arXiv subjects

Arnold Milstein

Publications and source records attributed to Arnold Milstein.

9 recordsLinked to original sources

arXiv2026

ReGenHuman: Re-Generating Human Appearances for Realistic Full-Body Video Anonymization

Anonymizing human-centric video data is an understudied problem. Prior anonymization techniques either blur or redact pixels at the cost of realism and downstream utility, or generate frame-by-frame at the cost of temporal coherence. We introduce ReGenHuman, the first full-body video anonymization pipeline that is simultaneously realistic, temporally consistent, and anonymous by construction. Contrary to past approaches which redact or edit the inputs directly, we propose a regenerate, don't edit paradigm. Our approach composites 2D pose, segmentation, and monocular depth into two complementary conditioning streams - StructAll and StructHuman, which are used to fine-tune a video-to-video diffusion backbone on in-the-wild human videos, synthesizing the human regions entirely from identity-free structural cues. We evaluate our model on privacy, quality, and utility, and show that our ReGenHuman achieves the best tradeoff across all three axes against current baselines. We further show that our anonymized videos remain effective for downstream tasks, including video question answering.

cs.CV↗

arXiv2025

SmartAlert: Implementing Machine Learning-Driven Clinical Decision Support for Inpatient Lab Utilization Reduction

Repetitive laboratory testing unlikely to yield clinically useful information is a common practice that burdens patients and increases healthcare costs. Education and feedback interventions have limited success, while general test ordering restrictions and electronic alerts impede appropriate clinical care. We introduce and evaluate SmartAlert, a machine learning (ML)-driven clinical decision support (CDS) system integrated into the electronic health record that predicts stable laboratory results to reduce unnecessary repeat testing. This case study describes the implementation process, challenges, and lessons learned from deploying SmartAlert targeting complete blood count (CBC) utilization in a randomized controlled pilot across 9270 admissions in eight acute care units across two hospitals between August 15, 2024, and March 15, 2025. Results show significant decrease in number of CBC results within 52 hours of SmartAlert display (1.54 vs 1.82, p <0.01) without adverse effect on secondary safety outcomes, representing a 15% relative reduction in repetitive testing. Implementation lessons learned include interpretation of probabilistic model predictions in clinical contexts, stakeholder engagement to define acceptable model behavior, governance processes for deploying a complex model in a clinical environment, user interface design considerations, alignment with clinical operational priorities, and the value of qualitative feedback from end users. In conclusion, a machine learning-driven CDS system backed by a deliberate implementation and governance process can provide precision guidance on inpatient laboratory testing to safely reduce unnecessary repetitive testing.

cs.LG↗

arXiv2025

First, do NOHARM: a medical safety benchmark and randomized study of physician and AI teaming on clinical consultations

Large language models (LLMs) and medical AI tools are routinely used by physicians and patients for medical advice, yet their clinical safety profiles remain poorly characterized. We present NOHARM (Numerous Options Harm Assessment for Risk in Medicine), a 1,100-task benchmark of primary care-to-specialist consultation cases to measure the frequency and severity of potentially harmful errors from LLM-generated medical consultation recommendations. NOHARM covers 10 specialties, with 12,747 expert annotations for 4,249 clinical management options. Across 20 notable LLMs and 4 widely used retrieval-augmented generation (RAG) clinical AI tools, direct application of recommendations carried potential for severe harm in up to 24.6% of cases, with errors of omission accounting for more than 80% of severe errors. Harm potential was not uniform across systems, with clinical AI tools outperforming generalist LLMs, and multi-agent AI teaming further improving performance in generalist models. In a randomized study of 101 U.S.-licensed generalist physicians, AI assistance improved physician performance compared to conventional resources. However, AI-assisted physicians frequently omitted valuable AI-generated recommendations and still scored lower than many AI systems alone. Had those recommendations been incorporated, combined human-AI responses would have outperformed both the human and AI system as used, suggesting complementary strengths and unrealized potential in human-AI teaming. Collectively, these results show that despite strong performance on medical knowledge benchmarks, widely used AI tools can produce medical consultation advice with the potential for severe harm, and highlight the need for explicit measurement of clinical safety. The benchmark and leaderboard are publicly available to support ongoing evaluation and improvement of AI systems used for clinical care.

cs.CY↗

arXiv2025

Towards Fine-Grained Video Question Answering

In the rapidly evolving domain of video understanding, Video Question Answering (VideoQA) remains a focal point. However, existing datasets exhibit gaps in temporal and spatial granularity, which consequently limits the capabilities of existing VideoQA methods. This paper introduces the Multi-Object Multi-Actor Question Answering (MOMA-QA) dataset, which is designed to address these shortcomings by emphasizing temporal localization, spatial relationship reasoning, and entity-centric queries. With ground truth scene graphs and temporal interval annotations, MOMA-QA is ideal for developing models for fine-grained video understanding. Furthermore, we present a novel video-language model, SGVLM, which incorporates a scene graph predictor, an efficient frame retriever, and a pre-trained large language model for temporal localization and fine-grained relationship understanding. Evaluations on MOMA-QA and other public datasets demonstrate the superior performance of our model, setting new benchmarks for VideoQA.

cs.CV↗

arXiv2024

An Interactive Agent Foundation Model

The development of artificial intelligence systems is transitioning from creating static, task-specific models to dynamic, agent-based systems capable of performing well in a wide range of applications. We propose an Interactive Agent Foundation Model that uses a novel multi-task agent training paradigm for training AI agents across a wide range of domains, datasets, and tasks. Our training paradigm unifies diverse pre-training strategies, including visual masked auto-encoders, language modeling, and next-action prediction, enabling a versatile and adaptable AI framework. We demonstrate the performance of our framework across three separate domains -- Robotics, Gaming AI, and Healthcare. Our model demonstrates its ability to generate meaningful and contextually relevant outputs in each area. The strength of our approach lies in its generality, leveraging a variety of data sources such as robotics sequences, gameplay data, large-scale video datasets, and textual information for effective multimodal and multi-task learning. Our approach provides a promising avenue for developing generalist, action-taking, multimodal systems.

cs.AI↗

arXiv2018

Vision-Based Gait Analysis for Senior Care

As the senior population rapidly increases, it is challenging yet crucial to provide effective long-term care for seniors who live at home or in senior care facilities. Smart senior homes, which have gained widespread interest in the healthcare community, have been proposed to improve the well-being of seniors living independently. In particular, non-intrusive, cost-effective sensors placed in these senior homes enable gait characterization, which can provide clinically relevant information including mobility level and early neurodegenerative disease risk. In this paper, we present a method to perform gait analysis from a single camera placed within the home. We show that we can accurately calculate various gait parameters, demonstrating the potential for our system to monitor the long-term gait of seniors and thus aid clinicians in understanding a patient's medical profile.

cs.CV↗

arXiv2018

Privacy-Preserving Action Recognition for Smart Hospitals using Low-Resolution Depth Images

Computer-vision hospital systems can greatly assist healthcare workers and improve medical facility treatment, but often face patient resistance due to the perceived intrusiveness and violation of privacy associated with visual surveillance. We downsample video frames to extremely low resolutions to degrade private information from surveillance videos. We measure the amount of activity-recognition information retained in low resolution depth images, and also apply a privately-trained DCSCN super-resolution model to enhance the utility of our images. We implement our techniques with two actual healthcare-surveillance scenarios, hand-hygiene compliance and ICU activity-logging, and show that our privacy-preserving techniques preserve enough information for realistic healthcare tasks.

cs.CV↗

arXiv2018

Tool Detection and Operative Skill Assessment in Surgical Videos Using Region-Based Convolutional Neural Networks

Five billion people in the world lack access to quality surgical care. Surgeon skill varies dramatically, and many surgical patients suffer complications and avoidable harm. Improving surgical training and feedback would help to reduce the rate of complications, half of which have been shown to be preventable. To do this, it is essential to assess operative skill, a process that currently requires experts and is manual, time consuming, and subjective. In this work, we introduce an approach to automatically assess surgeon performance by tracking and analyzing tool movements in surgical videos, leveraging region-based convolutional neural networks. In order to study this problem, we also introduce a new dataset, m2cai16-tool-locations, which extends the m2cai16-tool dataset with spatial bounds of tools. While previous methods have addressed tool presence detection, ours is the first to not only detect presence but also spatially localize surgical tools in real-world laparoscopic surgical videos. We show that our method both effectively detects the spatial bounds of tools as well as significantly outperforms existing methods on tool presence detection. We further demonstrate the ability of our method to assess surgical quality through analysis of tool usage patterns, movement range, and economy of motion.

cs.CV↗

arXiv2018

Towards Vision-Based Smart Hospitals: A System for Tracking and Monitoring Hand Hygiene Compliance

One in twenty-five patients admitted to a hospital will suffer from a hospital acquired infection. If we can intelligently track healthcare staff, patients, and visitors, we can better understand the sources of such infections. We envision a smart hospital capable of increasing operational efficiency and improving patient care with less spending. In this paper, we propose a non-intrusive vision-based system for tracking people's activity in hospitals. We evaluate our method for the problem of measuring hand hygiene compliance. Empirically, our method outperforms existing solutions such as proximity-based techniques and covert in-person observational studies. We present intuitive, qualitative results that analyze human movement patterns and conduct spatial analytics which convey our method's interpretability. This work is a step towards a computer-vision based smart hospital and demonstrates promising results for reducing hospital acquired infections.

cs.CV↗