arXiv subjects

Jeya Maria Jose Valanarasu

Publications and source records attributed to Jeya Maria Jose Valanarasu.

At least 19 recordsLinked to original sources

arXiv2026

GigaPath-Flash and GigaTIME-Flash: Efficient Pathology Foundation Models for Whole-Slide and Tumor Microenvironment Analysis

Foundation models have emerged as a driving force in computational pathology, with the potential to transform cancer diagnosis, prognosis, and treatment selection by learning transferable representations from large-scale histopathology data. A growing landscape of pathology foundation models now spans diverse data sources, architectures, and downstream applications. However, most pretrained models operate only at the image-tile level, use restrictive licenses, and remain computationally expensive, limiting large-scale slide-level clinical and research use. Here, we introduce GigaPath-Flash and GigaTIME-Flash, efficient models for whole-slide pathology AI and spatial proteomics prediction. GigaPath-Flash combines a 22M-parameter ViT-S tile encoder with a 21M-parameter LongNet slide encoder, both pretrained on large-scale real-world histopathology data. Its compact tile encoder is distilled from the billion-parameter GigaPath (ViT-g) teacher and shared by both models. GigaPath-Flash retains 97% of GigaPath's average slide-level performance with 50x less compute. GigaTIME-Flash extends this backbone to predict the tumor immune microenvironment directly from routine H&E images. It surpasses the original CNN-based GigaTIME in prediction quality while running 6x faster and using 8x less GPU memory. Together with GigaPath and GigaTIME, these models form an open-weight, Apache-2.0-licensed family pretrained on large-scale real-world clinical data. By releasing all models and weights, we provide accessible building blocks for computational pathology, immuno-oncology, and precision health.

cs.CV↗

arXiv2026

HealthAgentBench: A Unified Benchmark Suite of Realistic Agentic Healthcare Environments for Challenging Frontier AI Agents

As AI agents become increasingly capable of complex, long-horizon reasoning, rigorous and holistic evaluation is essential for measuring progress toward real-world healthcare applications. We introduce HealthAgentBench, a suite of 54 agentic healthcare tasks across 7 categories each with its unique environment. The benchmark suite spans diverse workflows throughout the patient journey and a broad range of modalities. Each task is designed to replicate an end-to-end clinical workflow: given minimal instructions, an agent must explore raw healthcare data, operate within a complex environment, and execute multi-step solutions that go beyond naive prompting. A final task success rate is reported to provide a single, interpretable metric for HealthAgentBench overall performance for each agent. Evaluating frontier agents on HealthAgentBench, we find that overall task success rate remains low, underscoring the difficulty of the suite. The strongest and the most cost effective agent, Codex GPT-5.5, achieves only approximately 42% success rate. Beyond aggregate performance, HealthAgentBench reveals nuanced strengths and weaknesses across task categories. Frontier agents show promise in automatically developing research modeling pipelines over EHR data, but medical imaging remains especially challenging, particularly for Claude Code models, while Codex GPT-5.5 shows emerging capability. Tasks that combine large search spaces with compositional reasoning requirements remain difficult for all current agents. Together, these results suggest that HealthAgentBench provides a challenging and realistic benchmark with substantial room for future progress. We release our benchmark at https://github.com/microsoft/HealthAgentBench.

cs.AI↗

arXiv2026

Merlin: A Computed Tomography Vision-Language Foundation Model and Dataset

The large volume of abdominal computed tomography (CT) scans coupled with the shortage of radiologists have intensified the need for automated medical image analysis tools. Previous state-of-the-art approaches for automated analysis leverage vision-language models (VLMs) that jointly model images and radiology reports. However, current medical VLMs are generally limited to 2D images and short reports. Here to overcome these shortcomings for abdominal CT interpretation, we introduce Merlin, a 3D VLM that learns from volumetric CT scans, electronic health record data and radiology reports. This approach is enabled by a multistage pretraining framework that does not require additional manual annotations. We trained Merlin using a high-quality clinical dataset of paired CT scans (>6 million images from 15,331 CT scans), diagnosis codes (>1.8 million codes) and radiology reports (>6 million tokens). We comprehensively evaluated Merlin on 6 task types and 752 individual tasks that covered diagnostic, prognostic and quality-related tasks. The non-adapted (off-the-shelf) tasks included zero-shot classification of findings (30 findings), phenotype classification (692 phenotypes) and zero-shot cross-modal retrieval (image-to-findings and image-to-impression). The model-adapted tasks included 5-year chronic disease prediction (6 diseases), radiology report generation and 3D semantic segmentation (20 organs). We validated Merlin at scale, with internal testing on 5,137 CT scans and external testing on 44,098 CT scans from 3 independent sites and 2 public datasets. The results demonstrated high generalization across institutions and anatomies. Merlin outperformed 2D VLMs, CT foundation models and off-the-shelf radiology models. We also release our trained models, code, and dataset, available at: https://github.com/StanfordMIMI/Merlin.

cs.CV↗

arXiv2025

The Illusion of Readiness in Health AI

Large language models have demonstrated remarkable performance in a wide range of medical benchmarks. Yet underneath the seemingly promising results lie salient growth areas, especially in cutting-edge frontiers such as multimodal reasoning. In this paper, we introduce a series of adversarial stress tests to systematically assess the robustness of flagship models and medical benchmarks. Our study reveals prevalent brittleness in the presence of simple adversarial transformations: leading systems can guess the right answer even with key inputs removed, yet may get confused by the slightest prompt alterations, while fabricating convincing yet flawed reasoning traces. Using clinician-guided rubrics, we demonstrate that popular medical benchmarks vary widely in what they truly measure. Our study reveals significant competency gaps of frontier AI in attaining real-world readiness for health applications. If we want AI to earn trust in healthcare, we must demand more than leaderboard wins and must hold AI systems accountable to ensure robustness, sound reasoning, and alignment with real medical demands.

cs.AI↗

arXiv2025

Evaluating and Improving the Effectiveness of Synthetic Chest X-Rays for Medical Image Analysis

Purpose: To explore best-practice approaches for generating synthetic chest X-ray images and augmenting medical imaging datasets to optimize the performance of deep learning models in downstream tasks like classification and segmentation. Materials and Methods: We utilized a latent diffusion model to condition the generation of synthetic chest X-rays on text prompts and/or segmentation masks. We explored methods like using a proxy model and using radiologist feedback to improve the quality of synthetic data. These synthetic images were then generated from relevant disease information or geometrically transformed segmentation masks and added to ground truth training set images from the CheXpert, CANDID-PTX, SIIM, and RSNA Pneumonia datasets to measure improvements in classification and segmentation model performance on the test sets. F1 and Dice scores were used to evaluate classification and segmentation respectively. One-tailed t-tests with Bonferroni correction assessed the statistical significance of performance improvements with synthetic data. Results: Across all experiments, the synthetic data we generated resulted in a maximum mean classification F1 score improvement of 0.150453 (CI: 0.099108-0.201798; P=0.0031) compared to using only real data. For segmentation, the maximum Dice score improvement was 0.14575 (CI: 0.108267-0.183233; P=0.0064). Conclusion: Best practices for generating synthetic chest X-ray images for downstream tasks include conditioning on single-disease labels or geometrically transformed segmentation masks, as well as potentially using proxy modeling for fine-tuning such generations.

eess.IV↗

arXiv2025

Time-to-Event Pretraining for 3D Medical Imaging

With the rise of medical foundation models and the growing availability of imaging data, scalable pretraining techniques offer a promising way to identify imaging biomarkers predictive of future disease risk. While current self-supervised methods for 3D medical imaging models capture local structural features like organ morphology, they fail to link pixel biomarkers with long-term health outcomes due to a missing context problem. Current approaches lack the temporal context necessary to identify biomarkers correlated with disease progression, as they rely on supervision derived only from images and concurrent text descriptions. To address this, we introduce time-to-event pretraining, a pretraining framework for 3D medical imaging models that leverages large-scale temporal supervision from paired, longitudinal electronic health records (EHRs). Using a dataset of 18,945 CT scans (4.2 million 2D images) and time-to-event distributions across thousands of EHR-derived tasks, our method improves outcome prediction, achieving an average AUROC increase of 23.7% and a 29.4% gain in Harrell's C-index across 8 benchmark tasks. Importantly, these gains are achieved without sacrificing diagnostic classification performance. This study lays the foundation for integrating longitudinal EHR and 3D imaging data to advance clinical risk prediction.

cs.CV↗

arXiv2024

A Vision-Language Foundation Model to Enhance Efficiency of Chest X-ray Interpretation

Over 1.4 billion chest X-rays (CXRs) are performed annually due to their cost-effectiveness as an initial diagnostic test. This scale of radiological studies provides a significant opportunity to streamline CXR interpretation and documentation. While foundation models are a promising solution, the lack of publicly available large-scale datasets and benchmarks inhibits their iterative development and real-world evaluation. To overcome these challenges, we constructed a large-scale dataset (CheXinstruct), which we utilized to train a vision-language foundation model (CheXagent). We systematically demonstrated competitive performance across eight distinct task types on our novel evaluation benchmark (CheXbench). Beyond technical validation, we assessed the real-world utility of CheXagent in directly drafting radiology reports. Our clinical assessment with eight radiologists revealed a 36% time saving for residents using CheXagent-drafted reports, while attending radiologists showed no significant time difference editing resident-drafted or CheXagent-drafted reports. The CheXagent-drafted reports improved the writing efficiency of both radiology residents and attending radiologists in 81% and 61% of cases, respectively, without loss of quality. Overall, we demonstrate that CheXagent can effectively perform a variety of CXR interpretation tasks and holds potential to assist radiologists in routine clinical workflows.

cs.CV↗

arXiv2024

Auto-Generating Weak Labels for Real & Synthetic Data to Improve Label-Scarce Medical Image Segmentation

The high cost of creating pixel-by-pixel gold-standard labels, limited expert availability, and presence of diverse tasks make it challenging to generate segmentation labels to train deep learning models for medical imaging tasks. In this work, we present a new approach to overcome the hurdle of costly medical image labeling by leveraging foundation models like Segment Anything Model (SAM) and its medical alternate MedSAM. Our pipeline has the ability to generate weak labels for any unlabeled medical image and subsequently use it to augment label-scarce datasets. We perform this by leveraging a model trained on a few gold-standard labels and using it to intelligently prompt MedSAM for weak label generation. This automation eliminates the manual prompting step in MedSAM, creating a streamlined process for generating labels for both real and synthetic images, regardless of quantity. We conduct experiments on label-scarce settings for multiple tasks pertaining to modalities ranging from ultrasound, dermatology, and X-rays to demonstrate the usefulness of our pipeline. The code is available at https://github.com/stanfordmlgroup/Auto-Generate-WLs/.

cs.CV↗

arXiv2024

Unlocking Robust Segmentation Across All Age Groups via Continual Learning

Most deep learning models in medical imaging are trained on adult data with unclear performance on pediatric images. In this work, we aim to address this challenge in the context of automated anatomy segmentation in whole-body Computed Tomography (CT). We evaluate the performance of CT organ segmentation algorithms trained on adult data when applied to pediatric CT volumes and identify substantial age-dependent underperformance. We subsequently propose and evaluate strategies, including data augmentation and continual learning approaches, to achieve good segmentation accuracy across all age groups. Our best-performing model, trained using continual learning, achieves high segmentation accuracy on both adult and pediatric data (Dice scores of 0.90 and 0.84 respectively).

eess.IV↗

arXiv2024

Diffscaler: Enhancing the Generative Prowess of Diffusion Transformers

Recently, diffusion transformers have gained wide attention with its excellent performance in text-to-image and text-to-vidoe models, emphasizing the need for transformers as backbone for diffusion models. Transformer-based models have shown better generalization capability compared to CNN-based models for general vision tasks. However, much less has been explored in the existing literature regarding the capabilities of transformer-based diffusion backbones and expanding their generative prowess to other datasets. This paper focuses on enabling a single pre-trained diffusion transformer model to scale across multiple datasets swiftly, allowing for the completion of diverse generative tasks using just one model. To this end, we propose DiffScaler, an efficient scaling strategy for diffusion models where we train a minimal amount of parameters to adapt to different tasks. In particular, we learn task-specific transformations at each layer by incorporating the ability to utilize the learned subspaces of the pre-trained model, as well as the ability to learn additional task-specific subspaces, which may be absent in the pre-training dataset. As these parameters are independent, a single diffusion model with these task-specific parameters can be used to perform multiple tasks simultaneously. Moreover, we find that transformer-based diffusion models significantly outperform CNN-based diffusion models methods while performing fine-tuning over smaller datasets. We perform experiments on four unconditional image generation datasets. We show that using our proposed method, a single pre-trained model can scale up to perform these conditional and unconditional tasks, respectively, with minimal parameter tuning while performing as close as fine-tuning an entire diffusion model for that particular task.

cs.CV↗

arXiv2024

MaxFusion: Plug&Play Multi-Modal Generation in Text-to-Image Diffusion Models

Large diffusion-based Text-to-Image (T2I) models have shown impressive generative powers for text-to-image generation as well as spatially conditioned image generation. For most applications, we can train the model end-toend with paired data to obtain photorealistic generation quality. However, to add an additional task, one often needs to retrain the model from scratch using paired data across all modalities to retain good generation performance. In this paper, we tackle this issue and propose a novel strategy to scale a generative model across new tasks with minimal compute. During our experiments, we discovered that the variance maps of intermediate feature maps of diffusion models capture the intensity of conditioning. Utilizing this prior information, we propose MaxFusion, an efficient strategy to scale up text-to-image generation models to accommodate new modality conditions. Specifically, we combine aligned features of multiple models, hence bringing a compositional effect. Our fusion strategy can be integrated into off-the-shelf models to enhance their generative prowess.

cs.CV↗

arXiv2023

Disruptive Autoencoders: Leveraging Low-level features for 3D Medical Image Pre-training

Harnessing the power of pre-training on large-scale datasets like ImageNet forms a fundamental building block for the progress of representation learning-driven solutions in computer vision. Medical images are inherently different from natural images as they are acquired in the form of many modalities (CT, MR, PET, Ultrasound etc.) and contain granulated information like tissue, lesion, organs etc. These characteristics of medical images require special attention towards learning features representative of local context. In this work, we focus on designing an effective pre-training framework for 3D radiology images. First, we propose a new masking strategy called local masking where the masking is performed across channel embeddings instead of tokens to improve the learning of local feature representations. We combine this with classical low-level perturbations like adding noise and downsampling to further enable low-level representation learning. To this end, we introduce Disruptive Autoencoders, a pre-training framework that attempts to reconstruct the original image from disruptions created by a combination of local masking and low-level perturbations. Additionally, we also devise a cross-modal contrastive loss (CMCL) to accommodate the pre-training of multiple modalities in a single framework. We curate a large-scale dataset to enable pre-training of 3D medical radiology images (MRI and CT). The proposed pre-training framework is tested across multiple downstream tasks and achieves state-of-the-art performance. Notably, our proposed method tops the public test leaderboard of BTCV multi-organ segmentation challenge.

cs.CV↗

arXiv2023

CLIP goes 3D: Leveraging Prompt Tuning for Language Grounded 3D Recognition

Vision-Language models like CLIP have been widely adopted for various tasks due to their impressive zero-shot capabilities. However, CLIP is not suitable for extracting 3D geometric features as it was trained on only images and text by natural language supervision. We work on addressing this limitation and propose a new framework termed CG3D (CLIP Goes 3D) where a 3D encoder is learned to exhibit zero-shot capabilities. CG3D is trained using triplets of pointclouds, corresponding rendered 2D images, and texts using natural language supervision. To align the features in a multimodal embedding space, we utilize contrastive loss on 3D features obtained from the 3D encoder, as well as visual and text features extracted from CLIP. We note that the natural images used to train CLIP and the rendered 2D images in CG3D have a distribution shift. Attempting to train the visual and text encoder to account for this shift results in catastrophic forgetting and a notable decrease in performance. To solve this, we employ prompt tuning and introduce trainable parameters in the input space to shift CLIP towards the 3D pre-training dataset utilized in CG3D. We extensively test our pre-trained CG3D framework and demonstrate its impressive capabilities in zero-shot, open scene understanding, and retrieval tasks. Further, it also serves as strong starting weights for fine-tuning in downstream 3D recognition tasks.

cs.CV↗

arXiv2023

Ambiguous Medical Image Segmentation using Diffusion Models

Collective insights from a group of experts have always proven to outperform an individual's best diagnostic for clinical tasks. For the task of medical image segmentation, existing research on AI-based alternatives focuses more on developing models that can imitate the best individual rather than harnessing the power of expert groups. In this paper, we introduce a single diffusion model-based approach that produces multiple plausible outputs by learning a distribution over group insights. Our proposed model generates a distribution of segmentation masks by leveraging the inherent stochastic sampling process of diffusion using only minimal additional learning. We demonstrate on three different medical image modalities- CT, ultrasound, and MRI that our model is capable of producing several possible variants while capturing the frequencies of their occurrences. Comprehensive results show that our proposed approach outperforms existing state-of-the-art ambiguous segmentation networks in terms of accuracy while preserving naturally occurring variation. We also propose a new metric to evaluate the diversity as well as the accuracy of segmentation predictions that aligns with the interest of clinical practice of collective insights.

cs.CV↗

arXiv2023

ReBotNet: Fast Real-time Video Enhancement

Most video restoration networks are slow, have high computational load, and can't be used for real-time video enhancement. In this work, we design an efficient and fast framework to perform real-time video enhancement for practical use-cases like live video calls and video streams. Our proposed method, called Recurrent Bottleneck Mixer Network (ReBotNet), employs a dual-branch framework. The first branch learns spatio-temporal features by tokenizing the input frames along the spatial and temporal dimensions using a ConvNext-based encoder and processing these abstract tokens using a bottleneck mixer. To further improve temporal consistency, the second branch employs a mixer directly on tokens extracted from individual frames. A common decoder then merges the features form the two branches to predict the enhanced frame. In addition, we propose a recurrent training approach where the last frame's prediction is leveraged to efficiently enhance the current frame while improving temporal consistency. To evaluate our method, we curate two new datasets that emulate real-world video call and streaming scenarios, and show extensive results on multiple datasets where ReBotNet outperforms existing approaches with lower computations, reduced memory requirements, and faster inference time.

cs.CV↗

arXiv2023

Target and Task specific Source-Free Domain Adaptive Image Segmentation

Solving the domain shift problem during inference is essential in medical imaging, as most deep-learning based solutions suffer from it. In practice, domain shifts are tackled by performing Unsupervised Domain Adaptation (UDA), where a model is adapted to an unlabelled target domain by leveraging the labelled source data. In medical scenarios, the data comes with huge privacy concerns making it difficult to apply standard UDA techniques. Hence, a closer clinical setting is Source-Free UDA (SFUDA), where we have access to source-trained model but not the source data during adaptation. Existing SFUDA methods rely on pseudo-label based self-training techniques to address the domain shift. However, these pseudo-labels often have high entropy due to domain shift and adapting the source model with noisy pseudo-labels leads to sub-optimal performance. To overcome this limitation, we propose a systematic two-stage approach for SFUDA comprising of target-specific adaptation followed by task-specific adaptation. In target-specific adaptation, we enhance the pseudo-label generation by minimizing high entropy regions using the proposed ensemble entropy minimization loss and a selective voting strategy. In task-specific adaptation, we exploit the enhanced pseudo-labels using a student-teacher framework to effectively learn segmentation on the target domain. We evaluate our proposed method on 2D fundus datasets and 3D MRI volumes across 7 different domain shifts where we perform better than existing UDA and SFUDA methods for medical image segmentation. Code is available at https://github.com/Vibashan/tt-sfuda.

cs.CV↗

arXiv2022

Image Fusion Transformer

In image fusion, images obtained from different sensors are fused to generate a single image with enhanced information. In recent years, state-of-the-art methods have adopted Convolution Neural Networks (CNNs) to encode meaningful features for image fusion. Specifically, CNN-based methods perform image fusion by fusing local features. However, they do not consider long-range dependencies that are present in the image. Transformer-based models are designed to overcome this by modeling the long-range dependencies with the help of self-attention mechanism. This motivates us to propose a novel Image Fusion Transformer (IFT) where we develop a transformer-based multi-scale fusion strategy that attends to both local and long-range information (or global context). The proposed method follows a two-stage training approach. In the first stage, we train an auto-encoder to extract deep features at multiple scales. In the second stage, multi-scale features are fused using a Spatio-Transformer (ST) fusion strategy. The ST fusion blocks are comprised of a CNN and a transformer branch which capture local and long-range features, respectively. Extensive experiments on multiple benchmark datasets show that the proposed method performs better than many competitive fusion algorithms. Furthermore, we show the effectiveness of the proposed ST fusion strategy with an ablation analysis. The source code is available at: https://github.com/Vibashan/Image-Fusion-Transformer.

cs.CV↗

arXiv2022

TransWeather: Transformer-based Restoration of Images Degraded by Adverse Weather Conditions

Removing adverse weather conditions like rain, fog, and snow from images is an important problem in many applications. Most methods proposed in the literature have been designed to deal with just removing one type of degradation. Recently, a CNN-based method using neural architecture search (All-in-One) was proposed to remove all the weather conditions at once. However, it has a large number of parameters as it uses multiple encoders to cater to each weather removal task and still has scope for improvement in its performance. In this work, we focus on developing an efficient solution for the all adverse weather removal problem. To this end, we propose TransWeather, a transformer-based end-to-end model with just a single encoder and a decoder that can restore an image degraded by any weather condition. Specifically, we utilize a novel transformer encoder using intra-patch transformer blocks to enhance attention inside the patches to effectively remove smaller weather degradations. We also introduce a transformer decoder with learnable weather type embeddings to adjust to the weather degradation at hand. TransWeather achieves improvements across multiple test datasets over both All-in-One network as well as methods fine-tuned for specific tasks. TransWeather is also validated on real world test images and found to be more effective than previous methods. Implementation code can be accessed at https://github.com/jeya-maria-jose/TransWeather .

cs.CV↗