arXiv subjects

Philip Teare

Publications and source records attributed to Philip Teare.

12 recordsLinked to original sources

arXiv2026

Evaluating self-supervised echocardiographic representations across downstream extraction strategies for left-ventricular segmentation and ejection fraction estimation

Self-supervised learning (SSL) is increasingly used in medical imaging to reduce annotation requirements, but representation quality is often judged using a single downstream evaluation setting. For dense clinical tasks, this can confound representation quality with the capacity of the downstream model used to recover task-relevant information. We present a systematic evaluation of self-supervised representations for left-ventricular segmentation and ejection fraction (EF) estimation from apical four-chamber echocardiography on EchoNet-Dynamic. Rather than relying on a single downstream probe, we compare a hierarchy of extraction strategies with increasing expressivity: heuristic extraction without mask-supervised training, frozen linear probes, frozen lightweight decoder probes, and partial fine-tuning. We apply this framework to two complementary representation families: generic frozen self-DIstillation with NO labels (DINOv3) features and a task-adapted dense self-supervised representation, Bootstrap Your Own Segmentation (BYOS). In both families, heuristic extraction substantially understated what was recoverable from the frozen representation. For DINOv3, performance improved from Dice 0.684 and EF mean absolute error (MAE) 13.01 under heuristic extraction to Dice 0.906 and EF MAE 9.65 with a frozen lightweight decoder, approaching a supervised U-Net baseline (Dice 0.915, EF MAE 9.72). For BYOS, performance improved from Dice 0.687 and EF MAE 17.83 under heuristic extraction to Dice 0.902 and EF MAE 8.74 with a frozen lightweight decoder. These results show that conclusions about self-supervised representation quality in dense echocardiographic analysis depend strongly on the downstream extraction strategy used for evaluation. We therefore argue that multi-strategy evaluation is an important methodological consideration for SSL in dense medical image analysis.

cs.CV↗

arXiv2026

CoRefine: Confidence-Guided Self-Refinement for Adaptive Test-Time Compute

Large Language Models (LLMs) often rely on test-time scaling via parallel decoding (for example, 512 samples) to boost reasoning accuracy, but this incurs substantial compute. We introduce CoRefine, a confidence-guided self-refinement method that achieves competitive accuracy using a fraction of the tokens via a lightweight 211k-parameter Conv1D controller atop a frozen LLM. The controller consumes full-trace confidence to decide whether to halt, re-examine, or try a different approach, enabling targeted self-correction with an average of 2.7 refinement steps per problem and roughly 190-fold token reduction relative to 512-sample baselines. Across diverse reasoning benchmarks and three open-source models, the controller achieves 92.6 percent precision when it confidently halts, indicating that confidence dynamics reliably signal correctness without ground-truth verification. We extend this to CoRefine-Tree, a hybrid sequential-parallel variant that adaptively balances exploration and exploitation, with easy serving integration and verifier compatibility. By treating confidence as a control signal rather than a correctness guarantee, CoRefine provides a modular primitive for scalable reasoning and agentic settings with imperfect verifiers.

cs.AI↗

arXiv2025

Latent Refinement Decoding: Enhancing Diffusion-Based Language Models by Refining Belief States

Autoregressive (AR) models remain the standard for natural language generation but still suffer from high latency due to strictly sequential decoding. Recent diffusion-inspired approaches, such as LlaDA and Dream, mitigate this by generating in parallel, yet they suffer from two core limitations: information loss, as predictive distributions for non-finalized tokens are discarded at each step, and premature commitment, where local decisions are made without sufficient global coordination. We introduce Latent Refinement Decoding (LRD), a two-stage framework with Latent Refinement and a Predictive Feedback Loop. The first stage maintains masked positions as distributional mixtures of predicted tokens and the mask embedding, allowing the model to establish more globally consistent beliefs. The second stage progressively finalizes confident tokens while retaining uncertain ones for iterative feedback. KL-divergence dynamics provide a principled and reliable criterion for convergence and early stopping. Experiments across coding (HumanEval +6.3, MBPP +2.6) and reasoning (GSM8K +2.9, MATH500 +3.8) show that LRD improves accuracy while delivering speedups of up to 10.6x, making it a strong and versatile alternative for parallel sequence generation.

cs.CL↗

arXiv2025

Causal-Adapter: Taming Text-to-Image Diffusion for Faithful Counterfactual Generation

We present Causal-Adapter, a modular framework that adapts frozen text-to-image diffusion backbones for counterfactual image generation. Our method supports causal interventions on target attributes and consistently propagates their effects to causal dependents while preserving the core identity of the image. Unlike prior approaches that rely on prompt engineering without explicit causal structure, Causal-Adapter leverages structural causal modeling with two attribute-regularization strategies: (i) prompt-aligned injection, which aligns causal attributes with textual embeddings for precise semantic control, and (ii) a conditioned token contrastive loss that disentangles attribute factors and reduces spurious correlations. Causal-Adapter achieves state-of-the-art performance on both synthetic and real-world datasets, including up to a 91% reduction in MAE on Pendulum for accurate attribute control and up to an 87% reduction in FID on ADNI for high-fidelity MRI generation. These results demonstrate robust, generalizable counterfactual editing with faithful attribute modification and strong identity preservation. Code and models will be released at: https://leitong02.github.io/causaladapter/.

cs.CV↗

arXiv2025

Segment Anyword: Mask Prompt Inversion for Open-Set Grounded Segmentation

Open-set image segmentation poses a significant challenge because existing methods often demand extensive training or fine-tuning and generally struggle to segment unified objects consistently across diverse text reference expressions. Motivated by this, we propose Segment Anyword, a novel training-free visual concept prompt learning approach for open-set language grounded segmentation that relies on token-level cross-attention maps from a frozen diffusion model to produce segmentation surrogates or mask prompts, which are then refined into targeted object masks. Initial prompts typically lack coherence and consistency as the complexity of the image-text increases, resulting in suboptimal mask fragments. To tackle this issue, we further introduce a novel linguistic-guided visual prompt regularization that binds and clusters visual prompts based on sentence dependency and syntactic structural information, enabling the extraction of robust, noise-tolerant mask prompts, and significant improvements in segmentation accuracy. The proposed approach is effective, generalizes across different open-set segmentation tasks, and achieves state-of-the-art results of 52.5 (+6.8 relative) mIoU on Pascal Context 59, 67.73 (+25.73 relative) cIoU on gRefCOCO, and 67.4 (+1.1 relative to fine-tuned methods) mIoU on GranDf, which is the most complex open-set grounded segmentation task in the field.

cs.CV↗

arXiv2025

Diffusion Instruction Tuning

We introduce Lavender, a simple supervised fine-tuning (SFT) method that boosts the performance of advanced vision-language models (VLMs) by leveraging state-of-the-art image generation models such as Stable Diffusion. Specifically, Lavender aligns the text-vision attention in the VLM transformer with the equivalent used by Stable Diffusion during SFT, instead of adapting separate encoders. This alignment enriches the model's visual understanding and significantly boosts performance across in- and out-of-distribution tasks. Lavender requires just 0.13 million training examples, 2.5% of typical large-scale SFT datasets, and fine-tunes on standard hardware (8 GPUs) in a single day. It consistently improves state-of-the-art open-source multimodal LLMs (e.g., Llama-3.2-11B, MiniCPM-Llama3-v2.5), achieving up to 30% gains and a 68% boost on challenging out-of-distribution medical QA tasks. By efficiently transferring the visual expertise of image generators with minimal supervision, Lavender offers a scalable solution for more accurate vision-language systems. All code, training data, and models will be shared at https://astrazeneca.github.io/vlm/.

cs.LG↗

arXiv2024

DeCoRe: Decoding by Contrasting Retrieval Heads to Mitigate Hallucinations

Large Language Models (LLMs) often hallucinate, producing unfaithful or factually incorrect outputs by misrepresenting the provided context or incorrectly recalling internal knowledge. Recent studies have identified specific attention heads within the Transformer architecture, known as retrieval heads, responsible for extracting relevant contextual information. We hypothesise that masking these retrieval heads can induce hallucinations and that contrasting the outputs of the base LLM and the masked LLM can reduce hallucinations. To this end, we propose Decoding by Contrasting Retrieval Heads (DeCoRe), a novel training-free decoding strategy that amplifies information found in the context and model parameters. DeCoRe mitigates potentially hallucinated responses by dynamically contrasting the outputs of the base LLM and the masked LLM, using conditional entropy as a guide. Our extensive experiments confirm that DeCoRe significantly improves performance on tasks requiring high contextual faithfulness, such as summarisation (XSum by 18.6%), instruction following (MemoTrap by 10.9%), and open-book question answering (NQ-Open by 2.4% and NQ-Swap by 5.5%).

cs.CL↗

arXiv2024

Tackling Structural Hallucination in Image Translation with Local Diffusion

Recent developments in diffusion models have advanced conditioned image generation, yet they struggle with reconstructing out-of-distribution (OOD) images, such as unseen tumors in medical images, causing "image hallucination" and risking misdiagnosis. We hypothesize such hallucinations result from local OOD regions in the conditional images. We verify that partitioning the OOD region and conducting separate image generations alleviates hallucinations in several applications. From this, we propose a training-free diffusion framework that reduces hallucination with multiple Local Diffusion processes. Our approach involves OOD estimation followed by two modules: a "branching" module generates locally both within and outside OOD regions, and a "fusion" module integrates these predictions into one. Our evaluation shows our method mitigates hallucination over baseline models quantitatively and qualitatively, reducing misdiagnosis by 40% and 25% in the real-world medical and natural image datasets, respectively. It also demonstrates compatibility with various pre-trained diffusion models.

cs.CV↗

arXiv2023

An Image is Worth Multiple Words: Discovering Object Level Concepts using Multi-Concept Prompt Learning

Textural Inversion, a prompt learning method, learns a singular text embedding for a new "word" to represent image style and appearance, allowing it to be integrated into natural language sentences to generate novel synthesised images. However, identifying multiple unknown object-level concepts within one scene remains a complex challenge. While recent methods have resorted to cropping or masking individual images to learn multiple concepts, these techniques often require prior knowledge of new concepts and are labour-intensive. To address this challenge, we introduce Multi-Concept Prompt Learning (MCPL), where multiple unknown "words" are simultaneously learned from a single sentence-image pair, without any imagery annotations. To enhance the accuracy of word-concept correlation and refine attention mask boundaries, we propose three regularisation techniques: Attention Masking, Prompts Contrastive Loss, and Bind Adjective. Extensive quantitative comparisons with both real-world categories and biomedical images demonstrate that our method can learn new semantically disentangled concepts. Our approach emphasises learning solely from textual embeddings, using less than 10% of the storage space compared to others. The project page, code, and data are available at https://astrazeneca.github.io/mcpl.github.io.

cs.CV↗

arXiv2023

Unlocking the Heart Using Adaptive Locked Agnostic Networks

Supervised training of deep learning models for medical imaging applications requires a significant amount of labeled data. This is posing a challenge as the images are required to be annotated by medical professionals. To address this limitation, we introduce the Adaptive Locked Agnostic Network (ALAN), a concept involving self-supervised visual feature extraction using a large backbone model to produce anatomically robust semantic self-segmentation. In the ALAN methodology, this self-supervised training occurs only once on a large and diverse dataset. Due to the intuitive interpretability of the segmentation, downstream models tailored for specific tasks can be easily designed using white-box models with few parameters. This, in turn, opens up the possibility of communicating the inner workings of a model with domain experts and introducing prior knowledge into it. It also means that the downstream models become less data-hungry compared to fully supervised approaches. These characteristics make ALAN particularly well-suited for resource-scarce scenarios, such as costly clinical trials and rare diseases. In this paper, we apply the ALAN approach to three publicly available echocardiography datasets: EchoNet-Dynamic, CAMUS, and TMED-2. Our findings demonstrate that the self-supervised backbone model robustly identifies anatomical subregions of the heart in an apical four-chamber view. Building upon this, we design two downstream models, one for segmenting a target anatomical region, and a second for echocardiogram view classification.

cs.CV↗

arXiv2023

Improved clinical data imputation via classical and quantum determinantal point processes

Imputing data is a critical issue for machine learning practitioners, including in the life sciences domain, where missing clinical data is a typical situation and the reliability of the imputation is of great importance. Currently, there is no canonical approach for imputation of clinical data and widely used algorithms introduce variance in the downstream classification. Here we propose novel imputation methods based on determinantal point processes that enhance popular techniques such as the Multivariate Imputation by Chained Equations (MICE) and MissForest. Their advantages are two-fold: improving the quality of the imputed data demonstrated by increased accuracy of the downstream classification; and providing deterministic and reliable imputations that remove the variance from the classification results. We experimentally demonstrate the advantages of our methods by performing extensive imputations on synthetic and real clinical data. We also perform quantum hardware experiments by applying the quantum circuits for DPP sampling, since such quantum algorithms provide a computational advantage with respect to classical ones. We demonstrate competitive results with up to ten qubits for small-scale imputation tasks on a state-of-the-art IBM quantum processor. Our classical and quantum methods improve the effectiveness and robustness of clinical data prediction modeling by providing better and more reliable data imputations. These improvements can add significant value in settings demanding high precision, such as in pharmaceutical drug trials where our approach can provide higher confidence in the predictions made.

quant-ph↗

arXiv2022

Classification of datasets with imputed missing values: does imputation quality matter?

Classifying samples in incomplete datasets is a common aim for machine learning practitioners, but is non-trivial. Missing data is found in most real-world datasets and these missing values are typically imputed using established methods, followed by classification of the now complete, imputed, samples. The focus of the machine learning researcher is then to optimise the downstream classification performance. In this study, we highlight that it is imperative to consider the quality of the imputation. We demonstrate how the commonly used measures for assessing quality are flawed and propose a new class of discrepancy scores which focus on how well the method recreates the overall distribution of the data. To conclude, we highlight the compromised interpretability of classifier models trained using poorly imputed data.

cs.LG↗