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Ben Glocker

Publications and source records attributed to Ben Glocker.

At least 19 recordsLinked to original sources
arXiv2026

Estimating Performance for Safe Deployment of Machine Learning Models

The main challenge in applying deep neural networks to real-world scenarios lies in distributional discrepancies between training and test datasets, often caused by variations in data acquisition conditions. Assessing the performance of pre-trained models without labels is crucial for safety, but this is complicated by deep models' overly optimistic probabilistic outputs, often exacerbated by class imbalances, leading to unreliable predictions. To address these issues, we introduce MOVAL, a novel MOdel eVALuation tool that estimates performance using unlabeled test data. MOVAL incorporates class-wise confidence calibration to adjust model outputs, allowing for the estimation of metrics beyond accuracy and mitigating the detrimental effects of class imbalance on confidence calibration. Additionally, we propose an ensemble approach that combines multiple calibrated confidence scores for a more robust solution. We validate MOVAL on natural and medical image datasets with various acquisition shifts, covering tasks from classification to segmentation. It achieves state-of-the-art results across evaluation metrics such as accuracy, F1-Score, AUC, and more. Furthermore, we demonstrate that MOVAL provides accurate performance estimations at the class, instance, and pixel levels, ensuring the transparent and safe deployment of machine learning models. We provide MOVAL as a deployment tool for monitoring and estimating performance under a range of domain shifts.

cs.LG↗
arXiv2026

What Output-Only Review Cannot Verify: Study Contracts for Research Agents

Some defects in an AI-generated study can be identified from its artifacts; others require knowledge of what was approved before execution. We propose study contracts that bind declared experimental choices, run obligations and claim scope to recorded execution evidence, and distinguish this contract-relative verification from scientific truth. A diagnostic using eight self-authored clean/mutated pairs illustrates the information boundary. A deterministic checker applying a registered, fault-specific rule to approved and executed objects detected all eight registered mutations. Across eighteen recorded judge aliases given individual metadata-filtered packages without pair context or the registry-selected fault label, 104 of 144 mutated evaluation cases received defect flags; the remaining cases comprised 32 abstentions and eight terminal failures, with no explicit clean decisions on mutated cases. Some packages retained approval and execution fields, including digests. The prompt instructed judges to abstain when evidence was insufficient. These results characterize a deliberately information-asymmetric development setting; they do not isolate the effect of authoritative information from differences in task specification and rule selection, and they are not comparative verifier quality or agent reward hacking. We identify full-information comparisons, legitimate-adaptation controls and closed-loop agent evaluations as necessary tests of whether contract checks improve useful compliant completion under optimization.

cs.AI↗
arXiv2026

Understanding Clustering in Slot Attention via Particle Dynamics

Studying attention through the lens of interacting particle dynamics has shown how token clustering can emerge from the underlying dynamics. We extend this perspective to slot attention, a method for object-centric image segmentation and representation learning in which learned components obscure how much of the clustering behaviour is intrinsic to the attention dynamics. We therefore introduce simplified slot attention (SSA), a parameter-free variant whose dynamics are connected to soft $k$-means clustering and which provides a straightforward mechanistic explanation for the emergence of object-centric representations. On the Pascal VOC dataset, SSA achieves performance comparable to that of slot attention, demonstrating that competitive object-centric segmentation can be achieved without learned neural-network components.

cs.LG↗
arXiv2026

Memorisation bias in medical AI

Medical AI models hold immense potential to improve patient outcomes, but they are also known to unintentionally memorise individual records from their training datasets. While such memorisation has been linked to targeted privacy attacks, its consequences for clinical deployment, where patients may be assessed by a model that saw their historical data during training, remain poorly understood. Here we show that predictions on a patient's unseen future data can change significantly if a model observed that same patient's anonymised historical data during training, a phenomenon we term "memorisation bias". We demonstrate that this bias exists across diverse data modalities and model architectures, and over prolonged time spans: in some cases, memorisation bias persists on future records acquired decades after the historical records used for training. Moreover, in simulated prospective deployment, memorisation bias has asymmetric effects on the diagnostic accuracy of returning data contributors. When a patient returned with a de novo condition absent from their historical records in the training dataset, diagnostic sensitivity decreased significantly compared to an otherwise identical model not trained on their historical data. Conversely, when their health state was unchanged, both sensitivity and specificity were significantly inflated. Our findings reveal a previously uncharacterised risk in medical AI that arises when a model is deployed on patients who contributed to its training data. This exposes a shortcoming of current model development practice: the de-identification measures designed to protect patients' privacy make it difficult to identify returning contributors and exclude them from the AI-assisted interpretation of their own future data. Mitigating memorisation risks may thus require changes to current model training and deployment protocols.

cs.LG↗
arXiv2026

Latent-to-Latent Flow for Volumetric Stochastic Segmentation

Uncertainty arising from inter-observer variability in medical image segmentation plays an important role in developing treatment plans. Research in this area is inhibited by the lack of multiple annotations for large-scale medical datasets, especially for volumetric data, which suffers from additional scaling and computational complexity challenges. Flow matching has emerged as a powerful framework for generative modelling and has also been demonstrated to maintain strong performance when working with latent representations of images. In this work, we introduce a latent-to-latent flow technique for stochastic segmentation of medical volumes via encoded representations of both the image and label space. We evaluate our method on two challenging applications covering delineation uncertainty for radiotherapy planning and multiple organ structure segmentation, improving efficiency up to 14x compared with full resolution models while maintaining clinically relevant performance.

cs.CV↗
arXiv2026

Subgroup performance analysis of adaptation strategies for chest X-ray foundation models

Foundation models are increasingly adapted for downstream medical imaging tasks, yet the influence of the chosen adaptation strategy on subgroup fairness remains poorly understood. We investigate how three parameter-efficient adaptation techniques, including linear heads on the raw CLS token, an MLP, and an attention-pooling module over multi-layer patch features, affect both pathology classification performance and subgroup disparities when applied to the frozen Rad-DINO chest X-ray encoder. Using MIMIC-CXR, we evaluate eight pathologies across race, sex, and imaging-view subgroups on a prevalence-preserving, demographically balanced test set, and additionally probe how strongly each adapter encodes protected attributes. We find that attention pooling achieves the strongest overall discriminative performance and encodes attributes, particularly race, most strongly, but that improved overall performance does not consistently reduce subgroup disparities. Notably, stronger attribute encoding did not correspond to larger disparities: early network layers encoded race most weakly yet produced the largest subgroup performance gaps. Exploring different attention-pooling layer combinations further revealed no consistent relationship between the layers pooled, attribute encoding strength, and subgroup fairness. Our results indicate that richer, more expressive representations can improve accuracy while leaving fairness implications task-dependent and unpredictable, which must be assessed directly and per-task rather than inferred from encoding strength or overall performance alone.

cs.CV↗
arXiv2026

Benchmarking the Robustness of Foundation Models for Mammography under Domain Shift

Foundation models are increasingly used as image feature extractors for mammography, but their robustness under external domain shift remains unclear. We benchmark 15 foundation-model backbones across breast density, BI-RADS severity, and cancer status using a unified frozen-backbone linear-probe protocol, training on 3 source datasets and evaluating on 12 task-compatible out-of-distribution (OOD) datasets after label harmonization. Mammography-specific vision-language models (Mammo-FM and MaMA) provide the strongest mean OOD performance, but robustness is not explained by mammography exposure alone. DINOv3 remains a competitive vision-only baseline, and mammography-adapted pretraining does not consistently improve generalization. Dataset-level analysis further shows that even leading models show heterogeneous performance across datasets. Feature-space inspection reveals that useful representations can preserve clinical signal while retaining dataset and acquisition structure. These findings highlight dataset-level OOD evaluation as a central criterion for assessing mammography representations. Our code is publicly available: https://github.com/biomedia-mira/mammo-ood.

cs.CV↗
arXiv2026

GRC-ProbNet: Uncertainty-aware Feature Extraction for Cardiovascular Disease Classification

The automatic detection and classification of cardiovascular disease (CVD) from computed tomography (CT) images plays an important role in clinical practice. Recently, a hybrid pipeline (GRC-Net) for CVD classification was proposed, which leverages a deep-learning-based segmentation and registration method to extract radiomic and geometric features. However, GRC-Net relies on a deterministic segmentation mask, without considering the inherent ambiguity associated with cardiac anatomy. In this paper, we propose GRC-ProbNet, which takes advantage of a deep ensemble to produce multiple segmentation masks for a given input. From these masks, we extract multiple uncertainty features. We analyze these uncertainty features for both their correlation with segmentation error and their propagation effects on downstream CVD classification performance. Our experiments on the publicly available MM-WHS and ASOCA datasets show that the uncertainty measure that best reflects segmentation quality is not necessarily the one that provides the strongest signal for downstream CVD classification. Overall, our results demonstrate that GRC-ProbNet utilizing uncertainty features substantially improves CVD classification AUROC (92.92\) compared to the baseline GRC-Net model (91.25%). Our code is publicly available: https://github.com/biomedia-mira/GRC-ProbNet.

cs.CV↗
arXiv2026

Counterfactual Stress Testing for Image Classification Models

Deep learning models in medical imaging often fail when deployed in new clinical environments due to distribution shifts in demographics, scanner hardware, or acquisition protocols. A central challenge is underspecification, where models with similar validation performance exhibit divergent real-world failure modes. Although stress testing has emerged as a tool to assess this, current methods typically rely on simple, uninformed perturbations (e.g., brightness or contrast changes), which fail to capture clinically realistic variation and can overestimate robustness. In this work, we introduce a counterfactual stress testing framework based on causal generative models that create realistic "what if" images by intervening on attributes such as scanner type and recorded sex while largely preserving anatomical identity, enabling controlled and semantically meaningful evaluation under targeted distribution shifts. Across two imaging modalities (chest X-ray and mammography), three model architectures, and multiple shift scenarios, we show that counterfactual stress tests provide a substantially more accurate proxy for real out-of-distribution performance than classical perturbations, capturing the direction and relative magnitude of performance changes and showing stronger overall rank agreement. These results suggest that causal generative models can provide informative synthetic stress tests for assessing robustness under targeted distribution shifts prior to deployment.

cs.CV↗
arXiv2026

Steering Optimisation Trajectories in Diffusion Representation Learning

We study why diffusion autoencoders can achieve similar image quality while learning substantially different latent structures. We trace this behaviour to optimisation dynamics; we analyse curves of image reconstruction against latent representation quality, revealing trajectories that organise around two distinct regimes early in training. Models in the reconstruction regime prioritise image fidelity early, whereas those in the disentanglement regime improve reconstruction and disentanglement more gradually. We hypothesise that this behaviour can be influenced by targeting shortcut pathways in the diffusion U-Net and controlling early noise-level exposure, thereby shaping the reconstruction-disentanglement trade-off during training. To steer optimisation toward stronger representations, we introduce SteeringDRL, combining gated residual U-Nets with a simple noise-level exposure curriculum for training. Across disentanglement benchmarks, SteeringDRL improves representation quality and reduces seed sensitivity. Our method further extends to spatial disentanglement in object-centric learning, improving segmentation quality on synthetic and real-world datasets.

cs.CV↗
arXiv2026

Scaling Generative Foundation Models for Chest Radiography with Rectified Flow Transformers

We introduce the first generative foundation model for chest radiograph synthesis trained from scratch at the billion-parameter scale. Existing radiographic AI models often suffer from poor generalisation across patient subpopulations, institutions, and acquisition settings, resulting in limited real-world clinical utility. Controlled, high-fidelity synthesis of chest radiographs is a promising path toward diversifying clinical datasets and evaluating the robustness of diagnostic models. Therefore, we present the largest specialist generative foundation model for chest radiographs to date, with over 1.3B parameters, trained for 1.6T tokens on a curated, heterogeneous dataset comprising 1.2M radiographs and clinical expert-guided metadata. Our model supports controllable radiograph generation and editing across multiple demographic subgroups, acquisition views, and a dozen pathologies. Moreover, we significantly advance the state of the art in radiograph synthesis fidelity, producing images that are indistinguishable from real radiographs to clinical experts.

cs.CV↗
arXiv2026

Factored Classifier-Free Guidance

Counterfactual generation aims to simulate realistic hypothetical outcomes under causal interventions. Diffusion models have emerged as a powerful tool for this task, combining DDIM inversion with conditional generation and classifier-free guidance (CFG). In this work, we identify a key limitation of CFG for counterfactual generation: it prescribes a global guidance scale for all attributes, leading to significant spurious changes in inferred counterfactuals. To mitigate this, we propose Factored Classifier-Free Guidance (FCFG), a flexible and model-agnostic guidance technique that enables attribute-wise control following a causal graph. FCFG complements recent advances in classifier-free guidance and can be seamlessly extended to advanced guidance schemes such as CFG++ and APG. Our experiments demonstrate that FCFG significantly improves the axiomatic soundness of inferred counterfactuals across both natural and medical image datasets, mitigating spurious amplification effects, and enhancing counterfactual reversibility.

cs.CV↗
arXiv2026

Cardiovascular disease classification using radiomics and geometric features from cardiac CT

Automatic detection and classification of Cardiovascular disease (CVD) from Computed Tomography (CT) images play an important part in facilitating better-informed clinical decisions. However, most of the recent deep learning based methods either directly work on raw CT data or utilize it in pair with anatomical cardiac structure segmentation by training an end-to-end classifier. As such, these approaches become much more difficult to interpret from a clinical perspective. To address this challenge, in this work, we break down the CVD classification pipeline into three components: (i) image segmentation, (ii) image registration, and (iii) downstream CVD classification. Specifically, we utilize the Atlas-ISTN framework and recent segmentation foundational models to generate anatomical structure segmentation and a normative healthy atlas. These are further utilized to extract clinically interpretable radiomic features as well as deformation field based geometric features (through atlas registration) for CVD classification. Our experiments on the publicly available ASOCA dataset show that utilizing these features leads to better CVD classification accuracy (87.50\%) when compared against classification model trained directly on raw CT images (67.50\%). Our code is publicly available: https://github.com/biomedia-mira/grc-net

eess.IV↗
arXiv2026

Counterfactual Identifiability via Dynamic Optimal Transport

We address the open question of counterfactual identification for high-dimensional multivariate outcomes from observational data. Pearl (2000) argues that counterfactuals must be identifiable (i.e., recoverable from the observed data distribution) to justify causal claims. A recent line of work on counterfactual inference shows promising results but lacks identification, undermining the causal validity of its estimates. To address this, we establish a foundation for multivariate counterfactual identification using continuous-time flows, including non-Markovian settings under standard criteria. We characterise the conditions under which flow matching yields a unique, monotone, and rank-preserving counterfactual transport map with tools from dynamic optimal transport, ensuring consistent inference. Building on this, we validate the theory in controlled scenarios with counterfactual ground-truth and demonstrate improvements in axiomatic counterfactual soundness on real images.

cs.LG↗
arXiv2026

Positional Segmentor-Guided Counterfactual Fine-Tuning for Spatially Localized Image Synthesis

Counterfactual image generation enables controlled data augmentation, bias mitigation, and disease modeling. However, existing methods guided by external classifiers or regressors are limited to subject-level factors (e.g., age) and fail to produce localized structural changes, often resulting in global artifacts. Pixel-level guidance using segmentation masks has been explored, but requires user-defined counterfactual masks, which are tedious and impractical. Segmentor-guided Counterfactual Fine-Tuning (Seg-CFT) addressed this by using segmentation-derived measurements to supervise structure-specific variables, yet it remains restricted to global interventions. We propose Positional Seg-CFT, which subdivides each structure into regional segments and derives independent measurements per region, enabling spatially localized and anatomically coherent counterfactuals. Experiments on coronary CT angiography show that Pos-Seg-CFT generates realistic, region-specific modifications, providing finer spatial control for modeling disease progression.

cs.CV↗
arXiv2026

Latent Causal Modeling for 3D Brain MRI Counterfactuals

The number of samples in structural brain MRI studies is often too small to properly train deep learning models. Generative models show promise in addressing this issue by effectively learning the data distribution and generating high-fidelity MRI. However, they struggle to produce diverse, high-quality data outside the distribution defined by the training data. One way to address this issue is to use causal models developed for 3D volume counterfactuals. However, accurately modeling causality in high-dimensional spaces is challenging, so these models generally generate 3D brain MRIs of lower quality. To address these challenges, we propose a two-stage method that constructs a Structural Causal Model (SCM) within the latent space. In the first stage, we employ a VQ-VAE to learn a compact embedding of the MRI volume. Subsequently, we integrate our causal model into this latent space and execute a three-step counterfactual procedure using a closed-form Generalized Linear Model (GLM). Our experiments conducted on real-world high-resolution MRI data (1 mm) provided by the Alzheimer's Disease Neuroimaging Initiative (ADNI) and the National Consortium on Alcohol and Neurodevelopment in Adolescence (NCANDA) demonstrate that our method can generate high-quality 3D MRI counterfactuals.

cs.CV↗
arXiv2026

Pixel-level Counterfactual Contrastive Learning for Medical Image Segmentation

Image segmentation relies on large annotated datasets, which are expensive and slow to produce. Silver-standard (AI-generated) labels are easier to obtain, but they risk introducing bias. Self-supervised learning, needing only images, has become key for pre-training. Recent work combining contrastive learning with counterfactual generation improves representation learning for classification but does not readily extend to pixel-level tasks. We propose a pipeline combining counterfactual generation with dense contrastive learning via Dual-View (DVD-CL) and Multi-View (MVD-CL) methods, along with supervised variants that utilize available silver-standard annotations. A new visualisation algorithm, the Color-coded High Resolution Overlay map (CHRO-map) is also introduced. Experiments show annotation-free DVD-CL outperforms other dense contrastive learning methods, while supervised variants using silver-standard labels outperform training on the silver-standard labeled data directly, achieving $\sim$94% DSC on challenging data. These results highlight that pixel-level contrastive learning, enhanced by counterfactuals and silver-standard annotations, improves robustness to acquisition and pathological variations.

cs.CV↗
arXiv2026

A Causal Framework for Mitigating Data Shifts in Healthcare

Developing predictive models that perform reliably across diverse patient populations and heterogeneous environments is a core aim of medical research. However, generalization is only possible if the learned model is robust to statistical differences between data used for training and data seen at the time and place of deployment. Domain generalization methods provide strategies to address data shifts, but each method comes with its own set of assumptions and trade-offs. To apply these methods in healthcare, we must understand how domain shifts arise, what assumptions we prefer to make, and what our design constraints are. This article proposes a causal framework for the design of predictive models to improve generalization. Causality provides a powerful language to characterize and understand diverse domain shifts, regardless of data modality. This allows us to pinpoint why models fail to generalize, leading to more principled strategies to prepare for and adapt to shifts. We recommend general mitigation strategies, discussing trade-offs and highlighting existing work. Our causality-based perspective offers a critical foundation for developing robust, interpretable, and clinically relevant AI solutions in healthcare, paving the way for reliable real-world deployment.

cs.LG↗