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Ehsan Rahimy

Publications and source records attributed to Ehsan Rahimy.

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A Generalist Model for Diverse Text-Guided Medical Image Synthesis

Deep learning algorithms require extensive data to achieve robust performance. However, data availability is often restricted in the medical domain due to patient privacy concerns. Synthetic data presents a possible solution to these challenges. Image generative models have found increasing use for medical applications, but are often task-specific, thus limiting their scalability. Moreover, existing models frequently rely on private datasets for training, which constrain their reproducibility. To address this, we introduce MediSyn: an open-access, generalist, text-guided latent diffusion model capable of generating synthetic images across 6 medical specialties and 10 imaging modalities, while being trained exclusively on publicly available data. Through extensive experimentation, we provide several key contributions. First, we demonstrate that training a generative model on visually diverse medical images does not degrade synthetic image quality. Second, we show that this generalist approach is substantially more computationally efficient than a coordinated suite of task-specific models. Third, we establish that a generalist model can produce realistic, text-aligned synthetic images across visually and medically distinct modalities, as validated by expert physicians. Fourth, we provide empirical evidence that these synthetic images are visually distinct from their corresponding real patient images, alleviating concerns about data memorization in image generative models. Finally, we demonstrate that a generalist model can produce synthetic images that improve classifier performance in data-limited settings across multiple medical specialties. Altogether, our findings highlight the immense potential of generalist image generative models to accelerate algorithmic research and development in medicine.

cs.CV

Grader variability and the importance of reference standards for evaluating machine learning models for diabetic retinopathy

Diabetic retinopathy (DR) and diabetic macular edema are common complications of diabetes which can lead to vision loss. The grading of DR is a fairly complex process that requires the detection of fine features such as microaneurysms, intraretinal hemorrhages, and intraretinal microvascular abnormalities. Because of this, there can be a fair amount of grader variability. There are different methods of obtaining the reference standard and resolving disagreements between graders, and while it is usually accepted that adjudication until full consensus will yield the best reference standard, the difference between various methods of resolving disagreements has not been examined extensively. In this study, we examine the variability in different methods of grading, definitions of reference standards, and their effects on building deep learning models for the detection of diabetic eye disease. We find that a small set of adjudicated DR grades allows substantial improvements in algorithm performance. The resulting algorithm's performance was on par with that of individual U.S. board-certified ophthalmologists and retinal specialists.

cs.CV