arXiv subjects

Linda Shapiro

Publications and source records attributed to Linda Shapiro.

At least 19 recordsLinked to original sources

arXiv2026

Measuring Epistemic Resilience of LLMs Under Misleading Medical Context

Large language models (LLMs) now reach expert-level scores on medical licensing exams, encouraging the assumption that high scores imply safe medical judgment while patients increasingly use them for health advice. We show this assumption is fragile: when misleading context is injected into questions that LLMs originally answer correctly, they abandon the correct answer. We call the ability to maintain correct judgment under adversarial context epistemic resilience, and introduce MedMisBench to measure it. MedMisBench contains 10,932 medical question items and 48,889 misleading context-option pairs spanning medical reasoning, agentic capability, and patient-journey evaluation. Across 11 model configurations, mean accuracy falls from 71.1% on original questions to 38.0% under focused misleading context, with 51.5% attack success. The most damaging injections are formal, rule-like fabrications: authority-framed falsehoods reach 69.5% attack success and exception-poisoning claims reach 64.1%. A 14-member clinical panel from 7 countries identified serious potential harm in 38.2% of reviewed cases. MedMisBench exposes a structural blind spot in LLM evaluation in medical settings: existing benchmarks measure what models know, but not whether they preserve correct medical judgment under misleading context.

cs.CL↗

arXiv2026

Imaginative Perception Tokens Enhance Spatial Reasoning in Multimodal Language Models

Vision language models (VLMs) excel at many tasks but still struggle with spatial reasoning when critical information is not directly observable. Many such problems require imaginative perception: inferring what would be seen from an unseen viewpoint, tracing paths through occluded spaces, or integrating partial observations into a coherent spatial representation. We introduce Imaginative Perception Tokens (IPT), intermediate perceptual representations that externalize what a VLM would perceive under alternative spatial configurations while remaining consistent with the observed input. To study this capability, we formulate three tasks, Perspective Taking (PET), Path Tracing (PT), and Multiview Counting (MVC), and construct datasets of approximately 20K examples with ground truth imaginations, answers, and evaluation benchmarks. Using the unified VLM BAGEL as the backbone, IPT supervision consistently improves spatial reasoning and often outperforms textual chain of thought training, even without generating images at inference time. On MVC, IPT improves accuracy by 3.4% and achieves competitive performance with strong closed-source models on PT. We further find that combining IPT and label-only supervision yields additional gains, whereas textual chain of thought can substantially degrade performance, suggesting a modality mismatch when spatial computation is forced through language. Overall, IPT provides a principled supervision signal for reasoning about unobserved spatial structure, improving generalization while producing interpretable intermediate representations.

cs.AI↗

arXiv2026

Detector-in-the-Loop Tracking: Active Memory Rectification for Stable Glottic Opening Localization

Temporal stability in glottic opening localization remains challenging due to the complementary weaknesses of single-frame detectors and foundation-model trackers: the former lacks temporal context, while the latter suffers from memory drift. Specifically, in video laryngoscopy, rapid tissue deformation, occlusions, and visual ambiguities in emergency settings require a robust, temporally aware solution that can prevent progressive tracking errors. We propose Closed-Loop Memory Correction (CL-MC), a detector-in-the-loop framework that supervises Segment Anything Model 2(SAM2) through confidence-aligned state decisions and active memory rectification. High-confidence detections trigger semantic resets that overwrite corrupted tracker memory, effectively mitigating drift accumulation with a training-free foundation tracker in complex endoscopic scenes. On emergency intubation videos, CL-MC achieves state-of-the-art performance, significantly reducing drift and missing rate compared with the SAM2 variants and open loop based methods. Our results establish memory correction as a crucial component for reliable clinical video tracking. Our code will be available in https://github.com/huayuww/CL-MR.

cs.CV↗

arXiv2025

Unified and Semantically Grounded Domain Adaptation for Medical Image Segmentation

Most prior unsupervised domain adaptation approaches for medical image segmentation are narrowly tailored to either the source-accessible setting, where adaptation is guided by source-target alignment, or the source-free setting, which typically resorts to implicit adaptation mechanisms such as pseudo-labeling and network distillation. This substantial divergence in methodological designs between the two settings reveals an inherent flaw: the lack of an explicit, structured construction of anatomical knowledge that naturally generalizes across domains and settings. To bridge this longstanding divide, we introduce a unified, semantically grounded framework that supports both source-accessible and source-free adaptation. Fundamentally distinct from all prior works, our framework's adaptability emerges naturally as a direct consequence of the model architecture, without relying on explicit cross-domain alignment strategies. Specifically, our model learns a domain-agnostic probabilistic manifold as a global space of anatomical regularities, mirroring how humans establish visual understanding. Thus, the structural content in each image can be interpreted as a canonical anatomy retrieved from the manifold and a spatial transformation capturing individual-specific geometry. This disentangled, interpretable formulation enables semantically meaningful prediction with intrinsic adaptability. Extensive experiments on challenging cardiac and abdominal datasets show that our framework achieves state-of-the-art results in both settings, with source-free performance closely approaching its source-accessible counterpart, a level of consistency rarely observed in prior works. The results provide a principled foundation for anatomically informed, interpretable, and unified solutions for domain adaptation in medical imaging. The code is available at https://github.com/wxdrizzle/remind

cs.CV↗

arXiv2025

MedBLINK: Probing Basic Perception in Multimodal Language Models for Medicine

Multimodal language models (MLMs) show promise for clinical decision support and diagnostic reasoning, raising the prospect of end-to-end automated medical image interpretation. However, clinicians are highly selective in adopting AI tools; a model that makes errors on seemingly simple perception tasks such as determining image orientation or identifying whether a CT scan is contrast-enhance are unlikely to be adopted for clinical tasks. We introduce Medblink, a benchmark designed to probe these models for such perceptual abilities. Medblink spans eight clinically meaningful tasks across multiple imaging modalities and anatomical regions, totaling 1,429 multiple-choice questions over 1,605 images. We evaluate 19 state-of-the-art MLMs, including general purpose (GPT4o, Claude 3.5 Sonnet) and domain specific (Med Flamingo, LLaVA Med, RadFM) models. While human annotators achieve 96.4% accuracy, the best-performing model reaches only 65%. These results show that current MLMs frequently fail at routine perceptual checks, suggesting the need to strengthen their visual grounding to support clinical adoption. Data is available on our project page.

cs.AI↗

arXiv2025

BADGR: Bundle Adjustment Diffusion Conditioned by GRadients for Wide-Baseline Floor Plan Reconstruction

Reconstructing precise camera poses and floor plan layouts from wide-baseline RGB panoramas is a difficult and unsolved problem. We introduce BADGR, a novel diffusion model that jointly performs reconstruction and bundle adjustment (BA) to refine poses and layouts from a coarse state, using 1D floor boundary predictions from dozens of images of varying input densities. Unlike a guided diffusion model, BADGR is conditioned on dense per-entity outputs from a single-step Levenberg Marquardt (LM) optimizer and is trained to predict camera and wall positions while minimizing reprojection errors for view-consistency. The objective of layout generation from denoising diffusion process complements BA optimization by providing additional learned layout-structural constraints on top of the co-visible features across images. These constraints help BADGR to make plausible guesses on spatial relations which help constrain pose graph, such as wall adjacency, collinearity, and learn to mitigate errors from dense boundary observations with global contexts. BADGR trains exclusively on 2D floor plans, simplifying data acquisition, enabling robust augmentation, and supporting variety of input densities. Our experiments and analysis validate our method, which significantly outperforms the state-of-the-art pose and floor plan layout reconstruction with different input densities.

cs.CV↗

arXiv2025

CrossFusion: A Multi-Scale Cross-Attention Convolutional Fusion Model for Cancer Survival Prediction

Cancer survival prediction from whole slide images (WSIs) is a challenging task in computational pathology due to the large size, irregular shape, and high granularity of the WSIs. These characteristics make it difficult to capture the full spectrum of patterns, from subtle cellular abnormalities to complex tissue interactions, which are crucial for accurate prognosis. To address this, we propose CrossFusion, a novel multi-scale feature integration framework that extracts and fuses information from patches across different magnification levels. By effectively modeling both scale-specific patterns and their interactions, CrossFusion generates a rich feature set that enhances survival prediction accuracy. We validate our approach across six cancer types from public datasets, demonstrating significant improvements over existing state-of-the-art methods. Moreover, when coupled with domain-specific feature extraction backbones, our method shows further gains in prognostic performance compared to general-purpose backbones. The source code is available at: https://github.com/RustinS/CrossFusion

eess.IV↗

arXiv2025

RemInD: Remembering Anatomical Variations for Interpretable Domain Adaptive Medical Image Segmentation

This work presents a novel Bayesian framework for unsupervised domain adaptation (UDA) in medical image segmentation. While prior works have explored this clinically significant task using various strategies of domain alignment, they often lack an explicit and explainable mechanism to ensure that target image features capture meaningful structural information. Besides, these methods are prone to the curse of dimensionality, inevitably leading to challenges in interpretability and computational efficiency. To address these limitations, we propose RemInD, a framework inspired by human adaptation. RemInD learns a domain-agnostic latent manifold, characterized by several anchors, to memorize anatomical variations. By mapping images onto this manifold as weighted anchor averages, our approach ensures realistic and reliable predictions. This design mirrors how humans develop representative components to understand images and then retrieve component combinations from memory to guide segmentation. Notably, model prediction is determined by two explainable factors: a low-dimensional anchor weight vector, and a spatial deformation. This design facilitates computationally efficient and geometry-adherent adaptation by aligning weight vectors between domains on a probability simplex. Experiments on two public datasets, encompassing cardiac and abdominal imaging, demonstrate the superiority of RemInD, which achieves state-of-the-art performance using a single alignment approach, outperforming existing methods that often rely on multiple complex alignment strategies.

cs.CV↗

arXiv2025

PathFinder: A Multi-Modal Multi-Agent System for Medical Diagnostic Decision-Making Applied to Histopathology

Diagnosing diseases through histopathology whole slide images (WSIs) is fundamental in modern pathology but is challenged by the gigapixel scale and complexity of WSIs. Trained histopathologists overcome this challenge by navigating the WSI, looking for relevant patches, taking notes, and compiling them to produce a final holistic diagnostic. Traditional AI approaches, such as multiple instance learning and transformer-based models, fail short of such a holistic, iterative, multi-scale diagnostic procedure, limiting their adoption in the real-world. We introduce PathFinder, a multi-modal, multi-agent framework that emulates the decision-making process of expert pathologists. PathFinder integrates four AI agents, the Triage Agent, Navigation Agent, Description Agent, and Diagnosis Agent, that collaboratively navigate WSIs, gather evidence, and provide comprehensive diagnoses with natural language explanations. The Triage Agent classifies the WSI as benign or risky; if risky, the Navigation and Description Agents iteratively focus on significant regions, generating importance maps and descriptive insights of sampled patches. Finally, the Diagnosis Agent synthesizes the findings to determine the patient's diagnostic classification. Our Experiments show that PathFinder outperforms state-of-the-art methods in skin melanoma diagnosis by 8% while offering inherent explainability through natural language descriptions of diagnostically relevant patches. Qualitative analysis by pathologists shows that the Description Agent's outputs are of high quality and comparable to GPT-4o. PathFinder is also the first AI-based system to surpass the average performance of pathologists in this challenging melanoma classification task by 9%, setting a new record for efficient, accurate, and interpretable AI-assisted diagnostics in pathology. Data, code and models available at https://pathfinder-dx.github.io/

cs.CV↗

arXiv2025

MedicalNarratives: Connecting Medical Vision and Language with Localized Narratives

Multi-modal models are data hungry. While datasets with natural images are abundant, medical image datasets can not afford the same luxury. To enable representation learning for medical images at scale, we turn to YouTube, a platform with a large reservoir of open-source medical pedagogical videos. We curate MedicalNarratives, a dataset 4.7M medical image-text pairs, with 1M samples containing dense annotations in the form of spatial traces (and bounding boxes), and 118K videos centered on the trace event (with aligned text), enabling spatiotemporal grounding beyond single frames. Similar to $\textit{think-aloud}$ studies where instructors speak while hovering their mouse cursor movements over relevant image regions, 1M images in MedicalNarratives contains localized mouse traces in image pixels, creating a spatial and temporal association between the text and pixels. To evaluate the utility of MedicalNarratives, we train GenMedClip with a CLIP-like objective using our dataset spanning 12 medical domains. GenMedClip outperforms previous state-of-the-art models on all 12 domains on a newly constructed medical imaging benchmark. $\href{https://huggingface.co/datasets/wisdomik/MedicalNarratives}{[Data]}$

cs.CV↗

arXiv2024

Generating Seamless Virtual Immunohistochemical Whole Slide Images with Content and Color Consistency

Immunohistochemical (IHC) stains play a vital role in a pathologist's analysis of medical images, providing crucial diagnostic information for various diseases. Virtual staining from hematoxylin and eosin (H&E)-stained whole slide images (WSIs) allows the automatic production of other useful IHC stains without the expensive physical staining process. However, current virtual WSI generation methods based on tile-wise processing often suffer from inconsistencies in content, texture, and color at tile boundaries. These inconsistencies lead to artifacts that compromise image quality and potentially hinder accurate clinical assessment and diagnoses. To address this limitation, we propose a novel consistent WSI synthesis network, CC-WSI-Net, that extends GAN models to produce seamless synthetic whole slide images. Our CC-WSI-Net integrates a content- and color-consistency supervisor, ensuring consistency across tiles and facilitating the generation of seamless synthetic WSIs while ensuring Sox10 immunohistochemistry accuracy in melanocyte detection. We validate our method through extensive image-quality analyses, objective detection assessments, and a subjective survey with pathologists. By generating high-quality synthetic WSIs, our method opens doors for advanced virtual staining techniques with broader applications in research and clinical care.

eess.IV↗

arXiv2024

Bayesian Unsupervised Disentanglement of Anatomy and Geometry for Deep Groupwise Image Registration

This article presents a general Bayesian learning framework for multi-modal groupwise image registration. The method builds on probabilistic modelling of the image generative process, where the underlying common anatomy and geometric variations of the observed images are explicitly disentangled as latent variables. Therefore, groupwise image registration is achieved via hierarchical Bayesian inference. We propose a novel hierarchical variational auto-encoding architecture to realise the inference procedure of the latent variables, where the registration parameters can be explicitly estimated in a mathematically interpretable fashion. Remarkably, this new paradigm learns groupwise image registration in an unsupervised closed-loop self-reconstruction process, sparing the burden of designing complex image-based similarity measures. The computationally efficient disentangled network architecture is also inherently scalable and flexible, allowing for groupwise registration on large-scale image groups with variable sizes. Furthermore, the inferred structural representations from multi-modal images via disentanglement learning are capable of capturing the latent anatomy of the observations with visual semantics. Extensive experiments were conducted to validate the proposed framework, including four different datasets from cardiac, brain, and abdominal medical images. The results have demonstrated the superiority of our method over conventional similarity-based approaches in terms of accuracy, efficiency, scalability, and interpretability.

cs.CV↗

arXiv2023

Quilt-LLaVA: Visual Instruction Tuning by Extracting Localized Narratives from Open-Source Histopathology Videos

Diagnosis in histopathology requires a global whole slide images (WSIs) analysis, requiring pathologists to compound evidence from different WSI patches. The gigapixel scale of WSIs poses a challenge for histopathology multi-modal models. Training multi-model models for histopathology requires instruction tuning datasets, which currently contain information for individual image patches, without a spatial grounding of the concepts within each patch and without a wider view of the WSI. Therefore, they lack sufficient diagnostic capacity for histopathology. To bridge this gap, we introduce Quilt-Instruct, a large-scale dataset of 107,131 histopathology-specific instruction question/answer pairs, grounded within diagnostically relevant image patches that make up the WSI. Our dataset is collected by leveraging educational histopathology videos from YouTube, which provides spatial localization of narrations by automatically extracting the narrators' cursor positions. Quilt-Instruct supports contextual reasoning by extracting diagnosis and supporting facts from the entire WSI. Using Quilt-Instruct, we train Quilt-LLaVA, which can reason beyond the given single image patch, enabling diagnostic reasoning across patches. To evaluate Quilt-LLaVA, we propose a comprehensive evaluation dataset created from 985 images and 1283 human-generated question-answers. We also thoroughly evaluate Quilt-LLaVA using public histopathology datasets, where Quilt-LLaVA significantly outperforms SOTA by over 10% on relative GPT-4 score and 4% and 9% on open and closed set VQA. Our code, data, and model are publicly accessible at quilt-llava.github.io.

cs.CV↗

arXiv2023

Quilt-1M: One Million Image-Text Pairs for Histopathology

Recent accelerations in multi-modal applications have been made possible with the plethora of image and text data available online. However, the scarcity of analogous data in the medical field, specifically in histopathology, has slowed comparable progress. To enable similar representation learning for histopathology, we turn to YouTube, an untapped resource of videos, offering $1,087$ hours of valuable educational histopathology videos from expert clinicians. From YouTube, we curate QUILT: a large-scale vision-language dataset consisting of $802, 144$ image and text pairs. QUILT was automatically curated using a mixture of models, including large language models, handcrafted algorithms, human knowledge databases, and automatic speech recognition. In comparison, the most comprehensive datasets curated for histopathology amass only around $200$K samples. We combine QUILT with datasets from other sources, including Twitter, research papers, and the internet in general, to create an even larger dataset: QUILT-1M, with $1$M paired image-text samples, marking it as the largest vision-language histopathology dataset to date. We demonstrate the value of QUILT-1M by fine-tuning a pre-trained CLIP model. Our model outperforms state-of-the-art models on both zero-shot and linear probing tasks for classifying new histopathology images across $13$ diverse patch-level datasets of $8$ different sub-pathologies and cross-modal retrieval tasks.

cs.CV↗

arXiv2022

Multi-modal Masked Autoencoders Learn Compositional Histopathological Representations

Self-supervised learning (SSL) enables learning useful inductive biases through utilizing pretext tasks that require no labels. The unlabeled nature of SSL makes it especially important for whole slide histopathological images (WSIs), where patch-level human annotation is difficult. Masked Autoencoders (MAE) is a recent SSL method suitable for digital pathology as it does not require negative sampling and requires little to no data augmentations. However, the domain shift between natural images and digital pathology images requires further research in designing MAE for patch-level WSIs. In this paper, we investigate several design choices for MAE in histopathology. Furthermore, we introduce a multi-modal MAE (MMAE) that leverages the specific compositionality of Hematoxylin & Eosin (H&E) stained WSIs. We performed our experiments on the public patch-level dataset NCT-CRC-HE-100K. The results show that the MMAE architecture outperforms supervised baselines and other state-of-the-art SSL techniques for an eight-class tissue phenotyping task, utilizing only 100 labeled samples for fine-tuning. Our code is available at https://github.com/wisdomikezogwo/MMAE_Pathology

cs.CV↗

arXiv2022

Brain-Aware Replacements for Supervised Contrastive Learning in Detection of Alzheimer's Disease

We propose a novel framework for Alzheimer's disease (AD) detection using brain MRIs. The framework starts with a data augmentation method called Brain-Aware Replacements (BAR), which leverages a standard brain parcellation to replace medically-relevant 3D brain regions in an anchor MRI from a randomly picked MRI to create synthetic samples. Ground truth "hard" labels are also linearly mixed depending on the replacement ratio in order to create "soft" labels. BAR produces a great variety of realistic-looking synthetic MRIs with higher local variability compared to other mix-based methods, such as CutMix. On top of BAR, we propose using a soft-label-capable supervised contrastive loss, aiming to learn the relative similarity of representations that reflect how mixed are the synthetic MRIs using our soft labels. This way, we do not fully exhaust the entropic capacity of our hard labels, since we only use them to create soft labels and synthetic MRIs through BAR. We show that a model pre-trained using our framework can be further fine-tuned with a cross-entropy loss using the hard labels that were used to create the synthetic samples. We validated the performance of our framework in a binary AD detection task against both from-scratch supervised training and state-of-the-art self-supervised training plus fine-tuning approaches. Then we evaluated BAR's individual performance compared to another mix-based method CutMix by integrating it within our framework. We show that our framework yields superior results in both precision and recall for the AD detection task.

cs.CV↗

arXiv2021

Learning Oculomotor Behaviors from Scanpath

Identifying oculomotor behaviors relevant for eye-tracking applications is a critical but often challenging task. Aiming to automatically learn and extract knowledge from existing eye-tracking data, we develop a novel method that creates rich representations of oculomotor scanpaths to facilitate the learning of downstream tasks. The proposed stimulus-agnostic Oculomotor Behavior Framework (OBF) model learns human oculomotor behaviors from unsupervised and semi-supervised tasks, including reconstruction, predictive coding, fixation identification, and contrastive learning tasks. The resultant pre-trained OBF model can be used in a variety of applications. Our pre-trained model outperforms baseline approaches and traditional scanpath methods in autism spectrum disorder and viewed-stimulus classification tasks. Ablation experiments further show our proposed method could achieve even better results with larger model sizes and more diverse eye-tracking training datasets, supporting the model's potential for future eye-tracking applications. Open source code: http://github.com/BeibinLi/OBF.

cs.CV↗

arXiv2021

Semi-supervised Synthesis of High-Resolution Editable Textures for 3D Humans

We introduce a novel approach to generate diverse high fidelity texture maps for 3D human meshes in a semi-supervised setup. Given a segmentation mask defining the layout of the semantic regions in the texture map, our network generates high-resolution textures with a variety of styles, that are then used for rendering purposes. To accomplish this task, we propose a Region-adaptive Adversarial Variational AutoEncoder (ReAVAE) that learns the probability distribution of the style of each region individually so that the style of the generated texture can be controlled by sampling from the region-specific distributions. In addition, we introduce a data generation technique to augment our training set with data lifted from single-view RGB inputs. Our training strategy allows the mixing of reference image styles with arbitrary styles for different regions, a property which can be valuable for virtual try-on AR/VR applications. Experimental results show that our method synthesizes better texture maps compared to prior work while enabling independent layout and style controllability.

cs.CV↗