arXiv subjects

Luca Molinaro

Publications and source records attributed to Luca Molinaro.

3 recordsLinked to original sources

arXiv2026

Validation of an AI-based end-to-end model for prostate pathology using long-term archived routine samples

Artificial intelligence (AI) is becoming a clinical tool for prostate pathology, but generalization across variations in sample preparation and preservation over prolonged time periods remains poorly understood. We evaluated GleasonAI, an end-to-end attention-based multiple instance learning model, on an independent validation cohort comprising 10,366 biopsy cores from 1,028 patients across 14 Swedish regions, using archival diagnostic specimens from the ProMort cohorts collected between 1998-2015. The model achieved an overall quadratic-weighted kappa of 0.86 for core-level ISUP grading, comparable to several experienced pathologists and consistent across geographic regions. Notably, performance remained stable across the 17-year collection period, demonstrating robustness to time-related variation in archival material, a property not consistently observed with foundation model-based approaches, with exploratory analysis demonstrating a significant prognostic gradient across AI-assigned grade groups for prostate cancer-specific mortality. These findings support the generalizability of the AI grading model and demonstrate the potential of pathology archives as a large-scale resource for AI development, validation, and retrospective prognostic research.

cs.CV↗

arXiv2024

If you can describe it, they can see it: Cross-Modal Learning of Visual Concepts from Textual Descriptions

Humans can visualize new and unknown concepts from their natural language description, based on their experience and previous knowledge. Insipired by this, we present a way to extend this ability to Vision-Language Models (VLMs), teaching them novel concepts by only using a textual description. We refer to this approach as Knowledge Transfer (KT). Our hypothesis is that the knowledge of a pre-trained VLM can be re-used to represent previously unknown concepts. Provided with a textual description of the novel concept, KT works by aligning relevant features of the visual encoder, obtained through model inversion, to its text representation. Differently from approaches relying on visual examples or external generative models, KT transfers knowledge within the same VLM by injecting visual knowledge directly from the text. Through an extensive evaluation on several VLM tasks, including classification, segmentation, image-text retrieval, and captioning, we show that: 1) KT can efficiently introduce new visual concepts from a single textual description; 2) the same principle can be used to refine the representation of existing concepts; and 3) KT significantly improves the performance of zero-shot VLMs.

cs.CV↗

arXiv2024

Say My Name: a Model's Bias Discovery Framework

In the last few years, due to the broad applicability of deep learning to downstream tasks and end-to-end training capabilities, increasingly more concerns about potential biases to specific, non-representative patterns have been raised. Many works focusing on unsupervised debiasing usually leverage the tendency of deep models to learn ``easier'' samples, for example by clustering the latent space to obtain bias pseudo-labels. However, the interpretation of such pseudo-labels is not trivial, especially for a non-expert end user, as it does not provide semantic information about the bias features. To address this issue, we introduce ``Say My Name'' (SaMyNa), the first tool to identify biases within deep models semantically. Unlike existing methods, our approach focuses on biases learned by the model. Our text-based pipeline enhances explainability and supports debiasing efforts: applicable during either training or post-hoc validation, our method can disentangle task-related information and proposes itself as a tool to analyze biases. Evaluation on traditional benchmarks demonstrates its effectiveness in detecting biases and even disclaiming them, showcasing its broad applicability for model diagnosis.

cs.LG↗