Ashwin Kumar

Qi Chen, Wenxuan Li, Pedro R. A. S. Bassi et al.

Artificial intelligence (AI) has achieved remarkable success in medical imaging, but it is widely recognized that these models often perform inconsistently across real-world clinical settings. Such inconsistencies occur when patient demographics and imaging protocols vary, for example, in detecting small tumors, analyzing scans from different contrast phases, or evaluating patients of different ages or sexes. To quantify these inconsistencies, we develop a large-scale, open benchmark of 85,355 CT scans that systematically evaluates 12 tumor-detection AI models across tumor size, location, patient subgroup, and imaging protocol. We leverage large language models (LLMs) to extract and organize subgroup information from clinical data, which makes the analysis both scalable and reproducible. Our benchmark reveals that current state-of-the-art AI models, optimized for average accuracy, perform poorly in rare or underrepresented subgroups, such as young, female African Americans. However, collecting sufficient annotated data for these rare cases is often impractical. The benchmark provides a foundation for building more reliable and robust AI models for tumor detection and highlighting the need for rigorous, subgroup-level evaluation in medical imaging and computer vision. Datasets, code

Yonatan Urman, Zachary Shah, Ashwin Kumar et al.

Purpose: To accelerate MRI acquisition by incorporating the previous scans of a subject during reconstruction. Although longitudinal imaging constitutes much of clinical MRI, leveraging previous scans is challenging due to the complex relationship between scan sessions, potentially involving substantial anatomical or pathological changes, and the lack of open-access datasets with both longitudinal pairs and raw k-space needed for training deep learning-based reconstruction models. Methods: We propose a diffusion-model-based reconstruction framework that eliminates the need for longitudinally paired training data. During training, we treat all scan timepoints as samples from the same distribution, therefore requiring only standalone images. At inference, our framework integrates a subject's prior scan in magnitude DICOM format, which is readily available in clinical workflows, to guide reconstruction of the follow-up. To support future development, we introduce an open-access clinical dataset containing multi-session pairs including prior DICOMs and follow-up k-space. Results: Our method consistently outperforms both longitudinal and non-longitudinal baseline reconstruction methods across various accelerated Cartesian acquisition strategies. In imaging regions highly similar to the prior scan, we observe up to 10\% higher SSIM and 2 dB higher PSNR, without degradation in dissimilar areas. Compared to longitudinal reconstruction baselines, our method demonstrates robustness to varying degrees of anatomical change and misregistration. Conclusion: We demonstrate that prior scans can be effectively integrated with state-of-the-art diffusion-based reconstruction methods to improve image quality and enable greater scan acceleration, without requiring an extensive longitudinally-paired training dataset.