arXiv subjects

Raphael Sznitman

Publications and source records attributed to Raphael Sznitman.

At least 19 recordsLinked to original sources

arXiv2026

Beyond Point Estimates for Glaucoma Visual Field Forecasting with Diffusion Models

Forecasting visual fields (VFs) is critical for personalized monitoring and treatment planning in glaucoma. This is inherently uncertain due to heterogeneous disease progression and measurement variability, yet most existing methods produce single deterministic predictions that fail to represent this uncertainty. We formulate VF forecasting as a probabilistic prediction problem and the use of conditioned denoising diffusion models to generate distributions of plausible future VFs from longitudinal observations with irregular follow-up intervals. Experiments on two independent VF cohorts show that diffusion-based predictions produce well-calibrated distributions for clinically relevant VF measures. When reduced to a standard point-estimate, the proposed approach achieves state-of-the-art accuracy compared to clinical baselines and prior learning-based methods. Our results highlight the advantages of distributional modeling for VF forecasting and support a shift from point-estimate prediction toward uncertainty-aware, clinically interpretable risk assessment in glaucoma.

cs.CV↗

arXiv2025

SAM-Fed: SAM-Guided Federated Semi-Supervised Learning for Medical Image Segmentation

Medical image segmentation is clinically important, yet data privacy and the cost of expert annotation limit the availability of labeled data. Federated semi-supervised learning (FSSL) offers a solution but faces two challenges: pseudo-label reliability depends on the strength of local models, and client devices often require compact or heterogeneous architectures due to limited computational resources. These constraints reduce the quality and stability of pseudo-labels, while large models, though more accurate, cannot be trained or used for routine inference on client devices. We propose SAM-Fed, a federated semi-supervised framework that leverages a high-capacity segmentation foundation model to guide lightweight clients during training. SAM-Fed combines dual knowledge distillation with an adaptive agreement mechanism to refine pixel-level supervision. Experiments on skin lesion and polyp segmentation across homogeneous and heterogeneous settings show that SAM-Fed consistently outperforms state-of-the-art FSSL methods.

cs.CV↗

arXiv2025

Current validation practice undermines surgical AI development

Surgical data science (SDS) is rapidly advancing, yet clinical adoption of artificial intelligence (AI) in surgery remains limited, with inadequate validation as an important contributing factor. Existing validation practices often neglect the temporal and hierarchical structure of intraoperative videos, yielding misleading or clinically irrelevant results. We introduce a comprehensive catalogue of validation pitfalls in AI-based surgical video analysis, derived from a multi-stage Delphi process with 92 international experts. Pitfalls span three categories: (1) data, (2) metric selection/configuration, and (3) aggregation and reporting. A systematic review of surgical AI papers reveals that these pitfalls are widespread. Experiments on surgical video datasets show that ignoring temporal and hierarchical data structures can understate uncertainty, obscure critical failure modes, and alter algorithm rankings. To address these shortcomings, we provide consensus-based best practices compiled. Together, this work provides an evidence-based framework for rigorous validation of surgical video analysis algorithms, guiding benchmarking, reporting, regulatory review, and clinical translation.

q-bio.OT↗

arXiv2025

Inferring geometry and material properties from Mueller matrices with machine learning

Mueller matrices (MMs) encode information on geometry and material properties, but recovering both simultaneously is an ill-posed problem. We explore whether MMs contain sufficient information to infer surface geometry and material properties with machine learning. We use a dataset of spheres of various isotropic materials, with MMs captured over the full angular domain at five visible wavelengths (450-650 nm). We train machine learning models to predict material properties and surface normals using only these MMs as input. We demonstrate that, even when the material type is unknown, surface normals can be predicted and object geometry reconstructed. Moreover, MMs allow models to identify material types correctly. Further analyses show that diagonal elements are key for material characterization, and off-diagonal elements are decisive for normal estimation.

physics.optics↗

arXiv2025

GynSurg: A Comprehensive Gynecology Laparoscopic Surgery Dataset

Recent advances in deep learning have transformed computer-assisted intervention and surgical video analysis, driving improvements not only in surgical training, intraoperative decision support, and patient outcomes, but also in postoperative documentation and surgical discovery. Central to these developments is the availability of large, high-quality annotated datasets. In gynecologic laparoscopy, surgical scene understanding and action recognition are fundamental for building intelligent systems that assist surgeons during operations and provide deeper analysis after surgery. However, existing datasets are often limited by small scale, narrow task focus, or insufficiently detailed annotations, limiting their utility for comprehensive, end-to-end workflow analysis. To address these limitations, we introduce GynSurg, the largest and most diverse multi-task dataset for gynecologic laparoscopic surgery to date. GynSurg provides rich annotations across multiple tasks, supporting applications in action recognition, semantic segmentation, surgical documentation, and discovery of novel procedural insights. We demonstrate the dataset quality and versatility by benchmarking state-of-the-art models under a standardized training protocol. To accelerate progress in the field, we publicly release the GynSurg dataset and its annotations

cs.CV↗

arXiv2025

WetCat: Enabling Automated Skill Assessment in Wet-Lab Cataract Surgery Videos

To meet the growing demand for systematic surgical training, wet-lab environments have become indispensable platforms for hands-on practice in ophthalmology. Yet, traditional wet-lab training depends heavily on manual performance evaluations, which are labor-intensive, time-consuming, and often subject to variability. Recent advances in computer vision offer promising avenues for automated skill assessment, enhancing both the efficiency and objectivity of surgical education. Despite notable progress in ophthalmic surgical datasets, existing resources predominantly focus on real surgeries or isolated tasks, falling short of supporting comprehensive skill evaluation in controlled wet-lab settings. To address these limitations, we introduce WetCat, the first dataset of wet-lab cataract surgery videos specifically curated for automated skill assessment. WetCat comprises high-resolution recordings of surgeries performed by trainees on artificial eyes, featuring comprehensive phase annotations and semantic segmentations of key anatomical structures. These annotations are meticulously designed to facilitate skill assessment during the critical capsulorhexis and phacoemulsification phases, adhering to standardized surgical skill assessment frameworks. By focusing on these essential phases, WetCat enables the development of interpretable, AI-driven evaluation tools aligned with established clinical metrics. This dataset lays a strong foundation for advancing objective, scalable surgical education and sets a new benchmark for automated workflow analysis and skill assessment in ophthalmology training. The dataset and annotations are publicly available in Synapse.

cs.CV↗

arXiv2025

Feedback-Driven Pseudo-Label Reliability Assessment: Redefining Thresholding for Semi-Supervised Semantic Segmentation

Semi-supervised learning leverages unlabeled data to enhance model performance, addressing the limitations of fully supervised approaches. Among its strategies, pseudo-supervision has proven highly effective, typically relying on one or multiple teacher networks to refine pseudo-labels before training a student network. A common practice in pseudo-supervision is filtering pseudo-labels based on pre-defined confidence thresholds or entropy. However, selecting optimal thresholds requires large labeled datasets, which are often scarce in real-world semi-supervised scenarios. To overcome this challenge, we propose Ensemble-of-Confidence Reinforcement (ENCORE), a dynamic feedback-driven thresholding strategy for pseudo-label selection. Instead of relying on static confidence thresholds, ENCORE estimates class-wise true-positive confidence within the unlabeled dataset and continuously adjusts thresholds based on the model's response to different levels of pseudo-label filtering. This feedback-driven mechanism ensures the retention of informative pseudo-labels while filtering unreliable ones, enhancing model training without manual threshold tuning. Our method seamlessly integrates into existing pseudo-supervision frameworks and significantly improves segmentation performance, particularly in data-scarce conditions. Extensive experiments demonstrate that integrating ENCORE with existing pseudo-supervision frameworks enhances performance across multiple datasets and network architectures, validating its effectiveness in semi-supervised learning.

cs.CV↗

arXiv2025

Dual Invariance Self-training for Reliable Semi-supervised Surgical Phase Recognition

Accurate surgical phase recognition is crucial for advancing computer-assisted interventions, yet the scarcity of labeled data hinders training reliable deep learning models. Semi-supervised learning (SSL), particularly with pseudo-labeling, shows promise over fully supervised methods but often lacks reliable pseudo-label assessment mechanisms. To address this gap, we propose a novel SSL framework, Dual Invariance Self-Training (DIST), that incorporates both Temporal and Transformation Invariance to enhance surgical phase recognition. Our two-step self-training process dynamically selects reliable pseudo-labels, ensuring robust pseudo-supervision. Our approach mitigates the risk of noisy pseudo-labels, steering decision boundaries toward true data distribution and improving generalization to unseen data. Evaluations on Cataract and Cholec80 datasets show our method outperforms state-of-the-art SSL approaches, consistently surpassing both supervised and SSL baselines across various network architectures.

eess.IV↗

arXiv2025

SAM-DA: Decoder Adapter for Efficient Medical Domain Adaptation

This paper addresses the domain adaptation challenge for semantic segmentation in medical imaging. Despite the impressive performance of recent foundational segmentation models like SAM on natural images, they struggle with medical domain images. Beyond this, recent approaches that perform end-to-end fine-tuning of models are simply not computationally tractable. To address this, we propose a novel SAM adapter approach that minimizes the number of trainable parameters while achieving comparable performances to full fine-tuning. The proposed SAM adapter is strategically placed in the mask decoder, offering excellent and broad generalization capabilities and improved segmentation across both fully supervised and test-time domain adaptation tasks. Extensive validation on four datasets showcases the adapter's efficacy, outperforming existing methods while training less than 1% of SAM's total parameters.

cs.CV↗

arXiv2024

Active Learning with Context Sampling and One-vs-Rest Entropy for Semantic Segmentation

Multi-class semantic segmentation remains a cornerstone challenge in computer vision. Yet, dataset creation remains excessively demanding in time and effort, especially for specialized domains. Active Learning (AL) mitigates this challenge by selecting data points for annotation strategically. However, existing patch-based AL methods often overlook boundary pixels critical information, essential for accurate segmentation. We present OREAL, a novel patch-based AL method designed for multi-class semantic segmentation. OREAL enhances boundary detection by employing maximum aggregation of pixel-wise uncertainty scores. Additionally, we introduce one-vs-rest entropy, a novel uncertainty score function that computes class-wise uncertainties while achieving implicit class balancing during dataset creation. Comprehensive experiments across diverse datasets and model architectures validate our hypothesis.

cs.CV↗

arXiv2024

Non-Linear Outlier Synthesis for Out-of-Distribution Detection

The reliability of supervised classifiers is severely hampered by their limitations in dealing with unexpected inputs, leading to great interest in out-of-distribution (OOD) detection. Recently, OOD detectors trained on synthetic outliers, especially those generated by large diffusion models, have shown promising results in defining robust OOD decision boundaries. Building on this progress, we present NCIS, which enhances the quality of synthetic outliers by operating directly in the diffusion's model embedding space rather than combining disjoint models as in previous work and by modeling class-conditional manifolds with a conditional volume-preserving network for more expressive characterization of the training distribution. We demonstrate that these improvements yield new state-of-the-art OOD detection results on standard ImageNet100 and CIFAR100 benchmarks and provide insights into the importance of data pre-processing and other key design choices. We make our code available at \url{https://github.com/LarsDoorenbos/NCIS}.

cs.CV↗

arXiv2024

Galaxy spectroscopy without spectra: Galaxy properties from photometric images with conditional diffusion models

Modern spectroscopic surveys can only target a small fraction of the vast amount of photometrically cataloged sources in wide-field surveys. Here, we report the development of a generative AI method capable of predicting optical galaxy spectra from photometric broad-band images alone. This method draws from the latest advances in diffusion models in combination with contrastive networks. We pass multi-band galaxy images into the architecture to obtain optical spectra. From these, robust values for galaxy properties can be derived with any methods in the spectroscopic toolbox, such as standard population synthesis techniques and Lick indices. When trained and tested on 64x64-pixel images from the Sloan Digital Sky Survey, the global bimodality of star-forming and quiescent galaxies in photometric space is recovered, as well as a mass-metallicity relation of star-forming galaxies. The comparison between the observed and the artificially created spectra shows good agreement in overall metallicity, age, Dn4000, stellar velocity dispersion, and E(B-V) values. Photometric redshift estimates of our generative algorithm can compete with other current, specialized deep-learning techniques. Moreover, this work is the first attempt in the literature to infer velocity dispersion from photometric images. Additionally, we can predict the presence of an active galactic nucleus up to an accuracy of 82%. With our method, scientifically interesting galaxy properties, normally requiring spectroscopic inputs, can be obtained in future data sets from large-scale photometric surveys alone. The spectra prediction via AI can further assist in creating realistic mock catalogs.

astro-ph.GA↗

arXiv2024

Online 3D reconstruction and dense tracking in endoscopic videos

3D scene reconstruction from stereo endoscopic video data is crucial for advancing surgical interventions. In this work, we present an online framework for online, dense 3D scene reconstruction and tracking, aimed at enhancing surgical scene understanding and assisting interventions. Our method dynamically extends a canonical scene representation using Gaussian splatting, while modeling tissue deformations through a sparse set of control points. We introduce an efficient online fitting algorithm that optimizes the scene parameters, enabling consistent tracking and accurate reconstruction. Through experiments on the StereoMIS dataset, we demonstrate the effectiveness of our approach, outperforming state-of-the-art tracking methods and achieving comparable performance to offline reconstruction techniques. Our work enables various downstream applications thus contributing to advancing the capabilities of surgical assistance systems.

cs.CV↗

arXiv2024

Targeted Visual Prompting for Medical Visual Question Answering

With growing interest in recent years, medical visual question answering (Med-VQA) has rapidly evolved, with multimodal large language models (MLLMs) emerging as an alternative to classical model architectures. Specifically, their ability to add visual information to the input of pre-trained LLMs brings new capabilities for image interpretation. However, simple visual errors cast doubt on the actual visual understanding abilities of these models. To address this, region-based questions have been proposed as a means to assess and enhance actual visual understanding through compositional evaluation. To combine these two perspectives, this paper introduces targeted visual prompting to equip MLLMs with region-based questioning capabilities. By presenting the model with both the isolated region and the region in its context in a customized visual prompt, we show the effectiveness of our method across multiple datasets while comparing it to several baseline models. Our code and data are available at https://github.com/sergiotasconmorales/locvqallm.

cs.CV↗

arXiv2024

SegSTRONG-C: Segmenting Surgical Tools Robustly On Non-adversarial Generated Corruptions -- An EndoVis'24 Challenge

Surgical data science has seen rapid advancement with the excellent performance of end-to-end deep neural networks (DNNs). Despite their successes, DNNs have been proven susceptible to minor "corruptions," introducing a major concern for the translation of cutting-edge technology, especially in high-stakes scenarios. We introduce the SegSTRONG-C challenge dedicated to better understanding model deterioration under unforeseen but plausible non-adversarial "corruption" and the capabilities of contemporary methods that seek to improve it. Built on a dataset generated through counterfactual robotic replay, SegSTRONG-C provides paired clean and "corrupted" samples, enabling reproducible evaluation of model robustness. Participants are challenged to train tool segmentation algorithms on "uncorrupted" data and evaluate them on "corrupted" test domains for the binary robot tool segmentation task. Through comprehensive baseline experiments and participating submissions from widespread community engagement, SegSTRONG-C reveals key themes for model failure and identifies promising directions for improving robustness. The performance of challenge winners, achieving an average 0.9394 DSC and 0.9301 NSD across the unreleased test sets with "corruption" types: bleeding, smoke, and low brightness. This highlights how prior knowledge, customized training strategies, and architectural choice can be leveraged to improve robustness. In conclusion, the SegSTRONG-C challenge has identified practical approaches for enhancing model robustness. However, most approaches rely on conventional techniques that have known limitations. Looking ahead, we advocate for expanding intellectual diversity and creativity in non-adversarial robustness beyond data augmentation, calling for new paradigms that enhance universal robustness to unforeseen "corruptions" to facilitate richer applications in surgical data science.

cs.CV↗

arXiv2024

Learning Non-Linear Invariants for Unsupervised Out-of-Distribution Detection

The inability of deep learning models to handle data drawn from unseen distributions has sparked much interest in unsupervised out-of-distribution (U-OOD) detection, as it is crucial for reliable deep learning models. Despite considerable attention, theoretically-motivated approaches are few and far between, with most methods building on top of some form of heuristic. Recently, U-OOD was formalized in the context of data invariants, allowing a clearer understanding of how to characterize U-OOD, and methods leveraging affine invariants have attained state-of-the-art results on large-scale benchmarks. Nevertheless, the restriction to affine invariants hinders the expressiveness of the approach. In this work, we broaden the affine invariants formulation to a more general case and propose a framework consisting of a normalizing flow-like architecture capable of learning non-linear invariants. Our novel approach achieves state-of-the-art results on an extensive U-OOD benchmark, and we demonstrate its further applicability to tabular data. Finally, we show our method has the same desirable properties as those based on affine invariants.

cs.CV↗

arXiv2024

Hyperbolic Random Forests

Hyperbolic space is becoming a popular choice for representing data due to the hierarchical structure - whether implicit or explicit - of many real-world datasets. Along with it comes a need for algorithms capable of solving fundamental tasks, such as classification, in hyperbolic space. Recently, multiple papers have investigated hyperbolic alternatives to hyperplane-based classifiers, such as logistic regression and SVMs. While effective, these approaches struggle with more complex hierarchical data. We, therefore, propose to generalize the well-known random forests to hyperbolic space. We do this by redefining the notion of a split using horospheres. Since finding the globally optimal split is computationally intractable, we find candidate horospheres through a large-margin classifier. To make hyperbolic random forests work on multi-class data and imbalanced experiments, we furthermore outline a new method for combining classes based on their lowest common ancestor and a class-balanced version of the large-margin loss. Experiments on standard and new benchmarks show that our approach outperforms both conventional random forest algorithms and recent hyperbolic classifiers.

cs.LG↗

arXiv2024

Iterative Deployment Exposure for Unsupervised Out-of-Distribution Detection

Deep learning models are vulnerable to performance degradation when encountering out-of-distribution (OOD) images, potentially leading to misdiagnoses and compromised patient care. These shortcomings have led to great interest in the field of OOD detection. Existing unsupervised OOD (U-OOD) detection methods typically assume that OOD samples originate from an unconcentrated distribution complementary to the training distribution, neglecting the reality that deployed models passively accumulate task-specific OOD samples over time. To better reflect this real-world scenario, we introduce Iterative Deployment Exposure (IDE), a novel and more realistic setting for U-OOD detection. We propose CSO, a method for IDE that starts from a U-OOD detector that is agnostic to the OOD distribution and slowly refines it during deployment using observed unlabeled data. CSO uses a new U-OOD scoring function that combines the Mahalanobis distance with a nearest-neighbor approach, along with a novel confidence-scaled few-shot OOD detector to effectively learn from limited OOD examples. We validate our approach on a dedicated benchmark, showing that our method greatly improves upon strong baselines on three medical imaging modalities.

cs.CV↗