arXiv subjects

Pal Halvorsen

Publications and source records attributed to Pal Halvorsen.

5 recordsLinked to original sources

arXiv2026

Sampling Matters: The Effect of ECG Frequency on Deep Learning-Based Atrial Fibrillation Detection

Deep learning models for atrial fibrillation (AF) detection are increasingly trained on heterogeneous electrocardiogram (ECG) datasets with varying sampling frequencies, yet the specific consequences of these discrepancies on model performance, calibration, and robustness remain insufficiently characterized. To address this, we conducted a systematic benchmark using 12-lead, 10-second recordings from the PTB-XL dataset, resampled to target frequencies of 62, 100, 250, and 500 Hz, to evaluate a standard 1-D Convolutional Neural Network (CNN) and a hybrid CNN-Long Short-Term Memory (LSTM) architecture under a rigorous patient-safe cross-validation framework. Our analysis reveals that sampling frequency significantly impacts detection metrics in an architecture-dependent manner; the hybrid CNN-LSTM model demonstrated optimal performance and consistent calibration at intermediate frequencies (100-250 Hz), whereas the 1-D CNN baseline exhibited marked degradation in accuracy and sensitivity at 500 Hz, suggesting increased susceptibility to high-frequency noise. We conclude that ECG sampling frequency is a critical, underappreciated factor in arrhythmia detection, and future foundation models must explicitly control for temporal resolution to ensure clinical reliability and reproducibility.

eess.SP↗

arXiv2025

Medical Imaging AI Competitions Lack Fairness

Benchmarking competitions are central to the development of artificial intelligence (AI) in medical imaging, defining performance standards and shaping methodological progress. However, it remains unclear whether these benchmarks provide data that are sufficiently representative, accessible, and reusable to support clinically meaningful AI. In this work, we assess fairness along two complementary dimensions: (1) whether challenge datasets capture the diversity of real-world clinical data, and (2) whether they are accessible and legally reusable in line with the FAIR principles. To address this question, we conducted a large-scale systematic study of 249 biomedical image analysis challenges comprising 458 tasks across 19 imaging modalities. Our findings reveal limited representation across challenge datasets with respect to geographic location, imaging modalities, and problem types, raising concerns about how well current benchmarks reflect real-world clinical diversity. Despite their widespread influence, challenge datasets were frequently constrained by restrictive or ambiguous access conditions, inconsistent or non-compliant licensing practices, and incomplete documentation, limiting reproducibility and long-term reuse. Together, these shortcomings expose foundational fairness limitations in our benchmarking ecosystem and highlight a disconnect between leaderboard success and clinical relevance.

cs.CV↗

arXiv2024

Explainability of Machine Learning Models under Missing Data

Missing data is a prevalent issue that can significantly impair model performance and explainability. This paper briefly summarizes the development of the field of missing data with respect to Explainable Artificial Intelligence and experimentally investigates the effects of various imputation methods on SHAP (SHapley Additive exPlanations), a popular technique for explaining the output of complex machine learning models. Next, we compare different imputation strategies and assess their impact on feature importance and interaction as determined by Shapley values. Moreover, we also theoretically analyze the effects of missing values on Shapley values. Importantly, our findings reveal that the choice of imputation method can introduce biases that could lead to changes in the Shapley values, thereby affecting the explainability of the model. Moreover, we also show that a lower test prediction MSE (Mean Square Error) does not necessarily imply a lower MSE in Shapley values and vice versa. Also, while XGBoost (eXtreme Gradient Boosting) is a method that could handle missing data directly, using XGBoost directly on missing data can seriously affect explainability compared to imputing the data before training XGBoost. This study provides a comprehensive evaluation of imputation methods in the context of model explanations, offering practical guidance for selecting appropriate techniques based on dataset characteristics and analysis objectives. The results underscore the importance of considering imputation effects to ensure robust and reliable insights from machine learning models.

cs.LG↗

arXiv2022

2020 CATARACTS Semantic Segmentation Challenge

Surgical scene segmentation is essential for anatomy and instrument localization which can be further used to assess tissue-instrument interactions during a surgical procedure. In 2017, the Challenge on Automatic Tool Annotation for cataRACT Surgery (CATARACTS) released 50 cataract surgery videos accompanied by instrument usage annotations. These annotations included frame-level instrument presence information. In 2020, we released pixel-wise semantic annotations for anatomy and instruments for 4670 images sampled from 25 videos of the CATARACTS training set. The 2020 CATARACTS Semantic Segmentation Challenge, which was a sub-challenge of the 2020 MICCAI Endoscopic Vision (EndoVis) Challenge, presented three sub-tasks to assess participating solutions on anatomical structure and instrument segmentation. Their performance was assessed on a hidden test set of 531 images from 10 videos of the CATARACTS test set.

eess.IV↗

arXiv2019

ResUNet++: An Advanced Architecture for Medical Image Segmentation

Accurate computer-aided polyp detection and segmentation during colonoscopy examinations can help endoscopists resect abnormal tissue and thereby decrease chances of polyps growing into cancer. Towards developing a fully automated model for pixel-wise polyp segmentation, we propose ResUNet++, which is an improved ResUNet architecture for colonoscopic image segmentation. Our experimental evaluations show that the suggested architecture produces good segmentation results on publicly available datasets. Furthermore, ResUNet++ significantly outperforms U-Net and ResUNet, two key state-of-the-art deep learning architectures, by achieving high evaluation scores with a dice coefficient of 81.33%, and a mean Intersection over Union (mIoU) of 79.27% for the Kvasir-SEG dataset and a dice coefficient of 79.55%, and a mIoU of 79.62% with CVC-612 dataset.

eess.IV↗