arXiv subjects

Aladine Chetouani

Publications and source records attributed to Aladine Chetouani.

At least 19 recordsLinked to original sources

arXiv2026

GazeRefine: Expert Gaze as a Test-Time Prompt for Training-Free Medical Image Segmentation

Medical image segmentation remains difficult to scale because high-performing methods typically rely on dense expert annotations and task-specific training. We introduce GazeRefine, a training-free framework that uses gaze as an inference-time prompt for zero-shot medical image segmentation. Sparse, duration-weighted fixations are converted into foreground and background priors that initialize semantic prototypes in frozen DINOv3 feature space. These prototypes are iteratively refined through foreground-background discrimination, feature-space affinity propagation, and anchoring to the initial gaze guidance, allowing segmentation to extend beyond directly fixated regions while limiting semantic drift. GazeRefine requires no segmentation masks, fine-tuning, adapters, prompt encoders, or gradient updates. We evaluate the method on gaze-annotated polyp segmentation and prostate MRI segmentation. The results show strong performance on colonoscopy images and competitive performance on prostate MRI, supporting gaze-guided prototype refinement as a promising approach for segmentation-label-efficient, human-in-the-loop medical image segmentation. Our tools and code can be found in the following repository: https://github.com/MohammedOussamaBEN/GazeRefine.git

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arXiv2026

CGS-SLAM: Collaborative Gaussian Splatting based SLAM for Multi-Agent Reconstruction

Recent advances in SLAM have leveraged 3DGS for photorealistic reconstruction and novel view synthesis. However, most methods rely on RGB-D input, which is unavailable on consumer-grade smartphones, and few integrate 3DGS within a collaborative framework. Therefore, we present CGS-SLAM, a hybrid decentralized/centralized system enabling multi-agent 3DGS SLAM using only RGB and inertial data. Each agent performs local tracking with inertial data as a motion prior and reconstructs a scaled map using a metric monocular depth estimator (Depth Pro). Keyframe encodings are shared among agents, enabling dynamic keyframing in regions of spatial overlaps with other agents, enhancing submap alignment. Afterwards, a central server aligns submaps using VGGT as a view alignment model. This bidirectional communication keeps communication cost low during mapping and global reconstruction in difficult GNSS-denied environments. Experiments on multiple datasets demonstrate competitive tracking performance, improved rendering quality over state-of-the-art methods, and accurate submap alignment.

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arXiv2026

Matched Outcomes, Divergent Gaze: How Foveated MLLMs Search Compared to Humans

Human visual search is serial: the fovea must land on a candidate to confirm it, and those landings form a scanpath. Whether multimodal large language models (MLLMs), given the same foveated input, search as humans do bears on their use as models of human vision and on attention-alignment scores. We compare three general-purpose MLLMs with human eye-movement scanpaths on goal-directed search (COCO-Search18), driving each model fixation by fixation through an identical, human-matched foveated view and assessing it along three axes: the decision of target presence, the efficiency of reaching the target, and the gaze process itself. The axes dissociate. On the decision and on target acquisition the models match or exceed humans, detecting present targets near ceiling and reaching them on the first saccade more often than people do. The gaze process is not human. Under the human-matched condition, all three share one signature: low-entropy, large-amplitude, self-consistent scanpaths that agree with themselves far more closely than two humans agree with each other. That is consistent with a single-pass, non-serial architecture rather than a limit of acuity. Matched retinal input reproduces where humans look but not how the looking unfolds in time, and no degradation regime recovers human-like search at human-like success. The gap sits on a process axis that answer-alignment and saliency metrics do not measure. Because they miss it, such metrics cannot certify human-like vision, and zero-shot models suit outcome and spatial questions but not temporal, process-level ones.

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arXiv2026

Divergent Gaze Patterns in Artistic Viewing: Spatial and Temporal Signatures of Attention Across Autistic Individuals, Artists, and Neurotypical Observers

How different populations visually explore artworks bears on cognitive science and on accessibility design, yet most eye-tracking work in autism has used social scenes rather than art, and has analysed where the eyes land while ignoring when and in what order. We present a comparative free-viewing study across three groups, autistic adults (ASD), trained artists, and neurotypical observers, who each viewed 30 paintings for 15s. We introduce a directed, metric-grounded framework that compares groups along two complementary axes: a spatial axis, in which one group's fixation-density map predicts another's fixations under six saliency metrics (AUC-Judd, NSS, CC, SIM, KL, Information Gain); and a temporal axis, in which individual scanpaths are compared with MultiMatch, ScanMatch, a foveal-disc IoU score (FDISS), and dynamic time warping (DTW). Fixations are extracted uniformly for all groups with a dispersion-threshold algorithm. Three results converge. (i)Artists and neurotypicals are almost indistinguishable in both space (density-map correlation CC=0.96) and time (they form the most alignable scanpath pair), whereas ASD gaze diverges from both. (ii)ASD attention is dissociated: it matches artists' wide spatial exploration (dispersion, explored area) but carries a distinct temporal signature, shorter fixations, less dwell, and the most idiosyncratic (least self-consistent) scanpaths of any group. (iii)ASD gaze is not selectively artist-like on any metric; if anything it is marginally closer to neurotypical. Together these findings indicate that autistic viewing of art is a distinct, group-specific attentional profile in both space and time, and they motivate population-conditioned models of aesthetic attention. We release all analysis code and per-stimulus results.

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arXiv2026

CT-DegradBench: A Physics-Informed Benchmark for CT Degradation Detection and Severity Estimation

Computed tomography (CT) images are frequently degraded by acquisition artifacts, including noise, blur, streaking, aliasing, and metal artifacts. Yet CT enhancement is still largely evaluated using image quality metrics with limited perceptual and clinical validity, while existing datasets remain focused on isolated restoration tasks, hindering unified benchmarking across diverse degradation types. We present CT-DegradBench, a dataset and benchmark for CT degradation detection and severity estimation under controlled single- and mixed-artifact settings. CT-DegradBench enables systematic evaluation across multiple degradation families and severity levels within a common experimental framework. We further propose SeSpeCT (Semantic-Spectral CT degradation estimation), a framework that combines semantic priors from medical vision-language models with complementary frequency-domain cues for artifact analysis. SeSpeCT constructs a training-free semantic quality axis in the multimodal embedding space using radiology-informed text prompts, without task-specific fine-tuning, and combines it with spectral features that capture degradation-specific frequency patterns. The resulting representation enables joint prediction of artifact type and severity. Experimental results show that SeSpeCT consistently outperforms the evaluated baselines under both single- and mixed-degradation settings. The framework is available at https://github.com/yousranb/CT-DEGRADBENCH.

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arXiv2026

GazeVaLM: A Multi-Observer Eye-Tracking Benchmark for Evaluating Clinical Realism in AI-Generated X-Rays

We introduce GazeVaLM, a public eye-tracking dataset for studying clinical perception during chest radiograph authenticity assessment. The dataset comprises 960 gaze recordings from 16 expert radiologists interpreting 30 real and 30 synthetic chest X-rays (generated by diffusion based generative AI) under two conditions: diagnostic assessment and real-fake classification (Visual Turing test). For each image-observer pair, we provide raw gaze samples, fixation maps, scanpaths, saliency density maps, structured diagnostic labels, and authenticity judgments. We extend the protocol to 6 state-of-the-art multimodal LLMs, releasing their predicted diagnoses, authenticity labels, and confidence scores under matched conditions - enabling direct human-AI comparison at both decision and uncertainty levels. We further provide analyses of gaze agreement, inter-observer consistency, and benchmarking of radiologists versus LLMs in diagnostic accuracy and authenticity detection. GazeVaLM supports research in gaze modeling, clinical decision-making, human-AI comparison, generative image realism assessment, and uncertainty quantification. By jointly releasing visual attention data, clinical labels, and model predictions, we aim to facilitate reproducible research on how experts and AI systems perceive, interpret, and evaluate medical images. The dataset is available at https://huggingface.co/datasets/davidcwong/GazeVaLM.

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arXiv2026

What They Saw, Not Just Where They Looked: Semantic Scanpath Similarity via VLMs and NLP metric

Scanpath similarity metrics are central to eye-movement research, yet existing methods predominantly evaluate spatial and temporal alignment while neglecting semantic equivalence between attended image regions. We present a semantic scanpath similarity framework that integrates vision-language models (VLMs) into eye-tracking analysis. Each fixation is encoded under controlled visual context (patch-based and marker-based strategies) and transformed into concise textual descriptions, which are aggregated into scanpath-level representations. Semantic similarity is then computed using embedding-based and lexical NLP metrics and compared against established spatial measures, including MultiMatch and DTW. Experiments on free-viewing eye-tracking data demonstrate that semantic similarity captures partially independent variance from geometric alignment, revealing cases of high content agreement despite spatial divergence. We further analyze the impact of contextual encoding on description fidelity and metric stability. Our findings suggest that multimodal foundation models enable interpretable, content-aware extensions of classical scanpath analysis, providing a complementary dimension for gaze research within the ETRA community.

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arXiv2026

SPGen: Stochastic scanpath generation for paintings using unsupervised domain adaptation

Understanding human visual attention is key to preserving cultural heritage We introduce SPGen a novel deep learning model to predict scanpaths the sequence of eye movementswhen viewers observe paintings. Our architecture uses a Fully Convolutional Neural Network FCNN with differentiable fixation selection and learnable Gaussian priors to simulate natural viewing biases To address the domain gap between photographs and artworks we employ unsupervised domain adaptation via a gradient reversal layer allowing the model to transfer knowledge from natural scenes to paintings Furthermore a random noise sampler models the inherent stochasticity of eyetracking data. Extensive testing shows SPGen outperforms existing methods offering a powerful tool to analyze gaze behavior and advance the preservation and appreciation of artistic treasures.

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arXiv2025

Morphology-Aware KOA Classification: Integrating Graph Priors with Vision Models

Knee osteoarthritis (KOA) diagnosis from radiographs remains challenging due to the subtle morphological details that standard deep learning models struggle to capture effectively. We propose a novel multimodal framework that combines anatomical structure with radiographic features by integrating a morphological graph representation - derived from Segment Anything Model (SAM) segmentations - with a vision encoder. Our approach enforces alignment between geometry-informed graph embeddings and radiographic features through mutual information maximization, significantly improving KOA classification accuracy. By constructing graphs from anatomical features, we introduce explicit morphological priors that mirror clinical assessment criteria, enriching the feature space and enhancing the model's inductive bias. Experiments on the Osteoarthritis Initiative dataset demonstrate that our approach surpasses single-modality baselines by up to 10\% in accuracy (reaching nearly 80\%), while outperforming existing state-of-the-art methods by 8\% in accuracy and 11\% in F1 score. These results underscore the critical importance of incorporating anatomical structure into radiographic analysis for accurate KOA severity grading.

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arXiv2025

Combining Transformers and CNNs for Efficient Object Detection in High-Resolution Satellite Imagery

We present GLOD, a transformer-first architecture for object detection in high-resolution satellite imagery. GLOD replaces CNN backbones with a Swin Transformer for end-to-end feature extraction, combined with novel UpConvMixer blocks for robust upsampling and Fusion Blocks for multi-scale feature integration. Our approach achieves 32.95\% on xView, outperforming SOTA methods by 11.46\%. Key innovations include asymmetric fusion with CBAM attention and a multi-path head design capturing objects across scales. The architecture is optimized for satellite imagery challenges, leveraging spatial priors while maintaining computational efficiency.

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arXiv2025

Diffusion-based Counterfactual Augmentation: Towards Robust and Interpretable Knee Osteoarthritis Grading

Automated grading of Knee Osteoarthritis (KOA) from radiographs is challenged by significant inter-observer variability and the limited robustness of deep learning models, particularly near critical decision boundaries. To address these limitations, this paper proposes a novel framework, Diffusion-based Counterfactual Augmentation (DCA), which enhances model robustness and interpretability by generating targeted counterfactual examples. The method navigates the latent space of a diffusion model using a Stochastic Differential Equation (SDE), governed by balancing a classifier-informed boundary drive with a manifold constraint. The resulting counterfactuals are then used within a self-corrective learning strategy to improve the classifier by focusing on its specific areas of uncertainty. Extensive experiments on the public Osteoarthritis Initiative (OAI) and Multicenter Osteoarthritis Study (MOST) datasets demonstrate that this approach significantly improves classification accuracy across multiple model architectures. Furthermore, the method provides interpretability by visualizing minimal pathological changes and revealing that the learned latent space topology aligns with clinical knowledge of KOA progression. The DCA framework effectively converts model uncertainty into a robust training signal, offering a promising pathway to developing more accurate and trustworthy automated diagnostic systems. Our code is available at https://github.com/ZWang78/DCA.

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arXiv2025

Modeling Beyond MOS: Quality Assessment Models Must Integrate Context, Reasoning, and Multimodality

This position paper argues that Mean Opinion Score (MOS), while historically foundational, is no longer sufficient as the sole supervisory signal for multimedia quality assessment models. MOS reduces rich, context-sensitive human judgments to a single scalar, obscuring semantic failures, user intent, and the rationale behind quality decisions. We contend that modern quality assessment models must integrate three interdependent capabilities: (1) context-awareness, to adapt evaluations to task-specific goals and viewing conditions; (2) reasoning, to produce interpretable, evidence-grounded justifications for quality judgments; and (3) multimodality, to align perceptual and semantic cues using vision-language models. We critique the limitations of current MOS-centric benchmarks and propose a roadmap for reform: richer datasets with contextual metadata and expert rationales, and new evaluation metrics that assess semantic alignment, reasoning fidelity, and contextual sensitivity. By reframing quality assessment as a contextual, explainable, and multimodal modeling task, we aim to catalyze a shift toward more robust, human-aligned, and trustworthy evaluation systems.

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arXiv2025

Shifts in Doctors' Eye Movements Between Real and AI-Generated Medical Images

Eye-tracking analysis plays a vital role in medical imaging, providing key insights into how radiologists visually interpret and diagnose clinical cases. In this work, we first analyze radiologists' attention and agreement by measuring the distribution of various eye-movement patterns, including saccades direction, amplitude, and their joint distribution. These metrics help uncover patterns in attention allocation and diagnostic strategies. Furthermore, we investigate whether and how doctors' gaze behavior shifts when viewing authentic (Real) versus deep-learning-generated (Fake) images. To achieve this, we examine fixation bias maps, focusing on first, last, short, and longest fixations independently, along with detailed saccades patterns, to quantify differences in gaze distribution and visual saliency between authentic and synthetic images.

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arXiv2025

MoEDiff-SR: Mixture of Experts-Guided Diffusion Model for Region-Adaptive MRI Super-Resolution

Magnetic Resonance Imaging (MRI) at lower field strengths (e.g., 3T) suffers from limited spatial resolution, making it challenging to capture fine anatomical details essential for clinical diagnosis and neuroimaging research. To overcome this limitation, we propose MoEDiff-SR, a Mixture of Experts (MoE)-guided diffusion model for region-adaptive MRI Super-Resolution (SR). Unlike conventional diffusion-based SR models that apply a uniform denoising process across the entire image, MoEDiff-SR dynamically selects specialized denoising experts at a fine-grained token level, ensuring region-specific adaptation and enhanced SR performance. Specifically, our approach first employs a Transformer-based feature extractor to compute multi-scale patch embeddings, capturing both global structural information and local texture details. The extracted feature embeddings are then fed into an MoE gating network, which assigns adaptive weights to multiple diffusion-based denoisers, each specializing in different brain MRI characteristics, such as centrum semiovale, sulcal and gyral cortex, and grey-white matter junction. The final output is produced by aggregating the denoised results from these specialized experts according to dynamically assigned gating probabilities. Experimental results demonstrate that MoEDiff-SR outperforms existing state-of-the-art methods in terms of quantitative image quality metrics, perceptual fidelity, and computational efficiency. Difference maps from each expert further highlight their distinct specializations, confirming the effective region-specific denoising capability and the interpretability of expert contributions. Additionally, clinical evaluation validates its superior diagnostic capability in identifying subtle pathological features, emphasizing its practical relevance in clinical neuroimaging. Our code is available at https://github.com/ZWang78/MoEDiff-SR.

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arXiv2025

Eyes Tell the Truth: GazeVal Highlights Shortcomings of Generative AI in Medical Imaging

The demand for high-quality synthetic data for model training and augmentation has never been greater in medical imaging. However, current evaluations predominantly rely on computational metrics that fail to align with human expert recognition. This leads to synthetic images that may appear realistic numerically but lack clinical authenticity, posing significant challenges in ensuring the reliability and effectiveness of AI-driven medical tools. To address this gap, we introduce GazeVal, a practical framework that synergizes expert eye-tracking data with direct radiological evaluations to assess the quality of synthetic medical images. GazeVal leverages gaze patterns of radiologists as they provide a deeper understanding of how experts perceive and interact with synthetic data in different tasks (i.e., diagnostic or Turing tests). Experiments with sixteen radiologists revealed that 96.6% of the generated images (by the most recent state-of-the-art AI algorithm) were identified as fake, demonstrating the limitations of generative AI in producing clinically accurate images.

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arXiv2025

Feasibility study for reconstruction of knee MRI from one corresponding X-ray via CNN

Generally, X-ray, as an inexpensive and popular medical imaging technique, is widely chosen by medical practitioners. With the development of medical technology, Magnetic Resonance Imaging (MRI), an advanced medical imaging technique, has already become a supplementary diagnostic option for the diagnosis of KOA. We propose in this paper a deep-learning-based approach for generating MRI from one corresponding X-ray. Our method uses the hidden variables of a Convolutional Auto-Encoder (CAE) model, trained for reconstructing X-ray image, as inputs of a generator model to provide 3D MRI.

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arXiv2025

Distillation-Driven Diffusion Model for Multi-Scale MRI Super-Resolution: Make 1.5T MRI Great Again

Magnetic Resonance Imaging (MRI) offers critical insights into microstructural details, however, the spatial resolution of standard 1.5T imaging systems is often limited. In contrast, 7T MRI provides significantly enhanced spatial resolution, enabling finer visualization of anatomical structures. Though this, the high cost and limited availability of 7T MRI hinder its widespread use in clinical settings. To address this challenge, a novel Super-Resolution (SR) model is proposed to generate 7T-like MRI from standard 1.5T MRI scans. Our approach leverages a diffusion-based architecture, incorporating gradient nonlinearity correction and bias field correction data from 7T imaging as guidance. Moreover, to improve deployability, a progressive distillation strategy is introduced. Specifically, the student model refines the 7T SR task with steps, leveraging feature maps from the inference phase of the teacher model as guidance, aiming to allow the student model to achieve progressively 7T SR performance with a smaller, deployable model size. Experimental results demonstrate that our baseline teacher model achieves state-of-the-art SR performance. The student model, while lightweight, sacrifices minimal performance. Furthermore, the student model is capable of accepting MRI inputs at varying resolutions without the need for retraining, significantly further enhancing deployment flexibility. The clinical relevance of our proposed method is validated using clinical data from Massachusetts General Hospital. Our code is available at https://github.com/ZWang78/SR.

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arXiv2025

Key-Exchange Convolutional Auto-Encoder for Data Augmentation in Early Knee Osteoarthritis Detection

Knee Osteoarthritis (KOA) is a common musculoskeletal condition that significantly affects mobility and quality of life, particularly in elderly populations. However, training deep learning models for early KOA classification is often hampered by the limited availability of annotated medical datasets, owing to the high costs and labour-intensive nature of data labelling. Traditional data augmentation techniques, while useful, rely on simple transformations and fail to introduce sufficient diversity into the dataset. To address these challenges, we propose the Key-Exchange Convolutional Auto-Encoder (KECAE) as an innovative Artificial Intelligence (AI)-based data augmentation strategy for early KOA classification. Our model employs a convolutional autoencoder with a novel key-exchange mechanism that generates synthetic images by selectively exchanging key pathological features between X-ray images, which not only diversifies the dataset but also ensures the clinical validity of the augmented data. A hybrid loss function is introduced to supervise feature learning and reconstruction, integrating multiple components, including reconstruction, supervision, and feature separation losses. Experimental results demonstrate that the KECAE-generated data significantly improve the performance of KOA classification models, with accuracy gains of up to 1.98% across various standard and state-of-the-art architectures. Furthermore, a clinical validation study involving expert radiologists confirms the anatomical plausibility and diagnostic realism of the synthetic outputs. These findings highlight the potential of KECAE as a robust tool for augmenting medical datasets in early KOA detection.

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