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Alan B. McMillan

Publications and source records attributed to Alan B. McMillan.

6 recordsLinked to original sources

Fed-FBD: Federated Functional Block Diversification for Isolation, Privacy, and Surgical Unlearning

Federated learning (FL) enables collaborative model training without sharing raw patient data, but standard approaches such as FedAvg treat each client as a black box and provide no mechanism for isolating an adversarial contributor, auditing per-client influence, or honoring a departed participant's right to be forgotten. We present Fed-FBD (Federated Functional Block Diversification), a modular federated architecture that decomposes a ResNet backbone into six functional blocks (the stem, four residual groups, and the classification head) and maintains a warehouse of N color variants, each assembled from independently tracked and contributor-stamped blocks. Fed-FBD provides three capabilities absent in FedAvg: (i) architecturally guaranteed block-level isolation, so that an adversarial or mislabelled client cannot contaminate the clean colous; (ii) privacy-by-design, where membership inference advantage is already indistinguishable from chance before any privacy mechanism is applied; and (iii) surgical machine unlearning of a departed participant's contribution at sub-second cost and without retraining. Experiments on six MedMNIST-2D datasets, PathMNIST at 224x224, and CIFAR-10 show that Fed-FBD trades a modest 0.3%-3.1% IID accuracy gap on the adequately sized datasets for these guarantees, remains within 0.8%-4.0% of FedAvg at Dirichlet alpha=1.0 on three of four datasets, and confines all six adversarial attacks we study to the poisoned client's own blocks with at most +/-0.01 AUC drift on the clean colors.

cs.LG↗

From Embeddings to Accuracy: Comparing Foundation Models for Radiographic Classification

Foundation models provide robust embeddings for diverse tasks, including medical imaging. We evaluate embeddings from seven general and medical-specific foundation models (e.g., DenseNet121, BiomedCLIP, MedImageInsight, Rad-DINO, CXR-Foundation) for training lightweight adapters in multi-class radiography classification. Using a dataset of 8,842 radiographs across seven classes, we trained adapters with algorithms like K-Nearest Neighbors, logistic regression, SVM, random forest, and MLP. The combination of MedImageInsight embeddings with an SVM or MLP adapter achieved the highest mean area under the curve (mAUC) of 93.1%. This performance was statistically superior to other models, including MedSigLIP with an MLP (91.0%), Rad-DINO with an SVM (90.7%), and CXR-Foundation with logistic regression (88.6%). In contrast, models like BiomedCLIP (82.8%) and Med-Flamingo (78.5%) showed lower performance. Crucially, these lightweight adapters are computationally efficient, training in minutes and performing inference in seconds on a CPU, making them practical for clinical use. A fairness analysis of the top-performing MedImageInsight adapter revealed minimal performance disparities across patient gender (within 1.8%) and age groups (std. dev < 1.4%), with no significant statistical differences. These findings confirm that embeddings from specialized foundation models, particularly MedImageInsight, can power accurate, efficient, and equitable diagnostic tools using simple, lightweight adapters.

cs.CV↗

Comparative Evaluation of Radiomics and Deep Learning Models for Disease Detection in Chest Radiography

The application of artificial intelligence (AI) in medical imaging has revolutionized diagnostic practices, enabling advanced analysis and interpretation of radiological data. This study presents a comprehensive evaluation of radiomics-based and deep learning-based approaches for disease detection in chest radiography, focusing on COVID-19, lung opacity, and viral pneumonia. While deep learning models, particularly convolutional neural networks and vision transformers, learn directly from image data, radiomics-based models extract handcrafted features, offering potential advantages in data-limited scenarios. We systematically compared the diagnostic performance of various AI models, including Decision Trees, Gradient Boosting, Random Forests, Support Vector Machines, and Multi-Layer Perceptrons for radiomics, against state-of-the-art deep learning models such as InceptionV3, EfficientNetL, and ConvNeXtXLarge. Performance was evaluated across multiple sample sizes. At 24 samples, EfficientNetL achieved an AUC of 0.839, outperforming SVM (AUC = 0.762). At 4000 samples, InceptionV3 achieved the highest AUC of 0.996, compared to 0.885 for Random Forest. A Scheirer-Ray-Hare test confirmed significant main and interaction effects of model type and sample size on all metrics. Post hoc Mann-Whitney U tests with Bonferroni correction further revealed consistent performance advantages for deep learning models across most conditions. These findings provide statistically validated, data-driven recommendations for model selection in diagnostic AI. Deep learning models demonstrated higher performance and better scalability with increasing data availability, while radiomics-based models may remain useful in low-data contexts. This study addresses a critical gap in AI-based diagnostic research by offering practical guidance for deploying AI models across diverse clinical environments.

eess.IV↗

Embeddings are all you need! Achieving High Performance Medical Image Classification through Training-Free Embedding Analysis

Developing artificial intelligence (AI) and machine learning (ML) models for medical imaging typically involves extensive training and testing on large datasets, consuming significant computational time, energy, and resources. There is a need for more efficient methods that can achieve comparable or superior diagnostic performance without the associated resource burden. We investigated the feasibility of replacing conventional training procedures with an embedding-based approach that leverages concise and semantically meaningful representations of medical images. Using pre-trained foundational models-specifically, convolutional neural networks (CNN) like ResNet and multimodal models like Contrastive Language-Image Pre-training (CLIP)-we generated image embeddings for multi-class classification tasks. Simple linear classifiers were then applied to these embeddings. The approach was evaluated across diverse medical imaging modalities, including retinal images, mammography, dermatoscopic images, and chest radiographs. Performance was compared to benchmark models trained and tested using traditional methods. The embedding-based models surpassed the benchmark area under the receiver operating characteristic curve (AUC-ROC) scores by up to 87 percentage in multi-class classification tasks across the various medical imaging modalities. Notably, CLIP embedding models achieved the highest AUC-ROC scores, demonstrating superior classification performance while significantly reducing computational demands. Our study indicates that leveraging embeddings from pre-trained foundational models can effectively replace conventional, resource-intensive training and testing procedures in medical image analysis. This embedding-based approach offers a more efficient alternative for image segmentation, classification, and prediction, potentially accelerating AI technology integration into clinical practice.

eess.IV↗

Anatomy and Physiology of Artificial Intelligence in PET Imaging

The influence of artificial intelligence (AI) within the field of nuclear medicine has been rapidly growing. Many researchers and clinicians are seeking to apply AI within PET, and clinicians will soon find themselves engaging with AI-based applications all along the chain of molecular imaging, from image reconstruction to enhanced reporting. This expanding presence of AI in PET imaging will result in greater demand for educational resources for those unfamiliar with AI. The objective of this article to is provide an illustrated guide to the core principles of modern AI, with specific focus on aspects that are most likely to be encountered in PET imaging. We describe convolutional neural networks, algorithm training, and explain the components of the commonly used U-Net for segmentation and image synthesis.

cs.CV↗

AI-based data corrections for attenuation and scatter in PET and SPECT

Recent developments in artificial intelligence technology have enabled new developments that can improve attenuation and scatter correction in PET and SPECT. These technologies will enable the use of accurate and quantitative imaging without the need to acquire a CT image, greatly expanding the capability of PET/MRI, PET-only, and SPECT-only scanners. The use of AI to aid in scatter correction will lead to improvements in image reconstruction speed, and improve patient throughput. This paper outlines the use of these new tools, surveys contemporary implementation, and discusses their limitations.

physics.med-ph↗