arXiv subjects

Fani Deligianni

Publications and source records attributed to Fani Deligianni.

At least 19 recordsLinked to original sources

arXiv2026

Privacy-Preserving Federated Action Recognition via Differentially Private Selective Tuning and Efficient Communication

Federated video action recognition enables collaborative model training without sharing raw video data, yet remains vulnerable to two key challenges: \textit{model exposure} and \textit{communication overhead}. Gradients exchanged between clients and the server can leak private motion patterns, while full-model synchronization of high-dimensional video networks causes significant bandwidth and communication costs. To address these issues, we propose \textit{Federated Differential Privacy with Selective Tuning and Efficient Communication for Action Recognition}, namely \textit{FedDP-STECAR}. Our \textit{FedDP-STECAR} framework selectively fine-tunes and perturbs only a small subset of task-relevant layers under Differential Privacy (DP), reducing the surface of information leakage while preserving temporal coherence in video features. By transmitting only the tuned layers during aggregation, communication traffic is reduced by over 99\% compared to full-model updates. Experiments on the UCF-101 dataset using the MViT-B-16x4 transformer show that \textit{FedDP-STECAR} achieves up to \textbf{70.2\% higher accuracy} under strict privacy ($ε=0.65$) in centralized settings and \textbf{48\% faster training} with \textbf{73.1\% accuracy} in federated setups, enabling scalable and privacy-preserving video action recognition. Code available at https://github.com/izakariyya/mvit-federated-videodp

cs.CV↗

arXiv2026

Differentially Private 2D Human Pose Estimation

Human pose estimation (HPE) has become essential in numerous applications including healthcare, activity recognition, and human-computer interaction. However, the privacy implications of processing sensitive visual data present significant deployment barriers in critical domains. While traditional anonymization techniques offer limited protection and often compromise data utility for broader motion analysis, Differential Privacy (DP) provides formal privacy guarantees but typically degrades model performance when applied naively. In this work, we present the first comprehensive framework for differentially private 2D human pose estimation (2D-HPE) by applying Differentially Private Stochastic Gradient Descent (DP-SGD) to this task. To effectively balance privacy with performance, we adopt Projected DP-SGD (PDP-SGD), which projects the noisy gradients to a low-dimensional subspace. Next, we incorporate Feature Differential Privacy(FDP) to selectively privatize only sensitive features while retaining public visual cues. Finally, we propose a hybrid feature-projective DP framework that combines both approaches to balance privacy and accuracy for HPE. We evaluate our approach on the MPII dataset across varying privacy budgets, training strategies, and clipping norms. Our combined feature-projective method consistently outperforms vanilla DP-SGD and individual baselines, achieving up to 82.61\% mean PCKh@0.5 at $ε= 0.8$, substantially closing the gap to the non-private performance. This work lays foundation for privacy-preserving human pose estimation in real-world, sensitive applications.

cs.CV↗

arXiv2026

Your Eyes Controlled the Game: Real-Time Cognitive Training Adaptation based on Eye-Tracking and Physiological Data in Virtual Reality

Cognitive training for sustained attention and working memory is vital across domains relying on robust mental capacity such as education or rehabilitation. Adaptive systems are essential, dynamically matching difficulty to user ability to maintain engagement and accelerate learning. Current adaptive systems often rely on simple performance heuristics or predict visual complexity and affect instead of cognitive load. This study presents the first implementation of real-time adaptive cognitive load control in Virtual Reality cognitive training based on eye-tracking and physiological data. We developed a bidirectional LSTM model with a self-attention mechanism, trained on eye-tracking and physiological (PPG, GSR) data from 74 participants. We deployed it in real-time with 54 participants across single-task (sustained attention) and dual-task (sustained attention + mental arithmetic) paradigms. Difficulty was adjusted dynamically based on participant self-assessment or model's real-time cognitive load predictions. Participants showed a tendency to estimate the task as too difficult, even though they were objectively performing at their best. Over the course of a 10-minute session, both adaptation methods converged at equivalent difficulty in single-task scenarios, with no significant differences in subjective workload or game performance. However, in the dual-task conditions, the model successfully pushed users to higher difficulty levels without performance penalties or increased frustration, highlighting a user tendency to underestimate capacity under high cognitive load. Findings indicate that machine learning models may provide more objective cognitive capacity assessments than self-directed approaches, mitigating subjective performance biases and enabling more effective training by pushing users beyond subjective comfort zones toward physiologically-determined optimal challenge levels.

cs.HC↗

arXiv2026

Beat-ssl: Capturing Local ECG Morphology through Heartbeat-level Contrastive Learning with Soft Targets

Obtaining labelled ECG data for developing supervised models is challenging. Contrastive learning (CL) has emerged as a promising pretraining approach that enables effective transfer learning with limited labelled data. However, existing CL frameworks either focus solely on global context or fail to exploit ECG-specific characteristics. Furthermore, these methods rely on hard contrastive targets, which may not adequately capture the continuous nature of feature similarity in ECG signals. In this paper, we propose Beat-SSL, a contrastive learning framework that performs dual-context learning through both rhythm-level and heartbeat-level contrasting with soft targets. We evaluated our pretrained model on two downstream tasks: 1) multilabel classification for global rhythm assessment, and 2) ECG segmentation to assess its capacity to learn representations across both contexts. We conducted an ablation study and compared the best configuration with three other methods, including one ECG foundation model. Despite the foundation model's broader pretraining, Beat-SSL reached 93% of its performance in multilabel classification task and surpassed all other methods in the segmentation task by 4%.

cs.LG↗

arXiv2025

Cross-Subject and Cross-Montage EEG Transfer Learning via Individual Tangent Space Alignment and Spatial-Riemannian Feature Fusion

Personalised music-based interventions offer a powerful means of supporting motor rehabilitation by dynamically tailoring auditory stimuli to provide external timekeeping cues, modulate affective states, and stabilise gait patterns. Generalisable Brain-Computer Interfaces (BCIs) thus hold promise for adapting these interventions across individuals. However, inter-subject variability in EEG signals, further compounded by movement-induced artefacts and motor planning differences, hinders the generalisability of BCIs and results in lengthy calibration processes. We propose Individual Tangent Space Alignment (ITSA), a novel pre-alignment strategy incorporating subject-specific recentering, distribution matching, and supervised rotational alignment to enhance cross-subject generalisation. Our hybrid architecture fuses Regularised Common Spatial Patterns (RCSP) with Riemannian geometry in parallel and sequential configurations, improving class separability while maintaining the geometric structure of covariance matrices for robust statistical computation. Using leave-one-subject-out cross-validation, `ITSA' demonstrates significant performance improvements across subjects and conditions. The parallel fusion approach shows the greatest enhancement over its sequential counterpart, with robust performance maintained across varying data conditions and electrode configurations. The code will be made publicly available at the time of publication.

cs.LG↗

arXiv2025

Grounding Chest X-Ray Visual Question Answering with Generated Radiology Reports

We present a novel approach to Chest X-ray (CXR) Visual Question Answering (VQA), addressing both single-image image-difference questions. Single-image questions focus on abnormalities within a specific CXR ("What abnormalities are seen in image X?"), while image-difference questions compare two longitudinal CXRs acquired at different time points ("What are the differences between image X and Y?"). We further explore how the integration of radiology reports can enhance the performance of VQA models. While previous approaches have demonstrated the utility of radiology reports during the pre-training phase, we extend this idea by showing that the reports can also be leveraged as additional input to improve the VQA model's predicted answers. First, we propose a unified method that handles both types of questions and auto-regressively generates the answers. For single-image questions, the model is provided with a single CXR. For image-difference questions, the model is provided with two CXRs from the same patient, captured at different time points, enabling the model to detect and describe temporal changes. Taking inspiration from 'Chain-of-Thought reasoning', we demonstrate that performance on the CXR VQA task can be improved by grounding the answer generator module with a radiology report predicted for the same CXR. In our approach, the VQA model is divided into two steps: i) Report Generation (RG) and ii) Answer Generation (AG). Our results demonstrate that incorporating predicted radiology reports as evidence to the AG model enhances performance on both single-image and image-difference questions, achieving state-of-the-art results on the Medical-Diff-VQA dataset.

cs.CV↗

arXiv2025

Predicting Cardiopulmonary Exercise Testing Outcomes in Congenital Heart Disease Through Multi-modal Data Integration and Geometric Learning

Cardiopulmonary exercise testing (CPET) provides a comprehensive assessment of functional capacity by measuring key physiological variables including oxygen consumption ($VO_2$), carbon dioxide production ($VCO_2$), and pulmonary ventilation ($VE$) during exercise. Previous research has established that parameters such as peak $VO_2$ and $VE/VCO_2$ ratio serve as robust predictors of mortality risk in chronic heart failure patients. In this study, we leverage CPET variables as surrogate mortality endpoints for patients with Congenital Heart Disease (CHD). To our knowledge, this represents the first successful implementation of an advanced machine learning approach that predicts CPET outcomes by integrating electrocardiograms (ECGs) with information derived from clinical letters. Our methodology began with extracting unstructured patient information-including intervention history, diagnoses, and medication regimens-from clinical letters using natural language processing techniques, organizing this data into a structured database. We then digitized ECGs to obtain quantifiable waveforms and established comprehensive data linkages. The core innovation of our approach lies in exploiting the Riemannian geometric properties of covariance matrices derived from both 12-lead ECGs and clinical text data to develop robust regression and classification models. Through extensive ablation studies, we demonstrated that the integration of ECG signals with clinical documentation, enhanced by covariance augmentation techniques in Riemannian space, consistently produced superior predictive performance compared to conventional approaches.

cs.LG↗

arXiv2025

Artificial Intelligence-Driven Clinical Decision Support Systems

As artificial intelligence (AI) becomes increasingly embedded in healthcare delivery, this chapter explores the critical aspects of developing reliable and ethical Clinical Decision Support Systems (CDSS). Beginning with the fundamental transition from traditional statistical models to sophisticated machine learning approaches, this work examines rigorous validation strategies and performance assessment methods, including the crucial role of model calibration and decision curve analysis. The chapter emphasizes that creating trustworthy AI systems in healthcare requires more than just technical accuracy; it demands careful consideration of fairness, explainability, and privacy. The challenge of ensuring equitable healthcare delivery through AI is stressed, discussing methods to identify and mitigate bias in clinical predictive models. The chapter then delves into explainability as a cornerstone of human-centered CDSS. This focus reflects the understanding that healthcare professionals must not only trust AI recommendations but also comprehend their underlying reasoning. The discussion advances in an analysis of privacy vulnerabilities in medical AI systems, from data leakage in deep learning models to sophisticated attacks against model explanations. The text explores privacy-preservation strategies such as differential privacy and federated learning, while acknowledging the inherent trade-offs between privacy protection and model performance. This progression, from technical validation to ethical considerations, reflects the multifaceted challenges of developing AI systems that can be seamlessly and reliably integrated into daily clinical practice while maintaining the highest standards of patient care and data protection.

cs.AI↗

arXiv2025

Electronic Health Records: Towards Digital Twins in Healthcare

The pivotal shift from traditional paper-based records to sophisticated Electronic Health Records (EHR), enabled systematic collection and analysis of patient data through descriptive statistics, providing insight into patterns and trends across patient populations. This evolution continued toward predictive analytics, allowing healthcare providers to anticipate patient outcomes and potential complications before they occur. This progression from basic digital record-keeping to sophisticated predictive modelling and digital twins reflects healthcare's broader evolution toward more integrated, patient-centred approaches that combine data-driven insights with personalized care delivery. This chapter explores the evolution and significance of healthcare information systems, beginning with an examination of the implementation of EHR in the UK and the USA. It provides a comprehensive overview of the International Classification of Diseases (ICD) system, tracing its development from ICD-9 to ICD-10. Central to this discussion is the MIMIC-III database, a landmark achievement in healthcare data sharing and arguably the most comprehensive critical care database freely available to researchers worldwide. MIMIC-III has democratized access to high-quality healthcare data, enabling unprecedented opportunities for research and analysis. The chapter examines its structure, clinical outcome analysis capabilities, and practical applications through case studies, with a particular focus on mortality and length of stay metrics, vital signs extraction, and ICD coding. Through detailed entity-relationship diagrams and practical examples, the text illustrates MIMIC's complex data structure and demonstrates how different querying approaches can lead to subtly different results, emphasizing the critical importance of understanding the database's architecture for accurate data extraction.

cs.AI↗

arXiv2024

Differentially Private Integrated Decision Gradients (IDG-DP) for Radar-based Human Activity Recognition

Human motion analysis offers significant potential for healthcare monitoring and early detection of diseases. The advent of radar-based sensing systems has captured the spotlight for they are able to operate without physical contact and they can integrate with pre-existing Wi-Fi networks. They are also seen as less privacy-invasive compared to camera-based systems. However, recent research has shown high accuracy in recognizing subjects or gender from radar gait patterns, raising privacy concerns. This study addresses these issues by investigating privacy vulnerabilities in radar-based Human Activity Recognition (HAR) systems and proposing a novel method for privacy preservation using Differential Privacy (DP) driven by attributions derived with Integrated Decision Gradient (IDG) algorithm. We investigate Black-box Membership Inference Attack (MIA) Models in HAR settings across various levels of attacker-accessible information. We extensively evaluated the effectiveness of the proposed IDG-DP method by designing a CNN-based HAR model and rigorously assessing its resilience against MIAs. Experimental results demonstrate the potential of IDG-DP in mitigating privacy attacks while maintaining utility across all settings, particularly excelling against label-only and shadow model black-box MIA attacks. This work represents a crucial step towards balancing the need for effective radar-based HAR with robust privacy protection in healthcare environments.

cs.CV↗

arXiv2024

Learning Semi-Supervised Medical Image Segmentation from Spatial Registration

Semi-supervised medical image segmentation has shown promise in training models with limited labeled data and abundant unlabeled data. However, state-of-the-art methods ignore a potentially valuable source of unsupervised semantic information -- spatial registration transforms between image volumes. To address this, we propose CCT-R, a contrastive cross-teaching framework incorporating registration information. To leverage the semantic information available in registrations between volume pairs, CCT-R incorporates two proposed modules: Registration Supervision Loss (RSL) and Registration-Enhanced Positive Sampling (REPS). The RSL leverages segmentation knowledge derived from transforms between labeled and unlabeled volume pairs, providing an additional source of pseudo-labels. REPS enhances contrastive learning by identifying anatomically-corresponding positives across volumes using registration transforms. Experimental results on two challenging medical segmentation benchmarks demonstrate the effectiveness and superiority of CCT-R across various semi-supervised settings, with as few as one labeled case. Our code is available at https://github.com/kathyliu579/ContrastiveCross-teachingWithRegistration.

cs.CV↗

arXiv2024

GLFNET: Global-Local (frequency) Filter Networks for efficient medical image segmentation

We propose a novel transformer-style architecture called Global-Local Filter Network (GLFNet) for medical image segmentation and demonstrate its state-of-the-art performance. We replace the self-attention mechanism with a combination of global-local filter blocks to optimize model efficiency. The global filters extract features from the whole feature map whereas the local filters are being adaptively created as 4x4 patches of the same feature map and add restricted scale information. In particular, the feature extraction takes place in the frequency domain rather than the commonly used spatial (image) domain to facilitate faster computations. The fusion of information from both spatial and frequency spaces creates an efficient model with regards to complexity, required data and performance. We test GLFNet on three benchmark datasets achieving state-of-the-art performance on all of them while being almost twice as efficient in terms of GFLOP operations.

cs.CV↗

arXiv2023

Riemannian Prediction of Anatomical Diagnoses in Congenital Heart Disease based on 12-lead ECGs

Congenital heart disease (CHD) is a relatively rare disease that affects patients at birth and results in extremely heterogeneous anatomical and functional defects. 12-lead ECG signal is routinely collected in CHD patients because it provides significant biomarkers for disease prognosis. However, developing accurate machine learning models is challenging due to the lack of large available datasets. Here, we suggest exploiting the Riemannian geometry of the spatial covariance structure of the ECG signal to improve classification. Firstly, we use covariance augmentation to mix samples across the Riemannian geodesic between corresponding classes. Secondly, we suggest to project the covariance matrices to their respective class Riemannian mean to enhance the quality of feature extraction via tangent space projection. We perform several ablation experiments and demonstrate significant improvement compared to traditional machine learning models and deep learning on ECG time series data.

eess.SP↗

arXiv2023

Controllable Chest X-Ray Report Generation from Longitudinal Representations

Radiology reports are detailed text descriptions of the content of medical scans. Each report describes the presence/absence and location of relevant clinical findings, commonly including comparison with prior exams of the same patient to describe how they evolved. Radiology reporting is a time-consuming process, and scan results are often subject to delays. One strategy to speed up reporting is to integrate automated reporting systems, however clinical deployment requires high accuracy and interpretability. Previous approaches to automated radiology reporting generally do not provide the prior study as input, precluding comparison which is required for clinical accuracy in some types of scans, and offer only unreliable methods of interpretability. Therefore, leveraging an existing visual input format of anatomical tokens, we introduce two novel aspects: (1) longitudinal representation learning -- we input the prior scan as an additional input, proposing a method to align, concatenate and fuse the current and prior visual information into a joint longitudinal representation which can be provided to the multimodal report generation model; (2) sentence-anatomy dropout -- a training strategy for controllability in which the report generator model is trained to predict only sentences from the original report which correspond to the subset of anatomical regions given as input. We show through in-depth experiments on the MIMIC-CXR dataset how the proposed approach achieves state-of-the-art results while enabling anatomy-wise controllable report generation.

cs.CV↗

arXiv2023

Finding-Aware Anatomical Tokens for Chest X-Ray Automated Reporting

The task of radiology reporting comprises describing and interpreting the medical findings in radiographic images, including description of their location and appearance. Automated approaches to radiology reporting require the image to be encoded into a suitable token representation for input to the language model. Previous methods commonly use convolutional neural networks to encode an image into a series of image-level feature map representations. However, the generated reports often exhibit realistic style but imperfect accuracy. Inspired by recent works for image captioning in the general domain in which each visual token corresponds to an object detected in an image, we investigate whether using local tokens corresponding to anatomical structures can improve the quality of the generated reports. We introduce a novel adaptation of Faster R-CNN in which finding detection is performed for the candidate bounding boxes extracted during anatomical structure localisation. We use the resulting bounding box feature representations as our set of finding-aware anatomical tokens. This encourages the extracted anatomical tokens to be informative about the findings they contain (required for the final task of radiology reporting). Evaluating on the MIMIC-CXR dataset of chest X-Ray images, we show that task-aware anatomical tokens give state-of-the-art performance when integrated into an automated reporting pipeline, yielding generated reports with improved clinical accuracy.

cs.CV↗

arXiv2023

Consensus of state of the art mortality prediction models: From all-cause mortality to sudden death prediction

Worldwide, many millions of people die suddenly and unexpectedly each year, either with or without a prior history of cardiovascular disease. Such events are sparse (once in a lifetime), many victims will not have had prior investigations for cardiac disease and many different definitions of sudden death exist. Accordingly, sudden death is hard to predict. This analysis used NHS Electronic Health Records (EHRs) for people aged $\geq$50 years living in the Greater Glasgow and Clyde (GG\&C) region in 2010 (n = 380,000) to try to overcome these challenges. We investigated whether medical history, blood tests, prescription of medicines, and hospitalisations might, in combination, predict a heightened risk of sudden death. We compared the performance of models trained to predict either sudden death or all-cause mortality. We built six models for each outcome of interest: three taken from state-of-the-art research (BEHRT, Deepr and Deep Patient), and three of our own creation. We trained these using two different data representations: a language-based representation, and a sparse temporal matrix. We used global interpretability to understand the most important features of each model, and compare how much agreement there was amongst models using Rank Biased Overlap. It is challenging to account for correlated variables without increasing the complexity of the interpretability technique. We overcame this by clustering features into groups and comparing the most important groups for each model. We found the agreement between models to be much higher when accounting for correlated variables. Our analysis emphasises the challenge of predicting sudden death and emphasises the need for better understanding and interpretation of machine learning models applied to healthcare applications.

cs.LG↗

arXiv2023

Multi-Scale Cross Contrastive Learning for Semi-Supervised Medical Image Segmentation

Semi-supervised learning has demonstrated great potential in medical image segmentation by utilizing knowledge from unlabeled data. However, most existing approaches do not explicitly capture high-level semantic relations between distant regions, which limits their performance. In this paper, we focus on representation learning for semi-supervised learning, by developing a novel Multi-Scale Cross Supervised Contrastive Learning (MCSC) framework, to segment structures in medical images. We jointly train CNN and Transformer models, regularising their features to be semantically consistent across different scales. Our approach contrasts multi-scale features based on ground-truth and cross-predicted labels, in order to extract robust feature representations that reflect intra- and inter-slice relationships across the whole dataset. To tackle class imbalance, we take into account the prevalence of each class to guide contrastive learning and ensure that features adequately capture infrequent classes. Extensive experiments on two multi-structure medical segmentation datasets demonstrate the effectiveness of MCSC. It not only outperforms state-of-the-art semi-supervised methods by more than 3.0% in Dice, but also greatly reduces the performance gap with fully supervised methods.

cs.CV↗

arXiv2023

Towards personalised music-therapy; a neurocomputational modelling perspective

Music therapy has emerged recently as a successful intervention that improves patient's outcome in a large range of neurological and mood disorders without adverse effects. Brain networks are entrained to music in ways that can be explained both via top-down and bottom-up processes. In particular, the direct interaction of auditory with the motor and the reward system via a predictive framework explains the efficacy of music-based interventions in motor rehabilitation. In this manuscript, we provide a brief overview of current theories of music perception and processing. Subsequently, we summarise evidence of music-based interventions primarily in motor, emotional and cardiovascular regulation. We highlight opportunities to improve quality of life and reduce stress beyond the clinic environment and in healthy individuals. This relatively unexplored area requires an understanding of how we can personalise and automate music selection processes to fit individuals needs and tasks via feedback loops mediated by measurements of neuro-physiological responses.

q-bio.NC↗