Akshay Paruchuri

Akshay Paruchuri, Xin Liu, Yulu Pan et al. · stanford

Machine learning models for camera-based physiological measurement can have weak generalization due to a lack of representative training data. Body motion is one of the most significant sources of noise when attempting to recover the subtle cardiac pulse from a video. We explore motion transfer as a form of data augmentation to introduce motion variation while preserving physiological changes of interest. We adapt a neural video synthesis approach to augment videos for the task of remote photoplethysmography (rPPG) and study the effects of motion augmentation with respect to 1) the magnitude and 2) the type of motion. After training on motion-augmented versions of publicly available datasets, we demonstrate a 47% improvement over existing inter-dataset results using various state-of-the-art methods on the PURE dataset. We also present inter-dataset results on five benchmark datasets to show improvements of up to 79% using TS-CAN, a neural rPPG estimation method. Our findings illustrate the usefulness of motion transfer as a data augmentation technique for improving the generalization of models for camera-based physiological sensing. We release our code for using motion transfer as a data augmentation technique on three publicly available datasets, UBFC-rPPG, PURE, and SCAMPS, and models pre-trained on motion-augmented data here: https://motion-matters.github.io/

Akshay Paruchuri, Ishan Chatterjee, Henry Fuchs et al. · stanford

Multimodal language models systematically underperform on visual perception tasks, yet the structure underlying this failure remains poorly understood. We propose centroid replacement, collapsing each token to its nearest K-means centroid, as a controlled probe for modal dependence. Across seven models spanning three architecture families, erasing text centroid structure costs 4$\times$ more accuracy than erasing visual centroid structure, exposing a universal imbalance where language representations overshadow vision even on tasks that demand visual reasoning. We exploit this asymmetry through text centroid contrastive decoding, recovering up to +16.9% accuracy on individual tasks by contrastively decoding against a text-centroid-erased reference. This intervention varies meaningfully with training approaches: standard fine-tuned models show larger gains (+5.6% on average) than preference-optimized models (+1.5% on average). Our findings suggest that modal competition is structurally localized, correctable at inference time without retraining, and quantifiable as a diagnostic signal to guide future multimodal training.

Shuxian Wang, Akshay Paruchuri, Zhaoxi Zhang et al. · stanford

Monocular depth estimation in colonoscopy video aims to overcome the unusual lighting properties of the colonoscopic environment. One of the major challenges in this area is the domain gap between annotated but unrealistic synthetic data and unannotated but realistic clinical data. Previous attempts to bridge this domain gap directly target the depth estimation task itself. We propose a general pipeline of structure-preserving synthetic-to-real (sim2real) image translation (producing a modified version of the input image) to retain depth geometry through the translation process. This allows us to generate large quantities of realistic-looking synthetic images for supervised depth estimation with improved generalization to the clinical domain. We also propose a dataset of hand-picked sequences from clinical colonoscopies to improve the image translation process. We demonstrate the simultaneous realism of the translated images and preservation of depth maps via the performance of downstream depth estimation on various datasets.

Narayan Schuetz, Yuze Bai, Lianggang Pan et al.

Mobile and wearable devices offer an unprecedented opportunity for continuous, passive health monitoring and active health coaching. However, the largest wearable datasets are not publicly available for research, and leading wearable foundation models trained on such datasets are rarely open-weight or come with reproducible training code. To accelerate open science in wearable health, we release OpenMyHeartCounts (OpenMHC), the largest and most comprehensive open-access wearable health dataset to date, alongside open-source implementations of recent wearable foundation models. OpenMHC, derived from over a decade of data collected through the My Heart Counts study app, includes >60 million hours of wearable data across 19 sensor channels (e.g., step count, heart rate, sleep, workouts) and up to 169 linked variables, including health, lifestyle, mood, and behavior from 11,894 consenting participants. Furthermore, we introduce a unified, open benchmark that enables standardized comparison of wearable health models across three tracks: health and behavior downstream prediction, multivariate data imputation, and time-series forecasting. We benchmark classical methods alongside recent wearable and multivariate time series foundation models. By open-sourcing data, code, and model weights at this unprecedented scale, we aim to democratize wearable health AI research and enable the community to drive open progress in this domain.

Akshay Paruchuri, Samuel Ehrenstein, Shuxian Wang et al. · stanford

Monocular depth estimation in endoscopy videos can enable assistive and robotic surgery to obtain better coverage of the organ and detection of various health issues. Despite promising progress on mainstream, natural image depth estimation, techniques perform poorly on endoscopy images due to a lack of strong geometric features and challenging illumination effects. In this paper, we utilize the photometric cues, i.e., the light emitted from an endoscope and reflected by the surface, to improve monocular depth estimation. We first create two novel loss functions with supervised and self-supervised variants that utilize a per-pixel shading representation. We then propose a novel depth refinement network (PPSNet) that leverages the same per-pixel shading representation. Finally, we introduce teacher-student transfer learning to produce better depth maps from both synthetic data with supervision and clinical data with self-supervision. We achieve state-of-the-art results on the C3VD dataset while estimating high-quality depth maps from clinical data. Our code, pre-trained models, and supplementary materials can be found on our project page: https://ppsnet.github.io/

Akshay Paruchuri, Maryam Aziz, Rohit Vartak et al. · stanford

People are increasingly seeking healthcare information from large language models (LLMs) via interactive chatbots, yet the nature and inherent risks of these conversations remain largely unexplored. In this paper, we filter large-scale conversational AI datasets to achieve HealthChat-11K, a curated dataset of 11K real-world conversations composed of 25K user messages. We use HealthChat-11K and a clinician-driven taxonomy for how users interact with LLMs when seeking healthcare information in order to systematically study user interactions across 21 distinct health specialties. Our analysis reveals insights into the nature of how and why users seek health information, such as common interactions, instances of incomplete context, affective behaviors, and interactions (e.g., leading questions) that can induce sycophancy, underscoring the need for improvements in the healthcare support capabilities of LLMs deployed as conversational AI. Code and artifacts to retrieve our analyses and combine them into a curated dataset can be found here: https://github.com/yahskapar/HealthChat

Xiaomin Li, Yuexing Hao, Jianheng Hou et al.

Human evaluation of AI systems and digital products is costly, slow, and difficult to scale. Offline evaluations are more scalable but often abstract away human diversity and interactive behavior. We therefore introduce MatrAIx, a population-scale simulated-user evaluation infrastructure for testing AI systems and digital products with heterogeneous users. MatrAIx has three core components: First, Persona 8B contains 8.3 billion persona records represented by 1,290 categorical dimensions. Records are either sampled from a dependency graph that preserves correlated attributes or derived from human-authored profiles. We release a quality-filtered coreset of approximately 1 million personas, comprising 599,847 human-grounded and 400,000 synthetic records. Second, the MatrAIx Playground provides four environments in which diverse users evaluate and interact with digital products: Survey, AI Chatbot, Web, and App. Third, MatrAIx provides 1,010 application tasks spanning more than 25 domains, including Commerce, Software, Finance, and Healthcare. We conducted 18,189 evaluation trials across eight representative tasks. Persona agents were powered by three LLMs: Claude Opus 4.8, GPT 5.5, and Claude Haiku 4.5. The resulting feedback captures how decisions and preferences vary across persona backgrounds, including hesitation after a price increase, willingness to continue after an AI assistant fails, and latency tolerance. We conducted two main validation studies: First, a 400-trial controlled study evaluated persona adherence across ten behavioral attributes and all four environments. The declared behavior was expressed or correctly suppressed in 366 trials (91.5%). Second, human and LLM judges evaluated the extraction quality of human-grounded personas. Overall, MatrAIx provides an end-to-end infrastructure for evaluating AI systems and digital products with diverse simulated human users.

Ken Gu, Zhihan Zhang, Kate Lin et al. · stanford

Language models (LMs) are increasingly being deployed to perform autonomous data analyses. However, their data awareness -- the ability to recognize, reason over, and appropriately handle data artifacts such as missing values, outliers, and logical inconsistencies -- remains underexplored. These artifacts are especially common in real-world tabular data and, if mishandled, can significantly compromise the validity of analytical conclusions. To address this gap, we present RADAR, a benchmark for systematically evaluating data-aware reasoning on tabular data. We develop a framework to simulate data artifacts via programmatic perturbations to enable targeted evaluation of model behavior. RADAR comprises 2980 table query pairs, grounded in real-world data spanning 9 domains and 5 data artifact types. In addition to evaluating artifact handling, RADAR systematically varies table size to study how reasoning performance holds when increasing table size. Our evaluation reveals that, despite decent performance on tables without data artifacts, frontier models degrade significantly when data artifacts are introduced, exposing critical gaps in their capacity for robust, data-aware analysis. Designed to be flexible and extensible, RADAR supports diverse perturbation types and controllable table sizes, offering a valuable resource for advancing tabular reasoning.

Akshay Paruchuri, Sanmi Koyejo, Ehsan Adeli

Standard benchmarks for multimodal large language models (MLLMs) score each item on one canonical ordering and miss whether order-irrelevant shuffling changes the answer, a baseline reliability property called for by emerging AI evaluation guidelines. We introduce Facet-Probe, a five-facet audit (option, evidence-chunk, document-rank, image-set, and mixed-modality ordering) of 18 frontier and open-weight MLLMs. A Bayesian item-response model separates ordering noise from per-facet bias, and a same-ordering control estimates the decoder-stochastic floor for observed flips. We find that none of the 18 MLLMs we audit are order-invariant: screened per-facet panel-mean flip rates span 24-50%. A Gemini same-ordering control at temperature 0 estimates a substantial ordering excess over a same-input decoder-noise floor in verified cells. Capability predicts but does not eliminate flips; the best model still flips on 13.4% of trials. In our Gemini mitigation tests, training-free prompt changes are modality-conditional and do not transfer from text to visual reasoning. These results suggest that prompt-level mitigation alone is unlikely to provide general order robustness, motivating future work on training-time and architectural approaches. We propose cross-ordering flip rate as a standard reporting axis for MLLMs.

Tianwen Zhou, Akshay Paruchuri, Josef Spjut et al. · stanford

Camera-based physiological signal estimation provides a non-contact and convenient means to monitor Heart Rate (HR). However, the presence of vital signals in facial videos raises significant privacy concerns, as they can reveal sensitive personal information related to the health and emotional states of an individual. To address this, we propose a learned framework that edits physiological signals in videos while preserving visual fidelity. First, we encode an input video into a latent space via a pretrained 3D Variational Autoencoder (3D VAE), while a target HR prompt is embedded through a frozen text encoder. We fuse them using a set of trainable spatio-temporal layers with Adaptive Layer Normalizations (AdaLN) to capture the strong temporal coherence of remote Photoplethysmography (rPPG) signals. We apply Feature-wise Linear Modulation (FiLM) in the decoder with a fine-tuned output layer to avoid the degradation of physiological signals during reconstruction, enabling accurate physiological modulation in the reconstructed video. Empirical results show that our method preserves visual quality with an average PSNR of 38.96 dB and SSIM of 0.98 on selected datasets, while achieving an average HR modulation error of 10.00 bpm MAE and 10.09% MAPE using a state-of-the-art rPPG estimator. Our design's controllable HR editing is useful for applications such as anonymizing biometric signals in real videos or synthesizing realistic videos with desired vital signs.

Akshay Paruchuri, Sinan Hersek, Lavisha Aggarwal et al. · stanford

All-day smart glasses are likely to emerge as platforms capable of continuous contextual sensing, uniquely positioning them for unprecedented assistance in our daily lives. Integrating the multi-modal AI agents required for human memory enhancement while performing continuous sensing, however, presents a major energy efficiency challenge for all-day usage. Achieving this balance requires intelligent, context-aware sensor management. Our approach, EgoTrigger, leverages audio cues from the microphone to selectively activate power-intensive cameras, enabling efficient sensing while preserving substantial utility for human memory enhancement. EgoTrigger uses a lightweight audio model (YAMNet) and a custom classification head to trigger image capture from hand-object interaction (HOI) audio cues, such as the sound of a drawer opening or a medication bottle being opened. In addition to evaluating on the QA-Ego4D dataset, we introduce and evaluate on the Human Memory Enhancement Question-Answer (HME-QA) dataset. Our dataset contains 340 human-annotated first-person QA pairs from full-length Ego4D videos that were curated to ensure that they contained audio, focusing on HOI moments critical for contextual understanding and memory. Our results show EgoTrigger can use 54% fewer frames on average, significantly saving energy in both power-hungry sensing components (e.g., cameras) and downstream operations (e.g., wireless transmission), while achieving comparable performance on datasets for an episodic memory task. We believe this context-aware triggering strategy represents a promising direction for enabling energy-efficient, functional smart glasses capable of all-day use -- supporting applications like helping users recall where they placed their keys or information about their routine activities (e.g., taking medications).

Akshay Paruchuri, Jake Garrison, Shun Liao et al.

Language models (LM) are capable of remarkably complex linguistic tasks; however, numerical reasoning is an area in which they frequently struggle. An important but rarely evaluated form of reasoning is understanding probability distributions. In this paper, we focus on evaluating the probabilistic reasoning capabilities of LMs using idealized and real-world statistical distributions. We perform a systematic evaluation of state-of-the-art LMs on three tasks: estimating percentiles, drawing samples, and calculating probabilities. We evaluate three ways to provide context to LMs 1) anchoring examples from within a distribution or family of distributions, 2) real-world context, 3) summary statistics on which to base a Normal approximation. Models can make inferences about distributions, and can be further aided by the incorporation of real-world context, example shots and simplified assumptions, even if these assumptions are incorrect or misspecified. To conduct this work, we developed a comprehensive benchmark distribution dataset with associated question-answer pairs that we have released publicly.

Mike A. Merrill, Akshay Paruchuri, Naghmeh Rezaei et al.

Deriving personalized insights from popular wearable trackers requires complex numerical reasoning that challenges standard LLMs, necessitating tool-based approaches like code generation. Large language model (LLM) agents present a promising yet largely untapped solution for this analysis at scale. We introduce the Personal Health Insights Agent (PHIA), a system leveraging multistep reasoning with code generation and information retrieval to analyze and interpret behavioral health data. To test its capabilities, we create and share two benchmark datasets with over 4000 health insights questions. A 650-hour human expert evaluation shows that PHIA significantly outperforms a strong code generation baseline, achieving 84% accuracy on objective, numerical questions and, for open-ended ones, earning 83% favorable ratings while being twice as likely to achieve the highest quality rating. This work can advance behavioral health by empowering individuals to understand their data, enabling a new era of accessible, personalized, and data-driven wellness for the wider population.