Federica Proietto Salanitri

Feiyan Hu, Simone Palazzo, Federica Proietto Salanitri et al.

Video saliency prediction has recently attracted attention of the research community, as it is an upstream task for several practical applications. However, current solutions are particularly computationally demanding, especially due to the wide usage of spatio-temporal 3D convolutions. We observe that, while different model architectures achieve similar performance on benchmarks, visual variations between predicted saliency maps are still significant. Inspired by this intuition, we propose a lightweight model that employs multiple simple heterogeneous decoders and adopts several practical approaches to improve accuracy while keeping computational costs low, such as hierarchical multi-map knowledge distillation, multi-output saliency prediction, unlabeled auxiliary datasets and channel reduction with teacher assistant supervision. Our approach achieves saliency prediction accuracy on par or better than state-of-the-art methods on DFH1K, UCF-Sports and Hollywood2 benchmarks, while enhancing significantly the efficiency of the model. Code is on https://github.com/feiyanhu/tinyHD

Matteo Pennisi, Federica Proietto Salanitri, Giovanni Bellitto et al.

In the medical field, multi-center collaborations are often sought to yield more generalizable findings by leveraging the heterogeneity of patient and clinical data. However, recent privacy regulations hinder the possibility to share data, and consequently, to come up with machine learning-based solutions that support diagnosis and prognosis. Federated learning (FL) aims at sidestepping this limitation by bringing AI-based solutions to data owners and only sharing local AI models, or parts thereof, that need then to be aggregated. However, most of the existing federated learning solutions are still at their infancy and show several shortcomings, from the lack of a reliable and effective aggregation scheme able to retain the knowledge learned locally to weak privacy preservation as real data may be reconstructed from model updates. Furthermore, the majority of these approaches, especially those dealing with medical data, relies on a centralized distributed learning strategy that poses robustness, scalability and trust issues. In this paper we present a federated and decentralized learning strategy, FedER, that, exploiting experience replay and generative adversarial concepts, effectively integrates features from local nodes, providing models able to generalize across multiple datasets while maintaining privacy. FedER is tested on two tasks -- tuberculosis and melanoma classification -- using multiple datasets in order to simulate realistic non-i.i.d. medical data scenarios. Results show that our approach achieves performance comparable to standard (non-federated) learning and significantly outperforms state-of-the-art federated methods in their centralized (thus, more favourable) formulation. Code is available at https://github.com/perceivelab/FedER

Federica Proietto Salanitri, Giovanni Bellitto, Simone Palazzo et al.

Early detection of precancerous cysts or neoplasms, i.e., Intraductal Papillary Mucosal Neoplasms (IPMN), in pancreas is a challenging and complex task, and it may lead to a more favourable outcome. Once detected, grading IPMNs accurately is also necessary, since low-risk IPMNs can be under surveillance program, while high-risk IPMNs have to be surgically resected before they turn into cancer. Current standards (Fukuoka and others) for IPMN classification show significant intra- and inter-operator variability, beside being error-prone, making a proper diagnosis unreliable. The established progress in artificial intelligence, through the deep learning paradigm, may provide a key tool for an effective support to medical decision for pancreatic cancer. In this work, we follow this trend, by proposing a novel AI-based IPMN classifier that leverages the recent success of transformer networks in generalizing across a wide variety of tasks, including vision ones. We specifically show that our transformer-based model exploits pre-training better than standard convolutional neural networks, thus supporting the sought architectural universalism of transformers in vision, including the medical image domain and it allows for a better interpretation of the obtained results.

Toufiq Musah, Salvatore Calcagno, Federica Proietto Salanitri et al.

Ultra-low-field (ULF) MRI offers portable and accessible neuroimaging but suffers from reduced signal-to-noise ratio and limited spatial resolution compared to high-field (HF) systems. Acquiring paired ULF-HF data for supervised enhancement is often difficult, particularly in resource-limited settings. We introduce ULF-Synth, a framework that combines: (i) acquisition-based synthesis of realistic ULF images from HF volumes to create large-scale paired training data, (ii) a spatial-frequency domain objective that prioritizes recovery of high-frequency anatomical detail. This formulation is architecture-agnostic, consistently improving structural similarity and perceptual fidelity across encoder-decoder, adversarial, and diffusion-based translation models. When trained exclusively on synthetic data, the resulting models generalize effectively to real 64mT ULF acquisitions, improving downstream multiclass brain segmentation and achieving higher radiologist preference and diagnostic acceptability in a blinded reader study. These findings demonstrate that synthetic paired supervision provides a practical and scalable pathway for enhancing ULF MRI without requiring real paired acquisitions. Code, Models and Dataset: https://github.com/toufiqmusah/ULF-Synth

Matteo Pennisi, Federica Proietto Salanitri, Giovanni Bellitto et al.

Generative Adversarial Networks (GANs) have demonstrated their ability to generate synthetic samples that match a target distribution. However, from a privacy perspective, using GANs as a proxy for data sharing is not a safe solution, as they tend to embed near-duplicates of real samples in the latent space. Recent works, inspired by k-anonymity principles, address this issue through sample aggregation in the latent space, with the drawback of reducing the dataset by a factor of k. Our work aims to mitigate this problem by proposing a latent space navigation strategy able to generate diverse synthetic samples that may support effective training of deep models, while addressing privacy concerns in a principled way. Our approach leverages an auxiliary identity classifier as a guide to non-linearly walk between points in the latent space, minimizing the risk of collision with near-duplicates of real samples. We empirically demonstrate that, given any random pair of points in the latent space, our walking strategy is safer than linear interpolation. We then test our path-finding strategy combined to k-same methods and demonstrate, on two benchmarks for tuberculosis and diabetic retinopathy classification, that training a model using samples generated by our approach mitigate drops in performance, while keeping privacy preservation.

Salvatore Calcagno, Matteo Pennisi, Federica Proietto Salanitri et al.

Continual learning requires balancing plasticity and stability while mitigating catastrophic forgetting. Inspired by human dreaming as a mechanism for internal simulation and knowledge restructuring, we introduce Dream2Learn (D2L), a framework in which a model autonomously generates structured synthetic experiences from its own internal representations and uses them for self-improvement. Rather than reconstructing past data as in generative replay, D2L enables a classifier to create novel, semantically distinct dreamed classes that are coherent with its learned knowledge yet do not correspond to previously observed data. These dreamed samples are produced by conditioning a frozen diffusion model through soft prompt optimization driven by the classifier itself. The generated data are not used to replace memory, but to expand and reorganize the representation space, effectively allowing the network to self-train on internally synthesized concepts. By integrating dreamed classes into continual training, D2L proactively structures latent features to support forward knowledge transfer and adaptation to future tasks. This prospective self-training mechanism mirrors the role of sleep in consolidating and reorganizing memory, turning internal simulations into a tool for improved generalization. Experiments on Mini-ImageNet, FG-ImageNet, and ImageNet-R demonstrate that D2L consistently outperforms strong rehearsal-based baselines and achieves positive forward transfer, confirming its ability to enhance adaptability through internally generated training signals.

Raffaele Mineo, Amelia Sorrenti, Federica Proietto Salanitri

Assessing the severity of stenoses in coronary angiography is critical to the patient's health, as coronary stenosis is an underlying factor in heart failure. Current practice for grading coronary lesions, i.e. fractional flow reserve (FFR) or instantaneous wave-free ratio (iFR), suffers from several drawbacks, including time, cost and invasiveness, alongside potential interobserver variability. In this context, some deep learning methods have emerged to assist cardiologists in automating the estimation of FFR/iFR values. Despite the effectiveness of these methods, their reliance on large datasets is challenging due to the distributed nature of sensitive medical data. Federated learning addresses this challenge by aggregating knowledge from multiple nodes to improve model generalization, while preserving data privacy. We propose the first federated detection transformer approach, FeDETR, to assess stenosis severity in angiography videos based on FFR/iFR values estimation. In our approach, each node trains a detection transformer (DETR) on its local dataset, with the central server federating the backbone part of the network. The proposed method is trained and evaluated on a dataset collected from five hospitals, consisting of 1001 angiographic examinations, and its performance is compared with state-of-the-art federated learning methods.

Jun Zeng, Debesh Jha, Ertugrul Aktas et al.

We present an end-to-end deep learning framework for automated liver cirrhosis stage estimation from multi-sequence MRI. Cirrhosis is the severe scarring (fibrosis) of the liver and a common endpoint of various chronic liver diseases. Early diagnosis is vital to prevent complications such as decompensation and cancer, which significantly decreases life expectancy. However, diagnosing cirrhosis in its early stages is challenging, and patients often present with life-threatening complications. Our approach integrates multi-scale feature learning with sequence-specific attention mechanisms to capture subtle tissue variations across cirrhosis progression stages. Using CirrMRI600+, a large-scale publicly available dataset of 628 high-resolution MRI scans from 339 patients, we demonstrate state-of-the-art performance in three-stage cirrhosis classification. Our best model achieves 72.8% accuracy on T1W and 63.8% on T2W sequences, significantly outperforming traditional radiomics-based approaches. Through extensive ablation studies, we show that our architecture effectively learns stage-specific imaging biomarkers. We establish new benchmarks for automated cirrhosis staging and provide insights for developing clinically applicable deep learning systems. The source code will be available at https://github.com/JunZengz/CirrhosisStage.

Giovanni Bellitto, Federica Proietto Salanitri, Matteo Pennisi et al.

We present SAM, a biologically-plausible selective attention-driven modulation approach to enhance classification models in a continual learning setting. Inspired by neurophysiological evidence that the primary visual cortex does not contribute to object manifold untangling for categorization and that primordial attention biases are still embedded in the modern brain, we propose to employ auxiliary saliency prediction features as a modulation signal to drive and stabilize the learning of a sequence of non-i.i.d. classification tasks. Experimental results confirm that SAM effectively enhances the performance (in some cases up to about twenty percent points) of state-of-the-art continual learning methods, both in class-incremental and task-incremental settings. Moreover, we show that attention-based modulation successfully encourages the learning of features that are more robust to the presence of spurious features and to adversarial attacks than baseline methods. Code is available at: https://github.com/perceivelab/SAM.

Amelia Sorrenti, Giovanni Bellitto, Federica Proietto Salanitri et al.

We propose Wake-Sleep Consolidated Learning (WSCL), a learning strategy leveraging Complementary Learning System theory and the wake-sleep phases of the human brain to improve the performance of deep neural networks for visual classification tasks in continual learning settings. Our method learns continually via the synchronization between distinct wake and sleep phases. During the wake phase, the model is exposed to sensory input and adapts its representations, ensuring stability through a dynamic parameter freezing mechanism and storing episodic memories in a short-term temporary memory (similarly to what happens in the hippocampus). During the sleep phase, the training process is split into NREM and REM stages. In the NREM stage, the model's synaptic weights are consolidated using replayed samples from the short-term and long-term memory and the synaptic plasticity mechanism is activated, strengthening important connections and weakening unimportant ones. In the REM stage, the model is exposed to previously-unseen realistic visual sensory experience, and the dreaming process is activated, which enables the model to explore the potential feature space, thus preparing synapses to future knowledge. We evaluate the effectiveness of our approach on three benchmark datasets: CIFAR-10, Tiny-ImageNet and FG-ImageNet. In all cases, our method outperforms the baselines and prior work, yielding a significant performance gain on continual visual classification tasks. Furthermore, we demonstrate the usefulness of all processing stages and the importance of dreaming to enable positive forward transfer.

Rutger Hendrix, Federica Proietto Salanitri, Concetto Spampinato et al.

We introduce FedEvPrompt, a federated learning approach that integrates principles of evidential deep learning, prompt tuning, and knowledge distillation for distributed skin lesion classification. FedEvPrompt leverages two sets of prompts: b-prompts (for low-level basic visual knowledge) and t-prompts (for task-specific knowledge) prepended to frozen pre-trained Vision Transformer (ViT) models trained in an evidential learning framework to maximize class evidences. Crucially, knowledge sharing across federation clients is achieved only through knowledge distillation on attention maps generated by the local ViT models, ensuring enhanced privacy preservation compared to traditional parameter or synthetic image sharing methodologies. FedEvPrompt is optimized within a round-based learning paradigm, where each round involves training local models followed by attention maps sharing with all federation clients. Experimental validation conducted in a real distributed setting, on the ISIC2019 dataset, demonstrates the superior performance of FedEvPrompt against baseline federated learning algorithms and knowledge distillation methods, without sharing model parameters. In conclusion, FedEvPrompt offers a promising approach for federated learning, effectively addressing challenges such as data heterogeneity, imbalance, privacy preservation, and knowledge sharing.

Alessio Masano, Matteo Pennisi, Federica Proietto Salanitri et al.

CLIP has revolutionized zero-shot learning by enabling task generalization without fine-tuning. While prompting techniques like CoOp and CoCoOp enhance CLIP's adaptability, their effectiveness in Federated Learning (FL) remains an open challenge. Existing federated prompt learning approaches, such as FedCoOp and FedTPG, improve performance but face generalization issues, high communication costs, and reliance on a central server, limiting scalability and privacy. We propose Zero-shot Decentralized Federated Learning (ZeroDFL), a fully decentralized framework that enables zero-shot adaptation across distributed clients without a central coordinator. ZeroDFL employs an iterative prompt-sharing mechanism, allowing clients to optimize and exchange textual prompts to enhance generalization while drastically reducing communication overhead. We validate ZeroDFL on nine diverse image classification datasets, demonstrating that it consistently outperforms--or remains on par with--state-of-the-art federated prompt learning methods. More importantly, ZeroDFL achieves this performance in a fully decentralized setting while reducing communication overhead by 118x compared to FedTPG. These results highlight that our approach not only enhances generalization in federated zero-shot learning but also improves scalability, efficiency, and privacy preservation--paving the way for decentralized adaptation of large vision-language models in real-world applications.

Ziliang Hong, Halil Ertugrul Aktas, Andrea Mia Bejar et al.

We present the first federated learning (FL) approach for pancreas part(head, body and tail) segmentation in MRI, addressing a critical clinical challenge as a significant innovation. Pancreatic diseases exhibit marked regional heterogeneity cancers predominantly occur in the head region while chronic pancreatitis causes tissue loss in the tail, making accurate segmentation of the organ into head, body, and tail regions essential for precise diagnosis and treatment planning. This segmentation task remains exceptionally challenging in MRI due to variable morphology, poor soft-tissue contrast, and anatomical variations across patients. Our novel contribution tackles two fundamental challenges: first, the technical complexity of pancreas part delineation in MRI, and second the data scarcity problem that has hindered prior approaches. We introduce a privacy-preserving FL framework that enables collaborative model training across seven medical institutions without direct data sharing, leveraging a diverse dataset of 711 T1W and 726 T2W MRI scans. Our key innovations include: (1) a systematic evaluation of three state-of-the-art segmentation architectures (U-Net, Attention U-Net,Swin UNETR) paired with two FL algorithms (FedAvg, FedProx), revealing Attention U-Net with FedAvg as optimal for pancreatic heterogeneity, which was never been done before; (2) a novel anatomically-informed loss function prioritizing region-specific texture contrasts in MRI. Comprehensive evaluation demonstrates that our approach achieves clinically viable performance despite training on distributed, heterogeneous datasets.

Rutger Hendrix, Giovanni Patanè, Leonardo G. Russo et al.

Foundation models have transformed multimedia analysis by enabling robust and transferable representations across diverse modalities and tasks. However, their static deployment conflicts with growing societal and regulatory demands -- particularly the need to unlearn specific data upon request, as mandated by privacy frameworks such as the GDPR. Traditional unlearning approaches, including retraining, activation editing, or distillation, are often computationally expensive, fragile, and ill-suited for real-time or continuously evolving systems. In this paper, we propose a paradigm shift: rethinking unlearning not as a retroactive intervention but as a built-in capability. We introduce a prompt-based learning framework that unifies knowledge acquisition and removal within a single training phase. Rather than encoding information in model weights, our approach binds class-level semantics to dedicated prompt tokens. This design enables instant unlearning simply by removing the corresponding prompt -- without retraining, model modification, or access to original data. Experiments demonstrate that our framework preserves predictive performance on retained classes while effectively erasing forgotten ones. Beyond utility, our method exhibits strong privacy and security guarantees: it is resistant to membership inference attacks, and prompt removal prevents any residual knowledge extraction, even under adversarial conditions. This ensures compliance with data protection principles and safeguards against unauthorized access to forgotten information, making the framework suitable for deployment in sensitive and regulated environments. Overall, by embedding removability into the architecture itself, this work establishes a new foundation for designing modular, scalable and ethically responsive AI models.

Hongyi Pan, Gorkem Durak, Elif Keles et al.

Pancreatic cancer is projected to be the second-deadliest cancer by 2030, making early detection critical. Intraductal papillary mucinous neoplasms (IPMNs), key cancer precursors, present a clinical dilemma, as current guidelines struggle to stratify malignancy risk, leading to unnecessary surgeries or missed diagnoses. Here, we developed Cyst-X, an AI framework for IPMN risk prediction trained on a unique, multi-center dataset of 1,461 MRI scans from 764 patients. Cyst-X achieves significantly higher accuracy (AUC = 0.82) than both the established Kyoto guidelines (AUC = 0.75) and expert radiologists, particularly in correct identification of high-risk lesions. Clinically, this translates to a 20% increase in cancer detection sensitivity (87.8% vs. 64.1%) for high-risk lesions. We demonstrate that this performance is maintained in a federated learning setting, allowing for collaborative model training without compromising patient privacy. To accelerate research in early pancreatic cancer detection, we publicly release the Cyst-X dataset and models, providing the first large-scale, multi-center MRI resource for pancreatic cyst analysis.

Luca Palazzo, Matteo Pennisi, Federica Proietto Salanitri et al.

In this paper, we present FedRewind, a novel approach to decentralized federated learning that leverages model exchange among nodes to address the issue of data distribution shift. Drawing inspiration from continual learning (CL) principles and cognitive neuroscience theories for memory retention, FedRewind implements a decentralized routing mechanism where nodes send/receive models to/from other nodes in the federation to address spatial distribution challenges inherent in distributed learning (FL). During local training, federation nodes periodically send their models back (i.e., rewind) to the nodes they received them from for a limited number of iterations. This strategy reduces the distribution shift between nodes' data, leading to enhanced learning and generalization performance. We evaluate our method on multiple benchmarks, demonstrating its superiority over standard decentralized federated learning methods and those enforcing specific routing schemes within the federation. Furthermore, the combination of federated and continual learning concepts enables our method to tackle the more challenging federated continual learning task, with data shifts over both space and time, surpassing existing baselines.

Federica Proietto Salanitri, Giovanni Bellitto, Ismail Irmakci et al.

We propose a novel 3D fully convolutional deep network for automated pancreas segmentation from both MRI and CT scans. More specifically, the proposed model consists of a 3D encoder that learns to extract volume features at different scales; features taken at different points of the encoder hierarchy are then sent to multiple 3D decoders that individually predict intermediate segmentation maps. Finally, all segmentation maps are combined to obtain a unique detailed segmentation mask. We test our model on both CT and MRI imaging data: the publicly available NIH Pancreas-CT dataset (consisting of 82 contrast-enhanced CTs) and a private MRI dataset (consisting of 40 MRI scans). Experimental results show that our model outperforms existing methods on CT pancreas segmentation, obtaining an average Dice score of about 88%, and yields promising segmentation performance on a very challenging MRI data set (average Dice score is about 77%). Additional control experiments demonstrate that the achieved performance is due to the combination of our 3D fully-convolutional deep network and the hierarchical representation decoding, thus substantiating our architectural design.

Giovanni Bellitto, Federica Proietto Salanitri, Simone Palazzo et al.

In this work, we propose a 3D fully convolutional architecture for video saliency prediction that employs hierarchical supervision on intermediate maps (referred to as conspicuity maps) generated using features extracted at different abstraction levels. We provide the base hierarchical learning mechanism with two techniques for domain adaptation and domain-specific learning. For the former, we encourage the model to unsupervisedly learn hierarchical general features using gradient reversal at multiple scales, to enhance generalization capabilities on datasets for which no annotations are provided during training. As for domain specialization, we employ domain-specific operations (namely, priors, smoothing and batch normalization) by specializing the learned features on individual datasets in order to maximize performance. The results of our experiments show that the proposed model yields state-of-the-art accuracy on supervised saliency prediction. When the base hierarchical model is empowered with domain-specific modules, performance improves, outperforming state-of-the-art models on three out of five metrics on the DHF1K benchmark and reaching the second-best results on the other two. When, instead, we test it in an unsupervised domain adaptation setting, by enabling hierarchical gradient reversal layers, we obtain performance comparable to supervised state-of-the-art.