arXiv subjects

Pietro Gori

Publications and source records attributed to Pietro Gori.

At least 19 recordsLinked to original sources

arXiv2026

Benchmarking Intra-Patient 3D Deformable Multimodal Image Registration

Multimodal image registration is a key component of many clinical workflows, yet it remains challenging because corresponding anatomical structures often exhibit substantially different image intensities across modalities. In this work, we present a comprehensive benchmark of intra-patient 3D multimodal deformable registration methods across three datasets covering different anatomical regions and difficulty levels, including both synthetic deformation recovery and real clinical scenarios. We evaluate classical optimization-based approaches and modern learning-based methods, including recent deep learning and foundation models, using complementary metrics: Average Dice similarity coefficient (DSC), average 95th-percentile Hausdorff distance (HD95), and a modality-independent structural similarity measure based on the MIND self-similarity context (MIND-SSC). Results show high variability across datasets, with learning-based methods demonstrating superior performance on large synthetic benchmarks, while only limited improvements are observed in real pelvic registration. A key finding of this study is the consistent disagreement between geometric metrics (DSC, HD95) and image-based similarity metrics (MIND-SSC), highlighting that improved overlap does not necessarily imply better global multimodal correspondence. Furthermore, anatomy-guided approaches achieve the highest overlap scores but exhibit degraded performance outside of segmented regions, revealing a trade-off between label-driven alignment and global structural coherence. Overall, our results indicate that no current method achieves robust performance across anatomies and modalities. We demonstrate that intra-patient 3D multimodal registration requires multi-criteria evaluation, including deformation-based metrics, and remains an open problem.

cs.CV↗

arXiv2026

Geometric-to-Semantic Spherical Transfer Learning for Cortical Sulci Labeling

Deep learning on cortical surfaces faces a dilemma: capturing the complex topology of over 60 nomenclature-dependent sulci per hemisphere requires high-capacity models, yet the extreme scarcity of expert annotations ($N=62$ subjects) inevitably causes overfitting. Standard supervised approaches fail to generalize in this data-scarce regime, particularly for variable and small sulci where topological ambiguity is high. To overcome this limitation, we introduce a Geometric-to-Semantic Spherical Transfer Learning framework. First, we leverage massive unlabeled data (UK Biobank, $\approx$30,000 subjects) to pre-train a spherical encoder using a locally-optimized strategy. By relying solely on continuous surface features (curvature and depth), the relevance of this pre-training is confirmed by the model's ability to detect localized and rare topological traits, such as sulcal interruptions. The downstream labeling task, however, introduces extracted sulcal fundi (lines) as an explicit semantic input. To bridge this dimensional domain gap (from purely geometric to semantic) without causing catastrophic forgetting, these anatomical lines are integrated into the pre-trained backbone via a soft-initialized Topological Prior Injector. Our experiments demonstrate that this approach outperforms fully supervised baselines trained from scratch, achieving a mean Dice of 0.77. Crucially, a local analysis reveals that the self-supervised geometric priors yield the largest performance gains on variable and tertiary sulci (up to 14.8%), confirming that learning the cortex shape is highly beneficial for identifying its rarest parts.

cs.LG↗

arXiv2026

Global Path Planner with Multi-Model Switching

This work enhances global path planning via a pure-pursuit controller with multi-model kinematic switching that sustains plan fidelity across diverse terrains. The system includes a traversability graph for terrain analysis, a Heading-Aware A* algorithm for generating feasible paths, and a multi-model Pure Pursuit controller for dynamic tracking. A core innovation is adaptive kinematic modeling, enabling real-time switching between kinematic models based on terrain features and robot states. This adaptability optimizes path efficiency and energy use in challenging scenarios. We validate the approach in simulation on different platforms, namely the Artaban quadruped and the X3 quadrotor drone, showcasing improved performance, robustness, and adaptability over standard baselines.

cs.RO↗

arXiv2026

Continuous-Time Constrained Linear Quadratic Regulator for Switched Linear Systems

Switched systems, characterized by a family of subsystems governed by a switching rule, widely apply to complex real-world scenarios. However, their inherent switching dynamics pose significant challenges in phase analysis and control design. To address these challenges, we propose a framework for solving the Continuous-Time Constrained Linear Quadratic Regulator (CT-CLQR) problem for switched linear systems. Our approach partitions the time horizon into a finite number of intervals, each associated with a specific system mode. The duration of these intervals is parameterized by the switching instants, enabling a reformulation of the problem. We indirectly optimize the switching sequence by fixing the switching sequence and optimizing the interval durations. We derive analytical expressions for the cost function and its gradient, which are critical for efficient optimization. Unlike state-of-the-art methods that impose equality constraints on state evolution, our approach inherently considers the state evolution in the cost function. This not only simplifies the problem formulation but also reduces computational overhead by precomputing shared terms offline, enhancing efficiency during online operations. The proposed method significantly advances existing techniques, offering improved computational efficiency and flexibility. We demonstrate the effectiveness of our approach through comprehensive numerical examples, showcasing its potential for practical applications.

math.OC↗

arXiv2026

Representation learning of human cortical folding to reveal long lasting neurodevelopmental signatures

The human brain folds in utero, primarily during late gestation. Shortly after birth, cortical folding patterns are established and remain stable thereafter, making them promising early neurodevelopmental markers. Yet it is unclear whether the representations given by current neuroimaging foundation models capture cortical folding variability. Here, we introduce Champollion, a self-supervised learning framework that learns interpretable local representations of cortical folding from structural MRI. Optimized on representative folding-related tasks, Champollion accurately captures known folding patterns across cortical regions and external datasets. In a comprehensive benchmark, it consistently outperforms neuroimaging and general-purpose foundation models. Furthermore, Champollion reveals richer genetic associations than conventional morphometric descriptors and identifies localized folding signatures associated with incomplete hippocampal inversion, prematurity, and maternal smoking. These results establish cortical folding as a rich and largely untapped source of neurodevelopmental information, and Champollion provides a unified framework for discovering, localizing and interpreting long lasting cortical folding signatures.

q-bio.QM↗

arXiv2026

Counterfactual Contrastive Analysis

Visual Counterfactual Explanations (VCEs) aim to explain image classifiers by generating minimally edited and realistic versions of an input image that change the classifier's prediction. Existing VCE methods are inherently classifier-dependent and therefore susceptible to classifier biases and failure modes, such as sensitivity to shortcut features and calibration errors. In this paper, we propose a classifier-free approach for visual counterfactual generation based on Contrastive Analysis (CA). Given two datasets corresponding to different classes (e.g., healthy and patients), we disentangle the generative factors that are common across the two datasets from those that are salient to each dataset, and generate counterfactual images by swapping only the salient factors. By operating directly on data distributions rather than decision boundaries, our method provides model-agnostic VCEs that are less sensitive to classifier biases. Our approach leverages the high-quality synthesis and well-structured latent space of StyleGAN2. We use the feature space F, instead than the usual W-space, to improve detail preservation. Unlike conventional CA approaches, which typically assume salient factors in only one dataset, we introduce an adapted framework and loss functions for VCE that allow multiple salient factors in each dataset. We evaluate our method on three medical imaging datasets and demonstrate superior counterfactual generation quality compared to existing approaches.

cs.CV↗

arXiv2026

Unsupervised Adaptation of 3D CT Foundation Models for 3D CBCT Segmentation

Accurate 3D segmentation of cone-beam CT (CBCT) is critical for interventional and radiation therapy applications, yet it remains limited by two compounding challenges: the scarcity of annotated CBCT data and the large domain shift from diagnostic CT. Interventional CBCT exhibits fundamental modality differences from conventional CT, driven by acquisition and physics effects as well as contrast-specific vascular content, thereby limiting effective cross-modality model transfer. We propose a novel unsupervised domain adaptation (UDA) framework based on redundancy-reducing feature alignment, enabling 3D CBCT segmentation with no target-domain annotations or inference-time adaptation. Our framework is architecture-agnostic, seamlessly adapting both CNN-based and ViT-based foundation models. We evaluate our method on two challenging CT-CBCT liver segmentation benchmarks: one for interventional vascular procedures and one for radiation therapy, demonstrating that even large-scale pretrained segmentation networks require explicit feature-space bridging to generalize across acquisition modalities, and that our approach consistently outperforms existing pretrained foundation model and UDA strategies. To support reproducibility and benchmarking, we release the liver segmentations for a public CBCT dataset, along with the code, trained models, and weights.

cs.CV↗

arXiv2026

Diff-CA: Separating Common and Salient Factors with Diffusion Models

Contrastive Analysis aims to separate factors that are common between two data distributions from those that are salient to only one of them. Existing contrastive methods are based on generative models (e.g., VAEs or GANs) that often suffer from limited reconstruction and image quality, which hampers effective latent factor separation and limits their applicability to high-fidelity image generation and edition. We propose a novel conditioning framework for diffusion models that enables contrastive decomposition without compromising generation quality. We first train a prompt-free, image-conditioned diffusion model, and then learn to decompose the conditioning into a common and a salient factor, using weak supervision. We prove that the additive contrastive factorization, commonly assumed in prior work, is identifiable under mild conditions. This factorization enables targeted operations by swapping or interpolating only the salient factor.

cs.CV↗

arXiv2026

Automatic Discovery of Disease Subgroups by Contrasting with Healthy Controls

In biomedical Subgroup Discovery, practitioners are interested in discovering interpretable and homogeneous subgroups within a group of patients. In this paper, assuming that healthy subjects (i.e., controls) share common but irrelevant factors of variation with the patients, we motivate and develop a Contrastive Subgroup Discovery method, entitled Deep UCSL. By contrasting patients with controls, Deep UCSL identifies subgroups driven solely by pathological factors, ignoring common variability shared with healthy subjects. Our framework employs a deep feature extractor to learn a discriminative representation space. Mathematically, we derive a novel loss based on the conditional joint likelihood of latent clusters and patient/control labels, optimized via an Expectation-Maximization strategy alternating between subgroup inference and feature encoder updates. A regularization term further encourages representations to capture disease-specific variability while ignoring variability shared with controls. Compared to previous related works, our approach quantitatively improves the quality of the estimated subgroups, as demonstrated on a MNIST example and four distinct real medical imaging datasets. Code and datasets are available at: https://github.com/rlouiset/deep_ucsl.

cs.LG↗

arXiv2026

Contrastive Learning under Noisy Temporal Self-Supervision for Colonoscopy Videos

Learning robust representations of polyp tracklets is key to enabling multiple AI-assisted colonoscopy applications, from polyp characterization to automated reporting and retrieval. Supervised contrastive learning is an effective approach for learning such representations, but it typically relies on correct positive and negative definitions. Collecting these labels requires linking tracklets that depict the same underlying polyp entity throughout the video, which is costly and demands specialized clinical expertise. In this work, we leverage the sequential workflow of colonoscopy procedures to derive self-supervised associations from temporal structure. Since temporally derived associations are not guaranteed to be correct, we introduce a noise-aware contrastive loss to account for noisy associations. We demonstrate the effectiveness of the learned representations across multiple downstream tasks, including polyp retrieval and re-identification, size estimation, and histology classification. Our method outperforms prior self-supervised and supervised baselines, and matches or exceeds recent foundation models across all tasks, using a lightweight encoder trained on only 27 videos. Code is available at https://github.com/lparolari/ntssl.

cs.CV↗

arXiv2026

Unsupervised Domain Adaptation with Target-Only Margin Disparity Discrepancy

In interventional radiology, Cone-Beam Computed Tomography (CBCT) is a helpful imaging modality that provides guidance to practicians during minimally invasive procedures. CBCT differs from traditional Computed Tomography (CT) due to its limited reconstructed field of view, specific artefacts, and the intra-arterial administration of contrast medium. While CT benefits from abundant publicly available annotated datasets, interventional CBCT data remain scarce and largely unannotated, with existing datasets focused primarily on radiotherapy applications. To address this limitation, we leverage a proprietary collection of unannotated interventional CBCT scans in conjunction with annotated CT data, employing domain adaptation techniques to bridge the modality gap and enhance liver segmentation performance on CBCT. We propose a novel unsupervised domain adaptation (UDA) framework based on the formalism of Margin Disparity Discrepancy (MDD), which improves target domain performance through a reformulation of the original MDD optimization framework. Experimental results on CT and CBCT datasets for liver segmentation demonstrate that our method achieves state-of-the-art performance in UDA, as well as in the few-shot setting.

cs.CV↗

arXiv2026

Leveraging whole slide difficulty in Multiple Instance Learning to improve prostate cancer grading

Multiple Instance Learning (MIL) has been widely applied in histopathology to classify Whole Slide Images (WSIs) with slide-level diagnoses. While the ground truth is established by expert pathologists, the slides can be difficult to diagnose for non-experts and lead to disagreements between the annotators. In this paper, we introduce the notion of Whole Slide Difficulty (WSD), based on the disagreement between an expert and a non-expert pathologist. We propose two different methods to leverage WSD, a multi-task approach and a weighted classification loss approach, and we apply them to Gleason grading of prostate cancer slides. Results show that integrating WSD during training consistently improves the classification performance across different feature encoders and MIL methods, particularly for higher Gleason grades (i.e. worse diagnosis).

cs.CV↗

arXiv2025

Learning Common and Salient Generative Factors Between Two Image Datasets

Recent advancements in image synthesis have enabled high-quality image generation and manipulation. Most works focus on: 1) conditional manipulation, where an image is modified conditioned on a given attribute, or 2) disentangled representation learning, where each latent direction should represent a distinct semantic attribute. In this paper, we focus on a different and less studied research problem, called Contrastive Analysis (CA). Given two image datasets, we want to separate the common generative factors, shared across the two datasets, from the salient ones, specific to only one dataset. Compared to existing methods, which use attributes as supervised signals for editing (e.g., glasses, gender), the proposed method is weaker, since it only uses the dataset signal. We propose a novel framework for CA, that can be adapted to both GAN and Diffusion models, to learn both common and salient factors. By defining new and well-adapted learning strategies and losses, we ensure a relevant separation between common and salient factors, preserving a high-quality generation. We evaluate our approach on diverse datasets, covering human faces, animal images and medical scans. Our framework demonstrates superior separation ability and image quality synthesis compared to prior methods.

cs.CV↗

arXiv2025

Robust brain age estimation from structural MRI with contrastive learning

Estimating brain age from structural MRI has emerged as a powerful tool for characterizing normative and pathological aging. In this work, we explore contrastive learning as a scalable and robust alternative to L1-supervised approaches for brain age estimation. We introduce a novel contrastive loss function, $\mathcal{L}^{exp}$, and evaluate it across multiple public neuroimaging datasets comprising over 20,000 scans. Our experiments reveal four key findings. First, scaling pre-training on diverse, multi-site data consistently improves generalization performance, cutting external mean absolute error (MAE) nearly in half. Second, $\mathcal{L}^{exp}$ is robust to site-related confounds, maintaining low scanner-predictability as training size increases. Third, contrastive models reliably capture accelerated aging in patients with cognitive impairment and Alzheimer's disease, as shown through brain age gap analysis, ROC curves, and longitudinal trends. Lastly, unlike L1-supervised baselines, $\mathcal{L}^{exp}$ maintains a strong correlation between brain age accuracy and downstream diagnostic performance, supporting its potential as a foundation model for neuroimaging. These results position contrastive learning as a promising direction for building generalizable and clinically meaningful brain representations.

eess.IV↗

arXiv2025

Visionerves: Automatic and Reproducible Hybrid AI for Peripheral Nervous System Recognition Applied to Endometriosis Cases

Endometriosis often leads to chronic pelvic pain and possible nerve involvement, yet imaging the peripheral nerves remains a challenge. We introduce Visionerves, a novel hybrid AI framework for peripheral nervous system recognition from multi-gradient DWI and morphological MRI data. Unlike conventional tractography, Visionerves encodes anatomical knowledge through fuzzy spatial relationships, removing the need for selection of manual ROIs. The pipeline comprises two phases: (A) automatic segmentation of anatomical structures using a deep learning model, and (B) tractography and nerve recognition by symbolic spatial reasoning. Applied to the lumbosacral plexus in 10 women with (confirmed or suspected) endometriosis, Visionerves demonstrated substantial improvements over standard tractography, with Dice score improvements of up to 25% and spatial errors reduced to less than 5 mm. This automatic and reproducible approach enables detailed nerve analysis and paves the way for non-invasive diagnosis of endometriosis-related neuropathy, as well as other conditions with nerve involvement.

cs.CV↗

arXiv2025

Reducing Variability of Multiple Instance Learning Methods for Digital Pathology

Digital pathology has revolutionized the field by enabling the digitization of tissue samples into whole slide images (WSIs). However, the high resolution and large size of WSIs present significant challenges when it comes to applying Deep Learning models. As a solution, WSIs are often divided into smaller patches with a global label (\textit{i.e., diagnostic}) per slide, instead of a (too) costly pixel-wise annotation. By treating each slide as a bag of patches, Multiple Instance Learning (MIL) methods have emerged as a suitable solution for WSI classification. A major drawback of MIL methods is their high variability in performance across different runs, which can reach up to 10-15 AUC points on the test set, making it difficult to compare different MIL methods reliably. This variability mainly comes from three factors: i) weight initialization, ii) batch (shuffling) ordering, iii) and learning rate. To address that, we introduce a Multi-Fidelity, Model Fusion strategy for MIL methods. We first train multiple models for a few epochs and average the most stable and promising ones based on validation scores. This approach can be applied to any existing MIL model to reduce performance variability. It also simplifies hyperparameter tuning and improves reproducibility while maintaining computational efficiency. We extensively validate our approach on WSI classification tasks using 2 different datasets, 3 initialization strategies and 5 MIL methods, for a total of more than 2000 experiments.

cs.CV↗

arXiv2025

Self-Supervised Multiview Xray Matching

Accurate interpretation of multi-view radiographs is crucial for diagnosing fractures, muscular injuries, and other anomalies. While significant advances have been made in AI-based analysis of single images, current methods often struggle to establish robust correspondences between different X-ray views, an essential capability for precise clinical evaluations. In this work, we present a novel self-supervised pipeline that eliminates the need for manual annotation by automatically generating a many-to-many correspondence matrix between synthetic X-ray views. This is achieved using digitally reconstructed radiographs (DRR), which are automatically derived from unannotated CT volumes. Our approach incorporates a transformer-based training phase to accurately predict correspondences across two or more X-ray views. Furthermore, we demonstrate that learning correspondences among synthetic X-ray views can be leveraged as a pretraining strategy to enhance automatic multi-view fracture detection on real data. Extensive evaluations on both synthetic and real X-ray datasets show that incorporating correspondences improves performance in multi-view fracture classification.

cs.CV↗

arXiv2025

Self-Supervision Enhances Instance-based Multiple Instance Learning Methods in Digital Pathology: A Benchmark Study

Multiple Instance Learning (MIL) has emerged as the best solution for Whole Slide Image (WSI) classification. It consists of dividing each slide into patches, which are treated as a bag of instances labeled with a global label. MIL includes two main approaches: instance-based and embedding-based. In the former, each patch is classified independently, and then the patch scores are aggregated to predict the bag label. In the latter, bag classification is performed after aggregating patch embeddings. Even if instance-based methods are naturally more interpretable, embedding-based MILs have usually been preferred in the past due to their robustness to poor feature extractors. However, recently, the quality of feature embeddings has drastically increased using self-supervised learning (SSL). Nevertheless, many authors continue to endorse the superiority of embedding-based MIL. To investigate this further, we conduct 710 experiments across 4 datasets, comparing 10 MIL strategies, 6 self-supervised methods with 4 backbones, 4 foundation models, and various pathology-adapted techniques. Furthermore, we introduce 4 instance-based MIL methods never used before in the pathology domain. Through these extensive experiments, we show that with a good SSL feature extractor, simple instance-based MILs, with very few parameters, obtain similar or better performance than complex, state-of-the-art (SOTA) embedding-based MIL methods, setting new SOTA results on the BRACS and Camelyon16 datasets. Since simple instance-based MIL methods are naturally more interpretable and explainable to clinicians, our results suggest that more effort should be put into well-adapted SSL methods for WSI rather than into complex embedding-based MIL methods.

cs.CV↗