arXiv subjects

Koushik Biswas

Publications and source records attributed to Koushik Biswas.

At least 19 recordsLinked to original sources

arXiv2026

Ethical Framework for Responsible Foundational Models in Medical Imaging

The emergence of foundational models represents a paradigm shift in medical imaging, offering extraordinary capabilities in disease detection, diagnosis, and treatment planning. These large-scale artificial intelligence systems, trained on extensive multimodal and multi-center datasets, demonstrate remarkable versatility across diverse medical applications. However, their integration into clinical practice presents complex ethical challenges that extend beyond technical performance metrics. This study examines the critical ethical considerations at the intersection of healthcare and artificial intelligence. Patient data privacy remains a fundamental concern, particularly given these models' requirement for extensive training data and their potential to inadvertently memorize sensitive information. Algorithmic bias poses a significant challenge in healthcare, as historical disparities in medical data collection may perpetuate or exacerbate existing healthcare inequities across demographic groups. The complexity of foundational models presents significant challenges regarding transparency and explainability in medical decision-making. We propose a comprehensive ethical framework that addresses these challenges while promoting responsible innovation. This framework emphasizes robust privacy safeguards, systematic bias detection and mitigation strategies, and mechanisms for maintaining meaningful human oversight. By establishing clear guidelines for development and deployment, we aim to harness the transformative potential of foundational models while preserving the fundamental principles of medical ethics and patient-centered care.

cs.CY↗

arXiv2026

Beyond Noise: A Hypothesis Testing Approach to Robust Feature Selection

Feature selection remains difficult in modern high-dimensional settings, and established methods such as Boruta and Recursive Feature Elimination are either computationally costly or lack a statistically justified stopping criterion for their importance scores. A common heuristic adds random noise features and retains any predictor ranking above the strongest one, but this rule is purely ad hoc. We introduce a method that keeps the noise-augmentation idea while grounding it in theory: each feature's importance is tested against the maximum noise importance using a non-parametric bootstrap hypothesis test, with statistical derivations supporting the algorithm's design. On controlled simulations, the method recovers true signal more consistently than Boruta and Knockoff-based procedures; on diverse real-world datasets, it outperforms Boruta, RFE, and Extra Trees. The result is a robust, principled selector that yields reliable inference, improved prediction, and efficient computation.

stat.ML↗

arXiv2026

UNITY: Attention Flow Networks for Adaptive Conditioning in Diffusion

We introduce UNITY, a Universal-to-Specialized adapter for efficient and scalable composite conditioning in diffusion based image generation. Unlike prior methods that train separate adapters for each conditioning modality, UNITY jointly learns shared semantics across multiple conditioning types and subsequently specializes without modifying the underlying architecture. The proposed two stage training paradigm consists of a Universal Stage that captures cross modal representations across all conditioning modalities using half of the total training steps, followed by a Specialization Stage that refines modality specific features using the remaining training budget. At the core of UNITY are the Morphable Attention Flow (MAF) Network and Morph Wrapper modules, which enable channel aware and spatially adaptive feature alignment through learnable flow fields and attention based fusion. This constant complexity formulation supports flexible operation under both single and composite conditioning settings while significantly reducing inference latency and memory consumption. Extensive experiments across multiple datasets demonstrate that UNITY achieves state of the art image fidelity while maintaining superior memory efficiency. Code: https://github.com/arya-domain/UNITY

cs.CV↗

arXiv2026

HyperCap: Hyperspectral Land Cover Captioning Dataset for Vision Language Models

We introduce HyperCap, the first large-scale hyperspectral captioning dataset designed to enhance model performance and effectiveness in remote sensing applications. Unlike traditional hyperspectral imaging (HSI) benchmarks, HyperCap integrates spectral data with pixel-wise textual annotations, enabling deeper semantic understanding. This dataset enhances model performance in tasks like classification and feature extraction, providing a valuable resource for advanced remote sensing applications. HyperCap is constructed from four benchmark datasets and annotated through a hybrid approach combining automated and manual methods to ensure accuracy and consistency. Empirical evaluations using state-of-the-art encoders and diverse fusion techniques demonstrate significant improvements in classification performance. These results underscore the potential of vision-language learning in HSI and position HyperCap as a foundational dataset for future research in the field. The code and dataset are available at https://github.com/arya-domain/HyperCap.

cs.CV↗

arXiv2026

Uncertainty-Aware Vision-Language Segmentation for Medical Imaging

We introduce a novel uncertainty-aware multimodal segmentation framework that leverages both radiological images and associated clinical text for precise medical diagnosis. We propose a Modality Decoding Attention Block (MoDAB) with a lightweight State Space Mixer (SSMix) to enable efficient cross-modal fusion and long-range dependency modelling. To guide learning under ambiguity, we propose the Spectral-Entropic Uncertainty (SEU) Loss, which jointly captures spatial overlap, spectral consistency, and predictive uncertainty in a unified objective. In complex clinical circumstances with poor image quality, this formulation improves model reliability. Extensive experiments on various publicly available medical datasets, QATA-COVID19, MosMed++, and Kvasir-SEG, demonstrate that our method achieves superior segmentation performance while being significantly more computationally efficient than existing State-of-the-Art (SoTA) approaches. Our results highlight the importance of incorporating uncertainty modelling and structured modality alignment in vision-language medical segmentation tasks. Code: https://github.com/arya-domain/UA-VLS

cs.CV↗

arXiv2026

Efficient Text-Guided Convolutional Adapter for the Diffusion Model

We introduce the Nexus Adapters, novel text-guided efficient adapters to the diffusion-based framework for the Structure Preserving Conditional Generation (SPCG). Recently, structure-preserving methods have achieved promising results in conditional image generation by using a base model for prompt conditioning and an adapter for structure input, such as sketches or depth maps. These approaches are highly inefficient and sometimes require equal parameters in the adapter compared to the base architecture. It is not always possible to train the model since the diffusion model is itself costly, and doubling the parameter is highly inefficient. In these approaches, the adapter is not aware of the input prompt; therefore, it is optimal only for the structural input but not for the input prompt. To overcome the above challenges, we proposed two efficient adapters, Nexus Prime and Slim, which are guided by prompts and structural inputs. Each Nexus Block incorporates cross-attention mechanisms to enable rich multimodal conditioning. Therefore, the proposed adapter has a better understanding of the input prompt while preserving the structure. We conducted extensive experiments on the proposed models and demonstrated that the Nexus Prime adapter significantly enhances performance, requiring only 8M additional parameters compared to the baseline, T2I-Adapter. Furthermore, we also introduced a lightweight Nexus Slim adapter with 18M fewer parameters than the T2I-Adapter, which still achieved state-of-the-art results. Code: https://github.com/arya-domain/Nexus-Adapters

cs.CV↗

arXiv2025

Predicting Risk of Pulmonary Fibrosis Formation in PASC Patients

While the acute phase of the COVID-19 pandemic has subsided, its long-term effects persist through Post-Acute Sequelae of COVID-19 (PASC), commonly known as Long COVID. There remains substantial uncertainty regarding both its duration and optimal management strategies. PASC manifests as a diverse array of persistent or newly emerging symptoms--ranging from fatigue, dyspnea, and neurologic impairments (e.g., brain fog), to cardiovascular, pulmonary, and musculoskeletal abnormalities--that extend beyond the acute infection phase. This heterogeneous presentation poses substantial challenges for clinical assessment, diagnosis, and treatment planning. In this paper, we focus on imaging findings that may suggest fibrotic damage in the lungs, a critical manifestation characterized by scarring of lung tissue, which can potentially affect long-term respiratory function in patients with PASC. This study introduces a novel multi-center chest CT analysis framework that combines deep learning and radiomics for fibrosis prediction. Our approach leverages convolutional neural networks (CNNs) and interpretable feature extraction, achieving 82.2% accuracy and 85.5% AUC in classification tasks. We demonstrate the effectiveness of Grad-CAM visualization and radiomics-based feature analysis in providing clinically relevant insights for PASC-related lung fibrosis prediction. Our findings highlight the potential of deep learning-driven computational methods for early detection and risk assessment of PASC-related lung fibrosis--presented for the first time in the literature.

eess.IV↗

arXiv2025

Is Long Range Sequential Modeling Necessary For Colorectal Tumor Segmentation?

Segmentation of colorectal cancer (CRC) tumors in 3D medical imaging is both complex and clinically critical, providing vital support for effective radiation therapy planning and survival outcome assessment. Recently, 3D volumetric segmentation architectures incorporating long-range sequence modeling mechanisms, such as Transformers and Mamba, have gained attention for their capacity to achieve high accuracy in 3D medical image segmentation. In this work, we evaluate the effectiveness of these global token modeling techniques by pitting them against our proposed MambaOutUNet within the context of our newly introduced colorectal tumor segmentation dataset (CTS-204). Our findings suggest that robust local token interactions can outperform long-range modeling techniques in cases where the region of interest is small and anatomically complex, proposing a potential shift in 3D tumor segmentation research.

cs.CV↗

arXiv2025

PolypDB: A Curated Multi-Center Dataset for Development of AI Algorithms in Colonoscopy

Colonoscopy is the primary method for examination, detection, and removal of polyps. However, challenges such as variations among the endoscopists' skills, bowel quality preparation, and the complex nature of the large intestine contribute to high polyp miss-rate. These missed polyps can develop into cancer later, underscoring the importance of improving the detection methods. To address this gap of lack of publicly available, multi-center large and diverse datasets for developing automatic methods for polyp detection and segmentation, we introduce PolypDB, a large scale publicly available dataset that contains 3934 still polyp images and their corresponding ground truth from real colonoscopy videos. PolypDB comprises images from five modalities: Blue Light Imaging (BLI), Flexible Imaging Color Enhancement (FICE), Linked Color Imaging (LCI), Narrow Band Imaging (NBI), and White Light Imaging (WLI) from three medical centers in Norway, Sweden, and Vietnam. We provide a benchmark on each modality and center, including federated learning settings using popular segmentation and detection benchmarks. PolypDB is public and can be downloaded at \url{https://osf.io/pr7ms/}. More information about the dataset, segmentation, detection, federated learning benchmark and train-test split can be found at \url{https://github.com/DebeshJha/PolypDB}.

cs.CV↗

arXiv2024

Frequency-Based Federated Domain Generalization for Polyp Segmentation

Federated Learning (FL) offers a powerful strategy for training machine learning models across decentralized datasets while maintaining data privacy, yet domain shifts among clients can degrade performance, particularly in medical imaging tasks like polyp segmentation. This paper introduces a novel Frequency-Based Domain Generalization (FDG) framework, utilizing soft-thresholding and hard-thresholding in the Fourier domain to address these challenges. By applying soft-thresholding and hard-thresholding to Fourier coefficients, our method generates new images with reduced background noise and enhances the model's ability to generalize across diverse medical imaging domains. Extensive experiments demonstrate substantial improvements in segmentation accuracy and domain robustness over baseline methods. This innovation integrates frequency domain techniques into FL, presenting a resilient approach to overcoming domain variability in decentralized medical image analysis.

eess.IV↗

arXiv2024

Uncertainty-Guided Cross Attention Ensemble Mean Teacher for Semi-supervised Medical Image Segmentation

This work proposes a novel framework, Uncertainty-Guided Cross Attention Ensemble Mean Teacher (UG-CEMT), for achieving state-of-the-art performance in semi-supervised medical image segmentation. UG-CEMT leverages the strengths of co-training and knowledge distillation by combining a Cross-attention Ensemble Mean Teacher framework (CEMT) inspired by Vision Transformers (ViT) with uncertainty-guided consistency regularization and Sharpness-Aware Minimization emphasizing uncertainty. UG-CEMT improves semi-supervised performance while maintaining a consistent network architecture and task setting by fostering high disparity between sub-networks. Experiments demonstrate significant advantages over existing methods like Mean Teacher and Cross-pseudo Supervision in terms of disparity, domain generalization, and medical image segmentation performance. UG-CEMT achieves state-of-the-art results on multi-center prostate MRI and cardiac MRI datasets, where object segmentation is particularly challenging. Our results show that using only 10\% labeled data, UG-CEMT approaches the performance of fully supervised methods, demonstrating its effectiveness in exploiting unlabeled data for robust medical image segmentation. The code is publicly available at \url{https://github.com/Meghnak13/UG-CEMT}

cs.CV↗

arXiv2024

Transformer-Enhanced Iterative Feedback Mechanism for Polyp Segmentation

Colorectal cancer (CRC) is the third most common cause of cancer diagnosed in the United States and the second leading cause of cancer-related death among both genders. Notably, CRC is the leading cause of cancer in younger men less than 50 years old. Colonoscopy is considered the gold standard for the early diagnosis of CRC. Skills vary significantly among endoscopists, and a high miss rate is reported. Automated polyp segmentation can reduce the missed rates, and timely treatment is possible in the early stage. To address this challenge, we introduce \textit{\textbf{\ac{FANetv2}}}, an advanced encoder-decoder network designed to accurately segment polyps from colonoscopy images. Leveraging an initial input mask generated by Otsu thresholding, FANetv2 iteratively refines its binary segmentation masks through a novel feedback attention mechanism informed by the mask predictions of previous epochs. Additionally, it employs a text-guided approach that integrates essential information about the number (one or many) and size (small, medium, large) of polyps to further enhance its feature representation capabilities. This dual-task approach facilitates accurate polyp segmentation and aids in the auxiliary classification of polyp attributes, significantly boosting the model's performance. Our comprehensive evaluations on the publicly available BKAI-IGH and CVC-ClinicDB datasets demonstrate the superior performance of FANetv2, evidenced by high dice similarity coefficients (DSC) of 0.9186 and 0.9481, along with low Hausdorff distances of 2.83 and 3.19, respectively. The source code for FANetv2 is available at https://github.com/xxxxx/FANetv2.

cs.CV↗

arXiv2024

A Novel Momentum-Based Deep Learning Techniques for Medical Image Classification and Segmentation

Accurately segmenting different organs from medical images is a critical prerequisite for computer-assisted diagnosis and intervention planning. This study proposes a deep learning-based approach for segmenting various organs from CT and MRI scans and classifying diseases. Our study introduces a novel technique integrating momentum within residual blocks for enhanced training dynamics in medical image analysis. We applied our method in two distinct tasks: segmenting liver, lung, & colon data and classifying abdominal pelvic CT and MRI scans. The proposed approach has shown promising results, outperforming state-of-the-art methods on publicly available benchmarking datasets. For instance, in the lung segmentation dataset, our approach yielded significant enhancements over the TransNetR model, including a 5.72% increase in dice score, a 5.04% improvement in mean Intersection over Union (mIoU), an 8.02% improvement in recall, and a 4.42% improvement in precision. Hence, incorporating momentum led to state-of-the-art performance in both segmentation and classification tasks, representing a significant advancement in the field of medical imaging.

cs.CV↗

arXiv2024

Federated Learning in Healthcare: Model Misconducts, Security, Challenges, Applications, and Future Research Directions -- A Systematic Review

Data privacy has become a major concern in healthcare due to the increasing digitization of medical records and data-driven medical research. Protecting sensitive patient information from breaches and unauthorized access is critical, as such incidents can have severe legal and ethical complications. Federated Learning (FL) addresses this concern by enabling multiple healthcare institutions to collaboratively learn from decentralized data without sharing it. FL's scope in healthcare covers areas such as disease prediction, treatment customization, and clinical trial research. However, implementing FL poses challenges, including model convergence in non-IID (independent and identically distributed) data environments, communication overhead, and managing multi-institutional collaborations. A systematic review of FL in healthcare is necessary to evaluate how effectively FL can provide privacy while maintaining the integrity and usability of medical data analysis. In this study, we analyze existing literature on FL applications in healthcare. We explore the current state of model security practices, identify prevalent challenges, and discuss practical applications and their implications. Additionally, the review highlights promising future research directions to refine FL implementations, enhance data security protocols, and expand FL's use to broader healthcare applications, which will benefit future researchers and practitioners.

cs.CR↗

arXiv2024

MDNet: Multi-Decoder Network for Abdominal CT Organs Segmentation

Accurate segmentation of organs from abdominal CT scans is essential for clinical applications such as diagnosis, treatment planning, and patient monitoring. To handle challenges of heterogeneity in organ shapes, sizes, and complex anatomical relationships, we propose a \textbf{\textit{\ac{MDNet}}}, an encoder-decoder network that uses the pre-trained \textit{MiT-B2} as the encoder and multiple different decoder networks. Each decoder network is connected to a different part of the encoder via a multi-scale feature enhancement dilated block. With each decoder, we increase the depth of the network iteratively and refine segmentation masks, enriching feature maps by integrating previous decoders' feature maps. To refine the feature map further, we also utilize the predicted masks from the previous decoder to the current decoder to provide spatial attention across foreground and background regions. MDNet effectively refines the segmentation mask with a high dice similarity coefficient (DSC) of 0.9013 and 0.9169 on the Liver Tumor segmentation (LiTS) and MSD Spleen datasets. Additionally, it reduces Hausdorff distance (HD) to 3.79 for the LiTS dataset and 2.26 for the spleen segmentation dataset, underscoring the precision of MDNet in capturing the complex contours. Moreover, \textit{\ac{MDNet}} is more interpretable and robust compared to the other baseline models.

eess.IV↗

arXiv2024

PAM-UNet: Shifting Attention on Region of Interest in Medical Images

Computer-aided segmentation methods can assist medical personnel in improving diagnostic outcomes. While recent advancements like UNet and its variants have shown promise, they face a critical challenge: balancing accuracy with computational efficiency. Shallow encoder architectures in UNets often struggle to capture crucial spatial features, leading in inaccurate and sparse segmentation. To address this limitation, we propose a novel \underline{P}rogressive \underline{A}ttention based \underline{M}obile \underline{UNet} (\underline{PAM-UNet}) architecture. The inverted residual (IR) blocks in PAM-UNet help maintain a lightweight framework, while layerwise \textit{Progressive Luong Attention} ($\mathcal{PLA}$) promotes precise segmentation by directing attention toward regions of interest during synthesis. Our approach prioritizes both accuracy and speed, achieving a commendable balance with a mean IoU of 74.65 and a dice score of 82.87, while requiring only 1.32 floating-point operations per second (FLOPS) on the Liver Tumor Segmentation Benchmark (LiTS) 2017 dataset. These results highlight the importance of developing efficient segmentation models to accelerate the adoption of AI in clinical practice.

eess.IV↗

arXiv2024

Detection of Peri-Pancreatic Edema using Deep Learning and Radiomics Techniques

Identifying peri-pancreatic edema is a pivotal indicator for identifying disease progression and prognosis, emphasizing the critical need for accurate detection and assessment in pancreatitis diagnosis and management. This study \textit{introduces a novel CT dataset sourced from 255 patients with pancreatic diseases, featuring annotated pancreas segmentation masks and corresponding diagnostic labels for peri-pancreatic edema condition}. With the novel dataset, we first evaluate the efficacy of the \textit{LinTransUNet} model, a linear Transformer based segmentation algorithm, to segment the pancreas accurately from CT imaging data. Then, we use segmented pancreas regions with two distinctive machine learning classifiers to identify existence of peri-pancreatic edema: deep learning-based models and a radiomics-based eXtreme Gradient Boosting (XGBoost). The LinTransUNet achieved promising results, with a dice coefficient of 80.85\%, and mIoU of 68.73\%. Among the nine benchmarked classification models for peri-pancreatic edema detection, \textit{Swin-Tiny} transformer model demonstrated the highest recall of $98.85 \pm 0.42$ and precision of $98.38\pm 0.17$. Comparatively, the radiomics-based XGBoost model achieved an accuracy of $79.61\pm4.04$ and recall of $91.05\pm3.28$, showcasing its potential as a supplementary diagnostic tool given its rapid processing speed and reduced training time. Our code is available \url{https://github.com/NUBagciLab/Peri-Pancreatic-Edema-Detection}.

eess.IV↗

arXiv2024

CT Liver Segmentation via PVT-based Encoding and Refined Decoding

Accurate liver segmentation from CT scans is essential for effective diagnosis and treatment planning. Computer-aided diagnosis systems promise to improve the precision of liver disease diagnosis, disease progression, and treatment planning. In response to the need, we propose a novel deep learning approach, \textit{\textbf{PVTFormer}}, that is built upon a pretrained pyramid vision transformer (PVT v2) combined with advanced residual upsampling and decoder block. By integrating a refined feature channel approach with a hierarchical decoding strategy, PVTFormer generates high quality segmentation masks by enhancing semantic features. Rigorous evaluation of the proposed method on Liver Tumor Segmentation Benchmark (LiTS) 2017 demonstrates that our proposed architecture not only achieves a high dice coefficient of 86.78\%, mIoU of 78.46\%, but also obtains a low HD of 3.50. The results underscore PVTFormer's efficacy in setting a new benchmark for state-of-the-art liver segmentation methods. The source code of the proposed PVTFormer is available at \url{https://github.com/DebeshJha/PVTFormer}.

eess.IV↗