production pipeline also includes various other operations which serve the overall purpose of automated soccer analysis. This challenge aims to assist the automation of such a production pipeline using AI. In particular, we focus on the enhancement operations that take place after an event has been detected, namely event clipping (Task 1), thumbnail selection (Task 2), and game summarization (Task 3). Challenge website: https://mmsys2022.ie/authors/grand-challenge.

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.