arXiv subjects

Moritz Vandenhirtz

Publications and source records attributed to Moritz Vandenhirtz.

At least 19 recordsLinked to original sources

arXiv2026

Reading the Whole Heart: Latent-Attention Masked Autoencoders for Multimodal Cardiac Representation Learning

Cardiovascular diagnosis rests on integrating complementary modalities, like ECG, echocardiography, chest radiographs, and clinical variables, each capturing distinct but correlated aspects of cardiac physiology. Yet most medical foundation models remain modality-specific, combining modalities only for finetuning or post-training. This discards the cross-modal evidence clinicians naturally integrate and ignores the structure within each modality. We introduce Latent-Attention Masked Autoencoders (LAMAE), a multimodal, structure-aware masked autoencoder that jointly learns patient-level representations during self-supervised pretraining. Rather than fusing modalities post hoc, LAMAE exchanges information directly in the latent space through a shared latent-attention module operating over a study-view-entity hierarchy, enabling aggregation of variable observations and graceful handling of missing modalities. Pretrained on over 1.2 million MIMIC-IV hospital stays, LAMAE outperforms modality-specific pretraining and strong contrastive and vision-language baselines across multimodal hospital-stay tasks, such as in-hospital mortality, ICD-10 and DRG coding, and length of stay, while remaining competitive on unimodal tasks. These gains persist even when only a single modality is available at test time, showing that modeling both intra- and inter-modal structure yields more robust, transferable representations.

cs.AI↗

arXiv2026

Bowel Obstruction Detection and Localization on Abdominal CT with Deep Learning

Bowel obstruction is a common and potentially life-threatening gastrointestinal condition. In the face of rising diagnostic workloads, the automated diagnosis of bowel obstruction on CT scans supports radiologists by accelerating detection and improving patient outcomes. In this work, we propose a deep learning framework with a multi-task objective that jointly detects bowel obstruction and localizes its transition zone. Additionally, we extend the method with an inherently interpretable classification method that locates the suspected transition point within a slice. It does so by learning a probabilistic selection mask that faithfully bases the classifier's prediction solely on a small image region. The proposed method is evaluated on an internal dataset comprising 1,427 abdominal CTs. Here, the model achieves an obstruction detection test accuracy of 93% and a Hit@10 transition zone localization of 95%. As the first method to reliably localize the transition zone, this marks a significant step towards the automated identification of this critical clinical landmark.

cs.CV↗

arXiv2026

Foundation Model for Cardiac Time Series via Masked Latent Attention

Electrocardiograms (ECGs) are among the most widely available clinical signals and play a central role in cardiovascular diagnosis. While recent foundation models (FMs) have shown promise for learning transferable ECG representations, most existing pretraining approaches treat leads as independent channels and fail to explicitly leverage their strong structural redundancy. We introduce the latent attention masked autoencoder (LAMAE) FM that directly exploits this structure by learning cross-lead connection mechanisms during self-supervised pretraining. Our approach models higher-order interactions across leads through latent attention, enabling permutation-invariant aggregation and adaptive weighting of lead-specific representations. We provide empirical evidence on the Mimic-IV-ECG database that leveraging the cross-lead connection constitutes an effective form of structural supervision, improving representation quality and transferability. Our method shows strong performance in predicting ICD-10 codes, outperforming independent-lead masked modeling and alignment-based baselines.

cs.LG↗

arXiv2026

Beyond Independent Frames: Latent Attention Masked Autoencoders for Multi-View Echocardiography

Echocardiography is a widely used modality for cardiac assessment due to its non-invasive and cost-effective nature, but the sparse and heterogeneous spatiotemporal views of the heart pose distinct challenges. Existing masked autoencoder (MAE) approaches typically process images or short clips independently, failing to capture the inherent multi-view structure required for coherent cardiac representation. We introduce Latent Attention Masked Autoencoder (LAMAE), a foundation model architecture tailored to the multi-view nature of medical imaging. LAMAE augments the standard MAE with a latent attention module that enables information exchange across frames and views directly in latent space. This allows the model to aggregate variable-length sequences and distinct views, reconstructing a holistic representation of cardiac function from partial observations. We pretrain LAMAE on MIMIC-IV-ECHO, a large-scale, uncurated dataset reflecting real-world clinical variability. To the best of our knowledge, we present the first results for predicting ICD-10 codes from MIMIC-IV-ECHO videos. Furthermore, we empirically demonstrate that representations learned from adult data transfer effectively to pediatric cohorts despite substantial anatomical differences. These results provide evidence that incorporating structural priors, such as multi-view attention, yields significantly more robust and transferable representations.

cs.CV↗

arXiv2026

Structure is Supervision: Multiview Masked Autoencoders for Radiology

Building robust medical machine learning systems requires pretraining strategies that exploit the intrinsic structure present in clinical data. We introduce Multiview Masked Autoencoder (MVMAE), a self-supervised framework that leverages the natural multi-view organization of radiology studies to learn view-invariant and disease-relevant representations. MVMAE combines masked image reconstruction with cross-view alignment, transforming clinical redundancy across projections into a powerful self-supervisory signal. We further extend this approach with MVMAE-V2T, which incorporates radiology reports as an auxiliary text-based learning signal to enhance semantic grounding while preserving fully vision-based inference. Evaluated on a downstream disease classification task on three large-scale public datasets, MIMIC-CXR, CheXpert, and PadChest, MVMAE consistently outperforms supervised and vision-language baselines. Furthermore, MVMAE-V2T provides additional gains, particularly in low-label regimes where structured textual supervision is most beneficial. Together, these results establish the importance of structural and textual supervision as complementary paths toward scalable, clinically grounded medical foundation models.

cs.CV↗

arXiv2026

Rethinking Machine Unlearning: Models Designed to Forget via Key Deletion

Machine unlearning is rapidly becoming a practical requirement, driven by privacy regulations, data errors, and the need to remove harmful or corrupted training samples. Despite this, most existing methods tackle the problem purely from a post-hoc perspective. They attempt to erase the influence of targeted training samples through parameter updates that typically require access to the full training data. This creates a mismatch with real deployment scenarios where unlearning requests can be anticipated, revealing a fundamental limitation of post-hoc approaches. We propose unlearning by design, a novel paradigm in which models are directly trained to support forgetting as an inherent capability. We instantiate this idea with Machine UNlearning via KEY deletion (MUNKEY), a memory augmented transformer that decouples instance-specific memorization from model weights. Here, unlearning corresponds to removing the instance-identifying key, enabling direct zero-shot forgetting without weight updates or access to the original samples or labels. Across natural image benchmarks, fine-grained recognition, and medical datasets, MUNKEY outperforms all post-hoc baselines. Our results establish that unlearning by design enables fast, deployment-oriented unlearning while preserving predictive performance.

cs.LG↗

arXiv2026

Post-hoc Stochastic Concept Bottleneck Models

Concept Bottleneck Models (CBMs) are interpretable models that predict the target variable through high-level human-understandable concepts, allowing users to intervene on mispredicted concepts to adjust the final output. While recent work has shown that modeling dependencies between concepts can improve CBM performance, especially under interventions, such approaches typically require retraining the entire model, which may be infeasible when access to the original data or compute is limited. In this paper, we introduce Post-hoc Stochastic Concept Bottleneck Models (PSCBMs), a lightweight method that augments any pre-trained CBM with a multivariate normal distribution over concepts by adding only a small covariance-prediction module, without retraining the backbone model. We propose two training strategies and show on real-world data that PSCBMs consistently match or improve both concept and target accuracy over standard CBMs at test time. Furthermore, we show that due to the modeling of concept dependencies, PSCBMs perform much better than CBMs under interventions, while remaining far more efficient than retraining a similar stochastic model from scratch.

cs.LG↗

arXiv2026

Multimodal Generative Recommendation for Fusing Semantic and Collaborative Signals

Sequential recommender systems rank relevant items by modeling a user's interaction history and computing the inner product between the resulting user representation and stored item embeddings. To avoid the significant memory overhead of storing large item sets, the generative recommendation paradigm instead models each item as a series of discrete semantic codes. Here, the next item is predicted by an autoregressive model that generates the code sequence corresponding to the predicted item. However, despite promising ranking capabilities on small datasets, these methods have yet to surpass traditional sequential recommenders on large item sets, limiting their adoption in the very scenarios they were designed to address. To resolve this, we propose MSCGRec, a Multimodal Semantic and Collaborative Generative Recommender. MSCGRec incorporates multiple semantic modalities and introduces a novel self-supervised quantization learning approach for images based on the DINO framework. Additionally, MSCGRec fuses collaborative and semantic signals by extracting collaborative features from sequential recommenders and treating them as a separate modality. Finally, we propose constrained sequence learning that restricts the large output space during training to the set of permissible tokens. We empirically demonstrate on three large real-world datasets that MSCGRec outperforms both sequential and generative recommendation baselines and provide an extensive ablation study to validate the impact of each component.

cs.IR↗

arXiv2025

From Logits to Hierarchies: Hierarchical Clustering made Simple

The hierarchical structure inherent in many real-world datasets makes the modeling of such hierarchies a crucial objective in both unsupervised and supervised machine learning. While recent advancements have introduced deep architectures specifically designed for hierarchical clustering, we adopt a critical perspective on this line of research. Our findings reveal that these methods face significant limitations in scalability and performance when applied to realistic datasets. Given these findings, we present an alternative approach and introduce a lightweight method that builds on pre-trained non-hierarchical clustering models. Remarkably, our approach outperforms specialized deep models for hierarchical clustering, and it is broadly applicable to any pre-trained clustering model that outputs logits, without requiring any fine-tuning. To highlight the generality of our approach, we extend its application to a supervised setting, demonstrating its ability to recover meaningful hierarchies from a pre-trained ImageNet classifier. Our results establish a practical and effective alternative to existing deep hierarchical clustering methods, with significant advantages in efficiency, scalability and performance.

cs.LG↗

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

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

Measuring Leakage in Concept-Based Methods: An Information Theoretic Approach

Concept Bottleneck Models (CBMs) aim to enhance interpretability by structuring predictions around human-understandable concepts. However, unintended information leakage, where predictive signals bypass the concept bottleneck, compromises their transparency. This paper introduces an information-theoretic measure to quantify leakage in CBMs, capturing the extent to which concept embeddings encode additional, unintended information beyond the specified concepts. We validate the measure through controlled synthetic experiments, demonstrating its effectiveness in detecting leakage trends across various configurations. Our findings highlight that feature and concept dimensionality significantly influence leakage, and that classifier choice impacts measurement stability, with XGBoost emerging as the most reliable estimator. Additionally, preliminary investigations indicate that the measure exhibits the anticipated behavior when applied to soft joint CBMs, suggesting its reliability in leakage quantification beyond fully synthetic settings. While this study rigorously evaluates the measure in controlled synthetic experiments, future work can extend its application to real-world datasets.

cs.LG↗

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↗

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↗

arXiv2024

Beyond Concept Bottleneck Models: How to Make Black Boxes Intervenable?

Recently, interpretable machine learning has re-explored concept bottleneck models (CBM). An advantage of this model class is the user's ability to intervene on predicted concept values, affecting the downstream output. In this work, we introduce a method to perform such concept-based interventions on pretrained neural networks, which are not interpretable by design, only given a small validation set with concept labels. Furthermore, we formalise the notion of intervenability as a measure of the effectiveness of concept-based interventions and leverage this definition to fine-tune black boxes. Empirically, we explore the intervenability of black-box classifiers on synthetic tabular and natural image benchmarks. We focus on backbone architectures of varying complexity, from simple, fully connected neural nets to Stable Diffusion. We demonstrate that the proposed fine-tuning improves intervention effectiveness and often yields better-calibrated predictions. To showcase the practical utility of our techniques, we apply them to deep chest X-ray classifiers and show that fine-tuned black boxes are more intervenable than CBMs. Lastly, we establish that our methods are still effective under vision-language-model-based concept annotations, alleviating the need for a human-annotated validation set.

cs.LG↗

arXiv2024

Stochastic Concept Bottleneck Models

Concept Bottleneck Models (CBMs) have emerged as a promising interpretable method whose final prediction is based on intermediate, human-understandable concepts rather than the raw input. Through time-consuming manual interventions, a user can correct wrongly predicted concept values to enhance the model's downstream performance. We propose Stochastic Concept Bottleneck Models (SCBMs), a novel approach that models concept dependencies. In SCBMs, a single-concept intervention affects all correlated concepts, thereby improving intervention effectiveness. Unlike previous approaches that model the concept relations via an autoregressive structure, we introduce an explicit, distributional parameterization that allows SCBMs to retain the CBMs' efficient training and inference procedure. Additionally, we leverage the parameterization to derive an effective intervention strategy based on the confidence region. We show empirically on synthetic tabular and natural image datasets that our approach improves intervention effectiveness significantly. Notably, we showcase the versatility and usability of SCBMs by examining a setting with CLIP-inferred concepts, alleviating the need for manual concept annotations.

cs.LG↗