arXiv subjects

Julia E. Vogt

Publications and source records attributed to Julia E. Vogt.

At least 37 records · Page 2Linked to original sources

arXiv2025

Enhancing Radiology Report Generation and Visual Grounding using Reinforcement Learning

Recent advances in vision-language models (VLMs) have improved Chest X-ray (CXR) interpretation in multiple aspects. However, many medical VLMs rely solely on supervised fine-tuning (SFT), which optimizes next-token prediction without evaluating answer quality. In contrast, reinforcement learning (RL) can incorporate task-specific feedback, and its combination with explicit intermediate reasoning ("thinking") has demonstrated substantial gains on verifiable math and coding tasks. To investigate the effects of RL and thinking in a CXR VLM, we perform large-scale SFT on CXR data to build an updated RadVLM based on Qwen3-VL, followed by a cold-start SFT stage that equips the model with basic thinking ability. We then apply Group Relative Policy Optimization (GRPO) with clinically grounded, task-specific rewards for report generation and visual grounding, and run matched RL experiments on both domain-specific and general-domain Qwen3-VL variants, with and without thinking. Across these settings, we find that while strong SFT remains crucial for high base performance, RL provides additional gains on both tasks, whereas explicit thinking does not appear to further improve results. Under a unified evaluation pipeline, the RL-optimized RadVLM models outperform their baseline counterparts and reach state-of-the-art performance on both report generation and grounding, highlighting clinically aligned RL as a powerful complement to SFT for medical VLMs.

cs.AI↗

arXiv2025

TreeDiffusion: Hierarchical Generative Clustering for Conditional Diffusion

Generative modeling and clustering are conventionally distinct tasks in machine learning. Variational Autoencoders (VAEs) have been widely explored for their ability to integrate both, providing a framework for generative clustering. However, while VAEs can learn meaningful cluster representations in latent space, they often struggle to generate high-quality samples. This paper addresses this problem by introducing TreeDiffusion, a deep generative model that conditions diffusion models on learned latent hierarchical cluster representations from a VAE to obtain high-quality, cluster-specific generations. Our approach consists of two steps: first, a VAE-based clustering model learns a hierarchical latent representation of the data. Second, a cluster-aware diffusion model generates realistic images conditioned on the learned hierarchical structure. We systematically compare the generative capabilities of our approach with those of alternative conditioning strategies. Empirically, we demonstrate that conditioning diffusion models on hierarchical cluster representations improves the generative performance on real-world datasets compared to other approaches. Moreover, a key strength of our method lies in its ability to generate images that are both representative and specific to each cluster, enabling more detailed visualization of the learned latent structure. Our approach addresses the generative limitations of VAE-based clustering approaches by leveraging their learned structure, thereby advancing the field of generative clustering.

cs.CV↗

arXiv2025

RadVLM: A Multitask Conversational Vision-Language Model for Radiology

The widespread use of chest X-rays (CXRs), coupled with a shortage of radiologists, has driven growing interest in automated CXR analysis and AI-assisted reporting. While existing vision-language models (VLMs) show promise in specific tasks such as report generation or abnormality detection, they often lack support for interactive diagnostic capabilities. In this work we present RadVLM, a compact, multitask conversational foundation model designed for CXR interpretation. To this end, we curate a large-scale instruction dataset comprising over 1 million image-instruction pairs containing both single-turn tasks -- such as report generation, abnormality classification, and visual grounding -- and multi-turn, multi-task conversational interactions. After fine-tuning RadVLM on this instruction dataset, we evaluate it across different tasks along with re-implemented baseline VLMs. Our results show that RadVLM achieves state-of-the-art performance in conversational capabilities and visual grounding while remaining competitive in other radiology tasks. Ablation studies further highlight the benefit of joint training across multiple tasks, particularly for scenarios with limited annotated data. Together, these findings highlight the potential of RadVLM as a clinically relevant AI assistant, providing structured CXR interpretation and conversational capabilities to support more effective and accessible diagnostic workflows.

cs.CV↗

arXiv2025

Two Is Better Than One: Aligned Representation Pairs for Anomaly Detection

Anomaly detection focuses on identifying samples that deviate from the norm. Discovering informative representations of normal samples is crucial to detecting anomalies effectively. Recent self-supervised methods have successfully learned such representations by employing prior knowledge about anomalies to create synthetic outliers during training. However, we often do not know what to expect from unseen data in specialized real-world applications. In this work, we address this limitation with our new approach Con$_2$, which leverages prior knowledge about symmetries in normal samples to observe the data in different contexts. Con$_2$ consists of two parts: Context Contrasting clusters representations according to their context, while Content Alignment encourages the model to capture semantic information by aligning the positions of normal samples across clusters. The resulting representation space allows us to detect anomalies as outliers of the learned context clusters. We demonstrate the benefit of this approach in extensive experiments on specialized medical datasets, outperforming competitive baselines based on self-supervised learning and pretrained models and presenting competitive performance on natural imaging benchmarks.

cs.LG↗

arXiv2025

Temporal Representation Learning for Real-Time Ultrasound Analysis

Ultrasound (US) imaging is a critical tool in medical diagnostics, offering real-time visualization of physiological processes. One of its major advantages is its ability to capture temporal dynamics, which is essential for assessing motion patterns in applications such as cardiac monitoring, fetal development, and vascular imaging. Despite its importance, current deep learning models often overlook the temporal continuity of ultrasound sequences, analyzing frames independently and missing key temporal dependencies. To address this gap, we propose a method for learning effective temporal representations from ultrasound videos, with a focus on echocardiography-based ejection fraction (EF) estimation. EF prediction serves as an ideal case study to demonstrate the necessity of temporal learning, as it requires capturing the rhythmic contraction and relaxation of the heart. Our approach leverages temporally consistent masking and contrastive learning to enforce temporal coherence across video frames, enhancing the model's ability to represent motion patterns. Evaluated on the EchoNet-Dynamic dataset, our method achieves a substantial improvement in EF prediction accuracy, highlighting the importance of temporally-aware representation learning for real-time ultrasound analysis.

eess.IV↗

arXiv2025

Towards Scalable Newborn Screening: Automated General Movement Assessment in Uncontrolled Settings

General movements (GMs) are spontaneous, coordinated body movements in infants that offer valuable insights into the developing nervous system. Assessed through the Prechtl GM Assessment (GMA), GMs are reliable predictors for neurodevelopmental disorders. However, GMA requires specifically trained clinicians, who are limited in number. To scale up newborn screening, there is a need for an algorithm that can automatically classify GMs from infant video recordings. This data poses challenges, including variability in recording length, device type, and setting, with each video coarsely annotated for overall movement quality. In this work, we introduce a tool for extracting features from these recordings and explore various machine learning techniques for automated GM classification.

cs.LG↗

arXiv2025

Leveraging the Structure of Medical Data for Improved Representation Learning

Building generalizable medical AI systems requires pretraining strategies that are data-efficient and domain-aware. Unlike internet-scale corpora, clinical datasets such as MIMIC-CXR offer limited image counts and scarce annotations, but exhibit rich internal structure through multi-view imaging. We propose a self-supervised framework that leverages the inherent structure of medical datasets. Specifically, we treat paired chest X-rays (i.e., frontal and lateral views) as natural positive pairs, learning to reconstruct each view from sparse patches while aligning their latent embeddings. Our method requires no textual supervision and produces informative representations. Evaluated on MIMIC-CXR, we show strong performance compared to supervised objectives and baselines being trained without leveraging structure. This work provides a lightweight, modality-agnostic blueprint for domain-specific pretraining where data is structured but scarce

cs.CV↗

arXiv2025

Interpretable Reward Modeling with Active Concept Bottlenecks

We introduce Concept Bottleneck Reward Models (CB-RM), a reward modeling framework that enables interpretable preference learning through selective concept annotation. Unlike standard RLHF methods that rely on opaque reward functions, CB-RM decomposes reward prediction into human-interpretable concepts. To make this framework efficient in low-supervision settings, we formalize an active learning strategy that dynamically acquires the most informative concept labels. We propose an acquisition function based on Expected Information Gain and show that it significantly accelerates concept learning without compromising preference accuracy. Evaluated on the UltraFeedback dataset, our method outperforms baselines in interpretability and sample efficiency, marking a step towards more transparent, auditable, and human-aligned reward models.

cs.LG↗

arXiv2025

Predicting Pulmonary Hypertension in Newborns: A Multi-view VAE Approach

Pulmonary hypertension (PH) in newborns is a critical condition characterized by elevated pressure in the pulmonary arteries, leading to right ventricular strain and heart failure. While right heart catheterization (RHC) is the diagnostic gold standard, echocardiography is preferred due to its non-invasive nature, safety, and accessibility. However, its accuracy highly depends on the operator, making PH assessment subjective. While automated detection methods have been explored, most models focus on adults and rely on single-view echocardiographic frames, limiting their performance in diagnosing PH in newborns. While multi-view echocardiography has shown promise in improving PH assessment, existing models struggle with generalizability. In this work, we employ a multi-view variational autoencoder (VAE) for PH prediction using echocardiographic videos. By leveraging the VAE framework, our model captures complex latent representations, improving feature extraction and robustness. We compare its performance against single-view and supervised learning approaches. Our results show improved generalization and classification accuracy, highlighting the effectiveness of multi-view learning for robust PH assessment in newborns.

eess.IV↗

arXiv2025

Revisiting Automatic Data Curation for Vision Foundation Models in Digital Pathology

Vision foundation models (FMs) are accelerating the development of digital pathology algorithms and transforming biomedical research. These models learn, in a self-supervised manner, to represent histological features in highly heterogeneous tiles extracted from whole-slide images (WSIs) of real-world patient samples. The performance of these FMs is significantly influenced by the size, diversity, and balance of the pre-training data. However, data selection has been primarily guided by expert knowledge at the WSI level, focusing on factors such as disease classification and tissue types, while largely overlooking the granular details available at the tile level. In this paper, we investigate the potential of unsupervised automatic data curation at the tile-level, taking into account 350 million tiles. Specifically, we apply hierarchical clustering trees to pre-extracted tile embeddings, allowing us to sample balanced datasets uniformly across the embedding space of the pretrained FM. We further identify these datasets are subject to a trade-off between size and balance, potentially compromising the quality of representations learned by FMs, and propose tailored batch sampling strategies to mitigate this effect. We demonstrate the effectiveness of our method through improved performance on a diverse range of clinically relevant downstream tasks.

cs.CV↗

arXiv2025

A Denoising VAE for Intracardiac Time Series in Ischemic Cardiomyopathy

In the field of cardiac electrophysiology (EP), effectively reducing noise in intra-cardiac signals is crucial for the accurate diagnosis and treatment of arrhythmias and cardiomyopathies. However, traditional noise reduction techniques fall short in addressing the diverse noise patterns from various sources, often non-linear and non-stationary, present in these signals. This work introduces a Variational Autoencoder (VAE) model, aimed at improving the quality of intra-ventricular monophasic action potential (MAP) signal recordings. By constructing representations of clean signals from a dataset of 5706 time series from 42 patients diagnosed with ischemic cardiomyopathy, our approach demonstrates superior denoising performance when compared to conventional filtering methods commonly employed in clinical settings. We assess the effectiveness of our VAE model using various metrics, indicating its superior capability to denoise signals across different noise types, including time-varying non-linear noise frequently found in clinical settings. These results reveal that VAEs can eliminate diverse sources of noise in single beats, outperforming state-of-the-art denoising techniques and potentially improving treatment efficacy in cardiac EP.

eess.SP↗

arXiv2025

Interpretable Diffusion Models with B-cos Networks

Text-to-image diffusion models generate images by iteratively denoising random noise, conditioned on a prompt. While these models have enabled impressive progress in image generation, they often fail to accurately reflect all semantic information described in the prompt -- failures that are difficult to detect automatically. In this work, we introduce a diffusion model architecture built with B-cos modules that offers inherent interpretability. Our approach provides insight into how individual prompt tokens affect the generated image by producing explanations that highlight the pixel regions influenced by each token. We demonstrate that B-cos diffusion models can produce high-quality images while providing meaningful insights into prompt-image alignment.

cs.CV↗

arXiv2025

From Pixels to Perception: Interpretable Predictions via Instance-wise Grouped Feature Selection

Understanding the decision-making process of machine learning models provides valuable insights into the task, the data, and the reasons behind a model's failures. In this work, we propose a method that performs inherently interpretable predictions through the instance-wise sparsification of input images. To align the sparsification with human perception, we learn the masking in the space of semantically meaningful pixel regions rather than on pixel-level. Additionally, we introduce an explicit way to dynamically determine the required level of sparsity for each instance. We show empirically on semi-synthetic and natural image datasets that our inherently interpretable classifier produces more meaningful, human-understandable predictions than state-of-the-art benchmarks.

cs.CV↗

arXiv2025

Cross-Entropy Is All You Need To Invert the Data Generating Process

Supervised learning has become a cornerstone of modern machine learning, yet a comprehensive theory explaining its effectiveness remains elusive. Empirical phenomena, such as neural analogy-making and the linear representation hypothesis, suggest that supervised models can learn interpretable factors of variation in a linear fashion. Recent advances in self-supervised learning, particularly nonlinear Independent Component Analysis, have shown that these methods can recover latent structures by inverting the data generating process. We extend these identifiability results to parametric instance discrimination, then show how insights transfer to the ubiquitous setting of supervised learning with cross-entropy minimization. We prove that even in standard classification tasks, models learn representations of ground-truth factors of variation up to a linear transformation. We corroborate our theoretical contribution with a series of empirical studies. First, using simulated data matching our theoretical assumptions, we demonstrate successful disentanglement of latent factors. Second, we show that on DisLib, a widely-used disentanglement benchmark, simple classification tasks recover latent structures up to linear transformations. Finally, we reveal that models trained on ImageNet encode representations that permit linear decoding of proxy factors of variation. Together, our theoretical findings and experiments offer a compelling explanation for recent observations of linear representations, such as superposition in neural networks. This work takes a significant step toward a cohesive theory that accounts for the unreasonable effectiveness of supervised deep learning.

cs.LG↗

arXiv2025

From Pixels to Components: Eigenvector Masking for Visual Representation Learning

Predicting masked from visible parts of an image is a powerful self-supervised approach for visual representation learning. However, the common practice of masking random patches of pixels exhibits certain failure modes, which can prevent learning meaningful high-level features, as required for downstream tasks. We propose an alternative masking strategy that operates on a suitable transformation of the data rather than on the raw pixels. Specifically, we perform principal component analysis and then randomly mask a subset of components, which accounts for a fixed ratio of the data variance. The learning task then amounts to reconstructing the masked components from the visible ones. Compared to local patches of pixels, the principal components of images carry more global information. We thus posit that predicting masked from visible components involves more high-level features, allowing our masking strategy to extract more useful representations. This is corroborated by our empirical findings which demonstrate improved image classification performance for component over pixel masking. Our method thus constitutes a simple and robust data-driven alternative to traditional masked image modeling approaches.

cs.LG↗

arXiv2025

Unity by Diversity: Improved Representation Learning in Multimodal VAEs

Variational Autoencoders for multimodal data hold promise for many tasks in data analysis, such as representation learning, conditional generation, and imputation. Current architectures either share the encoder output, decoder input, or both across modalities to learn a shared representation. Such architectures impose hard constraints on the model. In this work, we show that a better latent representation can be obtained by replacing these hard constraints with a soft constraint. We propose a new mixture-of-experts prior, softly guiding each modality's latent representation towards a shared aggregate posterior. This approach results in a superior latent representation and allows each encoding to preserve information better from its uncompressed original features. In extensive experiments on multiple benchmark datasets and two challenging real-world datasets, we show improved learned latent representations and imputation of missing data modalities compared to existing methods.

cs.LG↗

arXiv2024

Weakly-Supervised Multimodal Learning on MIMIC-CXR

Multimodal data integration and label scarcity pose significant challenges for machine learning in medical settings. To address these issues, we conduct an in-depth evaluation of the newly proposed Multimodal Variational Mixture-of-Experts (MMVM) VAE on the challenging MIMIC-CXR dataset. Our analysis demonstrates that the MMVM VAE consistently outperforms other multimodal VAEs and fully supervised approaches, highlighting its strong potential for real-world medical applications.

cs.LG↗

arXiv2024

Exploiting Interpretable Capabilities with Concept-Enhanced Diffusion and Prototype Networks

Concept-based machine learning methods have increasingly gained importance due to the growing interest in making neural networks interpretable. However, concept annotations are generally challenging to obtain, making it crucial to leverage all their prior knowledge. By creating concept-enriched models that incorporate concept information into existing architectures, we exploit their interpretable capabilities to the fullest extent. In particular, we propose Concept-Guided Conditional Diffusion, which can generate visual representations of concepts, and Concept-Guided Prototype Networks, which can create a concept prototype dataset and leverage it to perform interpretable concept prediction. These results open up new lines of research by exploiting pre-existing information in the quest for rendering machine learning more human-understandable.

cs.LG↗