arXiv subjects

Shravya Shetty

Publications and source records attributed to Shravya Shetty.

At least 19 recordsLinked to original sources

arXiv2026

Planetary Prediction Engine: Autonomous Geospatial Prediction via Intelligent Data Selection and Foundation Model Embeddings

Addressing critical global challenges, from food security and disaster risk to disease outbreaks and socio-economic vulnerability, demands high-fidelity geospatial modeling. However, building predictive planetary models remains bottlenecked by a fragmented data ecosystem, requiring manual data retrieval, multimodal data curation and fusion along with iterative model selection. We present the Planetary Prediction Engine (PPE), an autonomous AI system that executes this end-to-end workflow directly from natural-language queries. PPE synthesizes multimodal datasets on the fly, retrieving spatiotemporally relevant covariates across open-web and Earth observation platforms (Data Commons, Google Earth Engine) and fusing them with geospatial foundation model embeddings (PDFM, AlphaEarth). Simultaneously, it searches over task-tailored model architecture families with automated overfitting guards. Across diverse tasks, geographies, and scientific domains, PPE consistently outperforms state-of-the-art or manually tuned expert baselines. For US spatial regression, PPE improves mean $R^2$ across 21 CDC health indicators (76.8% vs. 60.0%), FEMA national risk indices (64.9% vs. 60.0%), and the Social Vulnerability Index (66.2% vs. 58.6%). For spatial downscaling in data-scarce settings, PPE integrates localized proxies to double baseline accuracy in Nigerian food security indicators ($R^2$ of 66.1% vs. 31.5%). For epidemiological nowcasting of the 2026 DRC Bundibugyo Ebola outbreak, PPE achieves a Recall@10 of 83.3% (identifying 15 of 18 newly invaded health zones across five weekly forecasts), a +10.3 percentage-point improvement over the public state-of-the-art modeling (~73%). By combining autonomous multimodal planetary data discovery with targeted model optimization, PPE lowers the technical barrier to planetary-scale analytics, enabling rapid, customized, expert-level deployment.

cs.AI↗

arXiv2026

Enabling Intrinsic Reasoning over Dense Geospatial Embeddings with DFR-Gemma

Representation learning for geospatial and spatio-temporal data plays a critical role in enabling general-purpose geospatial intelligence. Recent geospatial foundation models, such as the Population Dynamics Foundation Model (PDFM), encode complex population and mobility dynamics into compact embeddings. However, their integration with Large Language Models (LLMs) remains limited. Existing approaches to LLM integration treat these embeddings as retrieval indices or convert them into textual descriptions for reasoning, introducing redundancy, token inefficiency, and numerical inaccuracies. We propose Direct Feature Reasoning-Gemma (DFR-Gemma), a novel framework that enables LLMs to reason directly over dense geospatial embeddings. DFR aligns high-dimensional embeddings with the latent space of an LLM via a lightweight projector, allowing embeddings to be injected as semantic tokens alongside natural language instructions. This design eliminates the need for intermediate textual representations and enables intrinsic reasoning over spatial features. To evaluate this paradigm, we introduce a multi-task geospatial benchmark that pairs embeddings with diverse question-answer tasks, including feature querying, comparison, and semantic description. Experimental results show that DFR allows LLMs to decode latent spatial patterns and perform accurate zero-shot reasoning across tasks, while significantly improving efficiency compared to text-based baselines. Our results demonstrate that treating embeddings as primary data inputs, provides a more direct, efficient, and scalable approach to multimodal geospatial intelligence.

cs.CL↗

arXiv2026

MedGemma 1.5 Technical Report

We introduce MedGemma 1.5 4B, the latest model in the MedGemma collection. MedGemma 1.5 expands on MedGemma 1 by integrating additional capabilities: high-dimensional medical imaging (CT/MRI volumes and histopathology whole slide images), anatomical localization via bounding boxes, multi-timepoint chest X-ray analysis, and improved medical document understanding (lab reports, electronic health records). We detail the innovations required to enable these modalities within a single architecture, including new training data, long-context 3D volume slicing, and whole-slide pathology sampling. Compared to MedGemma 1 4B, MedGemma 1.5 4B demonstrates significant gains in these new areas, improving 3D MRI condition classification accuracy by 11% and 3D CT condition classification by 3% (absolute improvements). In whole slide pathology imaging, MedGemma 1.5 4B achieves a 47% macro F1 gain. Additionally, it improves anatomical localization with a 35% increase in Intersection over Union on chest X-rays and achieves a 4% macro accuracy for longitudinal (multi-timepoint) chest x-ray analysis. Beyond its improved multimodal performance over MedGemma 1, MedGemma 1.5 improves on text-based clinical knowledge and reasoning, improving by 5% on MedQA accuracy and 22% on EHRQA accuracy. It also achieves an average of 18% macro F1 on 4 different lab report information extraction datasets (EHR Datasets 2, 3, 4, and Mendeley Clinical Laboratory Test Reports). Taken together, MedGemma 1.5 serves as a robust, open resource for the community, designed as an improved foundation on which developers can create the next generation of medical AI systems. Resources and tutorials for building upon MedGemma 1.5 can be found at https://goo.gle/medgemma.

cs.AI↗

arXiv2025

Application and Validation of Geospatial Foundation Model Data for the Prediction of Health Facility Programmatic Outputs -- A Case Study in Malawi

The reliability of routine health data in low and middle-income countries (LMICs) is often constrained by reporting delays and incomplete coverage, necessitating the exploration of novel data sources and analytics. Geospatial Foundation Models (GeoFMs) offer a promising avenue by synthesizing diverse spatial, temporal, and behavioral data into mathematical embeddings that can be efficiently used for downstream prediction tasks. This study evaluated the predictive performance of three GeoFM embedding sources - Google Population Dynamics Foundation Model (PDFM), Google AlphaEarth (derived from satellite imagery), and mobile phone call detail records (CDR) - for modeling 15 routine health programmatic outputs in Malawi, and compared their utility to traditional geospatial interpolation methods. We used XGBoost models on data from 552 health catchment areas (January 2021-May 2023), assessing performance with R2, and using an 80/20 training and test data split with 5-fold cross-validation used in training. While predictive performance was mixed, the embedding-based approaches improved upon baseline geostatistical methods in 13 of 15 (87%) indicators tested. A Multi-GeoFM model integrating all three embedding sources produced the most robust predictions, achieving average 5-fold cross validated R2 values for indicators like population density (0.63), new HIV cases (0.57), and child vaccinations (0.47) and test set R2 of 0.64, 0.68, and 0.55, respectively. Prediction was poor for prediction targets with low primary data availability, such as TB and malnutrition cases. These results demonstrate that GeoFM embeddings imbue a modest predictive improvement for select health and demographic outcomes in an LMIC context. We conclude that the integration of multiple GeoFM sources is an efficient and valuable tool for supplementing and strengthening constrained routine health information systems.

cs.LG↗

arXiv2025

Earth AI: Unlocking Geospatial Insights with Foundation Models and Cross-Modal Reasoning

Geospatial data offers immense potential for understanding our planet. However, the sheer volume and diversity of this data along with its varied resolutions, timescales, and sparsity pose significant challenges for thorough analysis and interpretation. This paper introduces Earth AI, a family of geospatial AI models and agentic reasoning that enables significant advances in our ability to unlock novel and profound insights into our planet. This approach is built upon foundation models across three key domains--Planet-scale Imagery, Population, and Environment--and an intelligent Gemini-powered reasoning engine. We present rigorous benchmarks showcasing the power and novel capabilities of our foundation models and validate that when used together, they provide complementary value for geospatial inference and their synergies unlock superior predictive capabilities. To handle complex, multi-step queries, we developed a Gemini-powered agent that jointly reasons over our multiple foundation models along with large geospatial data sources and tools. On a new benchmark of real-world crisis scenarios, our agent demonstrates the ability to deliver critical and timely insights, effectively bridging the gap between raw geospatial data and actionable understanding.

cs.AI↗

arXiv2025

Estimating high-resolution albedo for urban applications

Implementation of cool roofs is a high-impact pathway for mitigating heat at both global and city scales. However, while albedo estimates derived from Sentinel-2 are free and globally-available, the 10 m resolution is insufficient to resolve individual roofs. We present methods for increasing the resolution of Sentinel-2 albedo using high-resolution satellite imagery to produce albedo inferences at a 30-cm scale. Validating against high-resolution aerial albedo measurements over Boulder, CO we find improved precision and accuracy relative to Sentinel-2 with an RMSE of 0.04. Applying these methods to 12 global cities, we evaluate the impacts of three cool roof implementation scenarios. We find that cities can see up to a 0.5{\deg}C cooling effect from full scale implementation of cool roofs and prioritizing the largest buildings for implementation is a highly effective policy pathway. While Sentinel-2 produces accurate estimates of albedo change at larger scales, high-resolution inferences are required for prioritizing buildings based on their solar radiation management potential. This research demonstrates a scalable implementation of targeted cool roof interventions in neighborhoods with the greatest potential for heat mitigation by enabling actionable, building-level insights.

physics.geo-ph↗

arXiv2025

UWB Radar-based Heart Rate Monitoring: A Transfer Learning Approach

Radar technology presents untapped potential for continuous, contactless, and passive heart rate monitoring via consumer electronics like mobile phones. However the variety of available radar systems and lack of standardization means that a large new paired dataset collection is required for each radar system. This study demonstrates transfer learning between frequency-modulated continuous wave (FMCW) and impulse-radio ultra-wideband (IR-UWB) radar systems, both increasingly integrated into consumer devices. FMCW radar utilizes a continuous chirp, while IR-UWB radar employs short pulses. Our mm-wave FMCW radar operated at 60 GHz with a 5.5 GHz bandwidth (2.7 cm resolution, 3 receiving antennas [Rx]), and our IR-UWB radar at 8 GHz with a 500 MHz bandwidth (30 cm resolution, 2 Rx). Using a novel 2D+1D ResNet architecture we achieved a mean absolute error (MAE) of 0.85 bpm and a mean absolute percentage error (MAPE) of 1.42% for heart rate monitoring with FMCW radar (N=119 participants, an average of 8 hours per participant). This model maintained performance (under 5 MAE/10% MAPE) across various body positions and heart rate ranges, with a 98.9% recall. We then fine-tuned a variant of this model, trained on single-antenna and single-range bin FMCW data, using a small (N=376, avg 6 minutes per participant) IR-UWB dataset. This transfer learning approach yielded a model with MAE 4.1 bpm and MAPE 6.3% (97.5% recall), a 25% MAE reduction over the IR-UWB baseline. This demonstration of transfer learning between radar systems for heart rate monitoring has the potential to accelerate its introduction into existing consumer devices.

eess.SP↗

arXiv2025

MedGemma Technical Report

Artificial intelligence (AI) has significant potential in healthcare applications, but its training and deployment faces challenges due to healthcare's diverse data, complex tasks, and the need to preserve privacy. Foundation models that perform well on medical tasks and require less task-specific tuning data are critical to accelerate the development of healthcare AI applications. We introduce MedGemma, a collection of medical vision-language foundation models based on Gemma 3 4B and 27B. MedGemma demonstrates advanced medical understanding and reasoning on images and text, significantly exceeding the performance of similar-sized generative models and approaching the performance of task-specific models, while maintaining the general capabilities of the Gemma 3 base models. For out-of-distribution tasks, MedGemma achieves 2.6-10% improvement on medical multimodal question answering, 15.5-18.1% improvement on chest X-ray finding classification, and 10.8% improvement on agentic evaluations compared to the base models. Fine-tuning MedGemma further improves performance in subdomains, reducing errors in electronic health record information retrieval by 50% and reaching comparable performance to existing specialized state-of-the-art methods for pneumothorax classification and histopathology patch classification. We additionally introduce MedSigLIP, a medically-tuned vision encoder derived from SigLIP. MedSigLIP powers the visual understanding capabilities of MedGemma and as an encoder achieves comparable or better performance than specialized medical image encoders. Taken together, the MedGemma collection provides a strong foundation of medical image and text capabilities, with potential to significantly accelerate medical research and development of downstream applications. The MedGemma collection, including tutorials and model weights, can be found at https://goo.gle/medgemma.

cs.AI↗

arXiv2025

CoCa-CXR: Contrastive Captioners Learn Strong Temporal Structures for Chest X-Ray Vision-Language Understanding

Vision-language models have proven to be of great benefit for medical image analysis since they learn rich semantics from both images and reports. Prior efforts have focused on better alignment of image and text representations to enhance image understanding. However, though explicit reference to a prior image is common in Chest X-Ray (CXR) reports, aligning progression descriptions with the semantics differences in image pairs remains under-explored. In this work, we propose two components to address this issue. (1) A CXR report processing pipeline to extract temporal structure. It processes reports with a large language model (LLM) to separate the description and comparison contexts, and extracts fine-grained annotations from reports. (2) A contrastive captioner model for CXR, namely CoCa-CXR, to learn how to both describe images and their temporal progressions. CoCa-CXR incorporates a novel regional cross-attention module to identify local differences between paired CXR images. Extensive experiments show the superiority of CoCa-CXR on both progression analysis and report generation compared to previous methods. Notably, on MS-CXR-T progression classification, CoCa-CXR obtains 65.0% average testing accuracy on five pulmonary conditions, outperforming the previous state-of-the-art (SOTA) model BioViL-T by 4.8%. It also achieves a RadGraph F1 of 24.2% on MIMIC-CXR, which is comparable to the Med-Gemini foundation model.

cs.CV↗

arXiv2025

PolyPath: Adapting a Large Multimodal Model for Multi-slide Pathology Report Generation

The interpretation of histopathology cases underlies many important diagnostic and treatment decisions in medicine. Notably, this process typically requires pathologists to integrate and summarize findings across multiple slides per case. Existing vision-language capabilities in computational pathology have so far been largely limited to small regions of interest, larger regions at low magnification, or single whole-slide images (WSIs). This limits interpretation of findings that span multiple high-magnification regions across multiple WSIs. By making use of Gemini 1.5 Flash, a large multimodal model (LMM) with a 1-million token context window, we demonstrate the ability to generate bottom-line diagnoses from up to 40,000 768x768 pixel image patches from multiple WSIs at 10X magnification. This is the equivalent of up to 11 hours of video at 1 fps. Expert pathologist evaluations demonstrate that the generated report text is clinically accurate and equivalent to or preferred over the original reporting for 68% (95% CI: [60%, 76%]) of multi-slide examples with up to 5 slides. While performance decreased for examples with 6 or more slides, this study demonstrates the promise of leveraging the long-context capabilities of modern LMMs for the uniquely challenging task of medical report generation where each case can contain thousands of image patches.

cs.CV↗

arXiv2024

Health AI Developer Foundations

Robust medical Machine Learning (ML) models have the potential to revolutionize healthcare by accelerating clinical research, improving workflows and outcomes, and producing novel insights or capabilities. Developing such ML models from scratch is cost prohibitive and requires substantial compute, data, and time (e.g., expert labeling). To address these challenges, we introduce Health AI Developer Foundations (HAI-DEF), a suite of pre-trained, domain-specific foundation models, tools, and recipes to accelerate building ML for health applications. The models cover various modalities and domains, including radiology (X-rays and computed tomography), histopathology, dermatological imaging, and audio. These models provide domain specific embeddings that facilitate AI development with less labeled data, shorter training times, and reduced computational costs compared to traditional approaches. In addition, we utilize a common interface and style across these models, and prioritize usability to enable developers to integrate HAI-DEF efficiently. We present model evaluations across various tasks and conclude with a discussion of their application and evaluation, covering the importance of ensuring efficacy, fairness, and equity. Finally, while HAI-DEF and specifically the foundation models lower the barrier to entry for ML in healthcare, we emphasize the importance of validation with problem- and population-specific data for each desired usage setting. This technical report will be updated over time as more modalities and features are added.

cs.LG↗

arXiv2024

General Geospatial Inference with a Population Dynamics Foundation Model

Supporting the health and well-being of dynamic populations around the world requires governmental agencies, organizations and researchers to understand and reason over complex relationships between human behavior and local contexts in order to identify high-risk groups and strategically allocate limited resources. Traditional approaches to these classes of problems often entail developing manually curated, task-specific features and models to represent human behavior and the natural and built environment, which can be challenging to adapt to new, or even, related tasks. To address this, we introduce a Population Dynamics Foundation Model (PDFM) that aims to capture the relationships between diverse data modalities and is applicable to a broad range of geospatial tasks. We first construct a geo-indexed dataset for postal codes and counties across the United States, capturing rich aggregated information on human behavior from maps, busyness, and aggregated search trends, and environmental factors such as weather and air quality. We then model this data and the complex relationships between locations using a graph neural network, producing embeddings that can be adapted to a wide range of downstream tasks using relatively simple models. We evaluate the effectiveness of our approach by benchmarking it on 27 downstream tasks spanning three distinct domains: health indicators, socioeconomic factors, and environmental measurements. The approach achieves state-of-the-art performance on all 27 geospatial interpolation tasks, and on 25 out of the 27 extrapolation and super-resolution tasks. We combined the PDFM with a state-of-the-art forecasting foundation model, TimesFM, to predict unemployment and poverty, achieving performance that surpasses fully supervised forecasting. The full set of embeddings and sample code are publicly available for researchers.

cs.LG↗

arXiv2024

Community search signatures as foundation features for human-centered geospatial modeling

Aggregated relative search frequencies offer a unique composite signal reflecting people's habits, concerns, interests, intents, and general information needs, which are not found in other readily available datasets. Temporal search trends have been successfully used in time series modeling across a variety of domains such as infectious diseases, unemployment rates, and retail sales. However, most existing applications require curating specialized datasets of individual keywords, queries, or query clusters, and the search data need to be temporally aligned with the outcome variable of interest. We propose a novel approach for generating an aggregated and anonymized representation of search interest as foundation features at the community level for geospatial modeling. We benchmark these features using spatial datasets across multiple domains. In zip codes with a population greater than 3000 that cover over 95% of the contiguous US population, our models for predicting missing values in a 20% set of holdout counties achieve an average $R^2$ score of 0.74 across 21 health variables, and 0.80 across 6 demographic and environmental variables. Our results demonstrate that these search features can be used for spatial predictions without strict temporal alignment, and that the resulting models outperform spatial interpolation and state of the art methods using satellite imagery features.

cs.LG↗

arXiv2024

Plots Unlock Time-Series Understanding in Multimodal Models

While multimodal foundation models can now natively work with data beyond text, they remain underutilized in analyzing the considerable amounts of multi-dimensional time-series data in fields like healthcare, finance, and social sciences, representing a missed opportunity for richer, data-driven insights. This paper proposes a simple but effective method that leverages the existing vision encoders of these models to "see" time-series data via plots, avoiding the need for additional, potentially costly, model training. Our empirical evaluations show that this approach outperforms providing the raw time-series data as text, with the additional benefit that visual time-series representations demonstrate up to a 90% reduction in model API costs. We validate our hypothesis through synthetic data tasks of increasing complexity, progressing from simple functional form identification on clean data, to extracting trends from noisy scatter plots. To demonstrate generalizability from synthetic tasks with clear reasoning steps to more complex, real-world scenarios, we apply our approach to consumer health tasks - specifically fall detection, activity recognition, and readiness assessment - which involve heterogeneous, noisy data and multi-step reasoning. The overall success in plot performance over text performance (up to an 120% performance increase on zero-shot synthetic tasks, and up to 150% performance increase on real-world tasks), across both GPT and Gemini model families, highlights our approach's potential for making the best use of the native capabilities of foundation models.

cs.AI↗

arXiv2024

PathAlign: A vision-language model for whole slide images in histopathology

Microscopic interpretation of histopathology images underlies many important diagnostic and treatment decisions. While advances in vision-language modeling raise new opportunities for analysis of such images, the gigapixel-scale size of whole slide images (WSIs) introduces unique challenges. Additionally, pathology reports simultaneously highlight key findings from small regions while also aggregating interpretation across multiple slides, often making it difficult to create robust image-text pairs. As such, pathology reports remain a largely untapped source of supervision in computational pathology, with most efforts relying on region-of-interest annotations or self-supervision at the patch-level. In this work, we develop a vision-language model based on the BLIP-2 framework using WSIs paired with curated text from pathology reports. This enables applications utilizing a shared image-text embedding space, such as text or image retrieval for finding cases of interest, as well as integration of the WSI encoder with a frozen large language model (LLM) for WSI-based generative text capabilities such as report generation or AI-in-the-loop interactions. We utilize a de-identified dataset of over 350,000 WSIs and diagnostic text pairs, spanning a wide range of diagnoses, procedure types, and tissue types. We present pathologist evaluation of text generation and text retrieval using WSI embeddings, as well as results for WSI classification and workflow prioritization (slide-level triaging). Model-generated text for WSIs was rated by pathologists as accurate, without clinically significant error or omission, for 78% of WSIs on average. This work demonstrates exciting potential capabilities for language-aligned WSI embeddings.

cs.CV↗

arXiv2024

Towards a Personal Health Large Language Model

In health, most large language model (LLM) research has focused on clinical tasks. However, mobile and wearable devices, which are rarely integrated into such tasks, provide rich, longitudinal data for personal health monitoring. Here we present Personal Health Large Language Model (PH-LLM), fine-tuned from Gemini for understanding and reasoning over numerical time-series personal health data. We created and curated three datasets that test 1) production of personalized insights and recommendations from sleep patterns, physical activity, and physiological responses, 2) expert domain knowledge, and 3) prediction of self-reported sleep outcomes. For the first task we designed 857 case studies in collaboration with domain experts to assess real-world scenarios in sleep and fitness. Through comprehensive evaluation of domain-specific rubrics, we observed that Gemini Ultra 1.0 and PH-LLM are not statistically different from expert performance in fitness and, while experts remain superior for sleep, fine-tuning PH-LLM provided significant improvements in using relevant domain knowledge and personalizing information for sleep insights. We evaluated PH-LLM domain knowledge using multiple choice sleep medicine and fitness examinations. PH-LLM achieved 79% on sleep and 88% on fitness, exceeding average scores from a sample of human experts. Finally, we trained PH-LLM to predict self-reported sleep quality outcomes from textual and multimodal encoding representations of wearable data, and demonstrate that multimodal encoding is required to match performance of specialized discriminative models. Although further development and evaluation are necessary in the safety-critical personal health domain, these results demonstrate both the broad knowledge and capabilities of Gemini models and the benefit of contextualizing physiological data for personal health applications as done with PH-LLM.

cs.AI↗

arXiv2024

Advancing Multimodal Medical Capabilities of Gemini

Many clinical tasks require an understanding of specialized data, such as medical images and genomics, which is not typically found in general-purpose large multimodal models. Building upon Gemini's multimodal models, we develop several models within the new Med-Gemini family that inherit core capabilities of Gemini and are optimized for medical use via fine-tuning with 2D and 3D radiology, histopathology, ophthalmology, dermatology and genomic data. Med-Gemini-2D sets a new standard for AI-based chest X-ray (CXR) report generation based on expert evaluation, exceeding previous best results across two separate datasets by an absolute margin of 1% and 12%, where 57% and 96% of AI reports on normal cases, and 43% and 65% on abnormal cases, are evaluated as "equivalent or better" than the original radiologists' reports. We demonstrate the first ever large multimodal model-based report generation for 3D computed tomography (CT) volumes using Med-Gemini-3D, with 53% of AI reports considered clinically acceptable, although additional research is needed to meet expert radiologist reporting quality. Beyond report generation, Med-Gemini-2D surpasses the previous best performance in CXR visual question answering (VQA) and performs well in CXR classification and radiology VQA, exceeding SoTA or baselines on 17 of 20 tasks. In histopathology, ophthalmology, and dermatology image classification, Med-Gemini-2D surpasses baselines across 18 out of 20 tasks and approaches task-specific model performance. Beyond imaging, Med-Gemini-Polygenic outperforms the standard linear polygenic risk score-based approach for disease risk prediction and generalizes to genetically correlated diseases for which it has never been trained. Although further development and evaluation are necessary in the safety-critical medical domain, our results highlight the potential of Med-Gemini across a wide range of medical tasks.

cs.CV↗

arXiv2024

HeAR -- Health Acoustic Representations

Health acoustic sounds such as coughs and breaths are known to contain useful health signals with significant potential for monitoring health and disease, yet are underexplored in the medical machine learning community. The existing deep learning systems for health acoustics are often narrowly trained and evaluated on a single task, which is limited by data and may hinder generalization to other tasks. To mitigate these gaps, we develop HeAR, a scalable self-supervised learning-based deep learning system using masked autoencoders trained on a large dataset of 313 million two-second long audio clips. Through linear probes, we establish HeAR as a state-of-the-art health audio embedding model on a benchmark of 33 health acoustic tasks across 6 datasets. By introducing this work, we hope to enable and accelerate further health acoustics research.

cs.LG↗