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arXiv subjects

Sumit Chopra

Publications and source records attributed to Sumit Chopra.

At least 19 recordsLinked to original sources

MJEPA: A Simple and Scalable Joint-Embedding Predictive Architecture for Audio-Visual Learning

Self-supervised learning from large-scale video data has emerged as a dominant paradigm for visual representation learning. Since audio and visual streams naturally co-occur in video data, extending this success to jointly learn from both modalities is a natural next step, yet it remains challenging. Existing audio-visual self-supervised methods rely on modality-specific encoders and complex combinations of contrastive or reconstruction objectives, limiting cross-modal synergy and scalability. Joint Embedding Predictive Architectures (JEPAs) offer a simple, modality-agnostic alternative, but have to date been applied primarily to individual modalities. We introduce MJEPA, a joint-embedding predictive architecture for audio-visual learning that uses a single, unified encoder for both modalities. Our approach uses only a single predictive objective, applied both within and across modalities. We show that cross-modal prediction is critical: without it, a shared encoder degrades below unimodal baselines; with it, each modality's representation benefits from the other. Our frozen ViT-g model outperforms the best prior frozen baseline by over 6.8 mAP on AudioSet-20K, surpasses fully finetuned models on ESC-50 and FSD50K, and is competitive on video benchmarks despite using 10x less video data.

cs.CV

L-TGVN: Leveraging Longitudinal Priors for Personalized Rapid MRI

MRI provides excellent soft-tissue contrast without ionizing radiation, but long acquisition times increase patient discomfort while also raising exam costs and limiting scanner throughput. A common approach to reduce scan time is to acquire fewer measurements, which yields an ill-posed linear inverse problem; recovering diagnostic-quality images therefore requires incorporating prior knowledge beyond the measured data. In follow-up exams, the most recent prior scan of a patient can provide a highly informative subject-specific context, but practical use is complicated by temporal changes (including pathology progression), misalignment between scans, and protocol drift across acquisitions. In this work, we introduce L-TGVN, a Longitudinal Trust-Guided Variational Network that leverages prior scans as side information to reconstruct the current scan from heavily undersampled measurements. Crucially, L-TGVN constrains the influence of prior scans to be consistent with the acquired measurements. Unlike many existing longitudinal reconstruction methods, it does not require explicit pre-registration between prior and current scans. It further accommodates differences in acquisition protocols across visits (e.g., changes in sequence parameters). We evaluate L-TGVN against matched-capacity baselines, including prior-guided methods and methods that do not use longitudinal priors, and observe consistent improvements in standard quantitative metrics together with better preservation of fine structures at challenging accelerations. Source code is available at github.com/sodicksonlab/L-TGVN.

eess.IV

Characterizing the Predictive Impact of Modalities with Supervised Latent-Variable Modeling

Despite the recent success of Multimodal Large Language Models (MLLMs), existing approaches predominantly assume the availability of multiple modalities during training and inference. In practice, multimodal data is often incomplete because modalities may be missing, collected asynchronously, or available only for a subset of examples. In this work, we propose PRIMO, a supervised latent-variable imputation model that quantifies the predictive impact of any missing modality within the multimodal learning setting. PRIMO enables the use of all available training examples, whether modalities are complete or partial. Specifically, it models the missing modality through a latent variable that captures its relationship with the observed modality in the context of prediction. During inference, we draw many samples from the learned distribution over the missing modality to both obtain the marginal predictive distribution (for the purpose of prediction) and analyze the impact of the missing modalities on the prediction for each instance. We evaluate PRIMO on a synthetic XOR dataset, Audio-Vision MNIST, and MIMIC-III for mortality and ICD-9 prediction. Across all datasets, PRIMO obtains performance comparable to unimodal baselines when a modality is fully missing and to multimodal baselines when all modalities are available. PRIMO quantifies the predictive impact of a modality at the instance level using a variance-based metric computed from predictions across latent completions. We visually demonstrate how varying completions of the missing modality result in a set of plausible labels.

cs.CV

Temporal Generalization: A Reality Check

Machine learning (ML) models often struggle to maintain performance under distribution shifts, leading to inaccurate predictions on unseen future data. In this work, we investigate whether and under what conditions models can achieve such a generalization when relying solely on past data. We explore two primary approaches: convex combinations of past model parameters (\emph{parameter interpolation}) and explicit extrapolation beyond the convex hull of past parameters (\emph{parameter extrapolation}). We benchmark several methods within these categories on a diverse set of temporal tasks, including language modeling, news summarization, news tag prediction, academic paper categorization, satellite image-based land use classification over time, and historical yearbook photo gender prediction. Our empirical findings show that none of the evaluated methods consistently outperforms the simple baseline of using the latest available model parameters in all scenarios. In the absence of access to future data or robust assumptions about the underlying data-generating process, these results underscore the inherent difficulties of generalizing and extrapolating to future data and warrant caution when evaluating claims of such generalization.

cs.LG

Multi-modal Data Spectrum: Multi-modal Datasets are Multi-dimensional

Understanding the interplay between intra-modality dependencies (the contribution of an individual modality to a target task) and inter-modality dependencies (the relationships between modalities and the target task) is fundamental to advancing multi-modal learning. However, the nature of and interaction between these dependencies within current benchmark evaluations remains poorly characterized. In this work, we present a large-scale empirical study to quantify these dependencies across 23 visual question-answering benchmarks using multi-modal large language models (MLLMs) covering domains such as general and expert knowledge reasoning, optical character recognition, and document understanding. Our findings show that the reliance on vision, question (text), and their interaction varies significantly, both across and within benchmarks. We discover that numerous benchmarks intended to mitigate text-only biases have inadvertently amplified image-only dependencies. This characterization persists across model sizes and types, with models often obtaining high performance by using each modality independently and showing limited dependence on their interaction. We provide a quantitative characterization of multi-modal datasets, enabling a principled approach to multi-modal benchmark design and evaluation.

cs.CV

DIMCIM: A Quantitative Evaluation Framework for Default-mode Diversity and Generalization in Text-to-Image Generative Models

Recent advances in text-to-image (T2I) models have achieved impressive quality and consistency. However, this has come at the cost of representation diversity. While automatic evaluation methods exist for benchmarking model diversity, they either require reference image datasets or lack specificity about the kind of diversity measured, limiting their adaptability and interpretability. To address this gap, we introduce the Does-it/Can-it framework, DIM-CIM, a reference-free measurement of default-mode diversity ("Does" the model generate images with expected attributes?) and generalization capacity ("Can" the model generate diverse attributes for a particular concept?). We construct the COCO-DIMCIM benchmark, which is seeded with COCO concepts and captions and augmented by a large language model. With COCO-DIMCIM, we find that widely-used models improve in generalization at the cost of default-mode diversity when scaling from 1.5B to 8.1B parameters. DIMCIM also identifies fine-grained failure cases, such as attributes that are generated with generic prompts but are rarely generated when explicitly requested. Finally, we use DIMCIM to evaluate the training data of a T2I model and observe a correlation of 0.85 between diversity in training images and default-mode diversity. Our work provides a flexible and interpretable framework for assessing T2I model diversity and generalization, enabling a more comprehensive understanding of model performance.

cs.CV

A Trust-Guided Approach to MR Image Reconstruction with Side Information

Reducing MRI scan times can improve patient care and lower healthcare costs. Many acceleration methods are designed to reconstruct diagnostic-quality images from sparse k-space data, via an ill-posed or ill-conditioned linear inverse problem (LIP). To address the resulting ambiguities, it is crucial to incorporate prior knowledge into the optimization problem, e.g., in the form of regularization. Another form of prior knowledge less commonly used in medical imaging is the readily available auxiliary data (a.k.a. side information) obtained from sources other than the current acquisition. In this paper, we present the Trust- Guided Variational Network (TGVN), an end-to-end deep learning framework that effectively and reliably integrates side information into LIPs. We demonstrate its effectiveness in multi-coil, multi-contrast MRI reconstruction, where incomplete or low-SNR measurements from one contrast are used as side information to reconstruct high-quality images of another contrast from heavily under-sampled data. TGVN is robust across different contrasts, anatomies, and field strengths. Compared to baselines utilizing side information, TGVN achieves superior image quality while preserving subtle pathological features even at challenging acceleration levels, drastically speeding up acquisition while minimizing hallucinations. Source code and dataset splits are available on github.com/sodicksonlab/TGVN.

eess.IV

HIST-AID: Leveraging Historical Patient Reports for Enhanced Multi-Modal Automatic Diagnosis

Chest X-ray imaging is a widely accessible and non-invasive diagnostic tool for detecting thoracic abnormalities. While numerous AI models assist radiologists in interpreting these images, most overlook patients' historical data. To bridge this gap, we introduce Temporal MIMIC dataset, which integrates five years of patient history, including radiographic scans and reports from MIMIC-CXR and MIMIC-IV, encompassing 12,221 patients and thirteen pathologies. Building on this, we present HIST-AID, a framework that enhances automatic diagnostic accuracy using historical reports. HIST-AID emulates the radiologist's comprehensive approach, leveraging historical data to improve diagnostic accuracy. Our experiments demonstrate significant improvements, with AUROC increasing by 6.56% and AUPRC by 9.51% compared to models that rely solely on radiographic scans. These gains were consistently observed across diverse demographic groups, including variations in gender, age, and racial categories. We show that while recent data boost performance, older data may reduce accuracy due to changes in patient conditions. Our work paves the potential of incorporating historical data for more reliable automatic diagnosis, providing critical support for clinical decision-making.

eess.IV

Fine-Tuning In-House Large Language Models to Infer Differential Diagnosis from Radiology Reports

Radiology reports summarize key findings and differential diagnoses derived from medical imaging examinations. The extraction of differential diagnoses is crucial for downstream tasks, including patient management and treatment planning. However, the unstructured nature of these reports, characterized by diverse linguistic styles and inconsistent formatting, presents significant challenges. Although proprietary large language models (LLMs) such as GPT-4 can effectively retrieve clinical information, their use is limited in practice by high costs and concerns over the privacy of protected health information (PHI). This study introduces a pipeline for developing in-house LLMs tailored to identify differential diagnoses from radiology reports. We first utilize GPT-4 to create 31,056 labeled reports, then fine-tune open source LLM using this dataset. Evaluated on a set of 1,067 reports annotated by clinicians, the proposed model achieves an average F1 score of 92.1\%, which is on par with GPT-4 (90.8\%). Through this study, we provide a methodology for constructing in-house LLMs that: match the performance of GPT, reduce dependence on expensive proprietary models, and enhance the privacy and security of PHI.

cs.CL

BURExtract-Llama: An LLM for Clinical Concept Extraction in Breast Ultrasound Reports

Breast ultrasound is essential for detecting and diagnosing abnormalities, with radiology reports summarizing key findings like lesion characteristics and malignancy assessments. Extracting this critical information is challenging due to the unstructured nature of these reports, with varied linguistic styles and inconsistent formatting. While proprietary LLMs like GPT-4 are effective, they are costly and raise privacy concerns when handling protected health information. This study presents a pipeline for developing an in-house LLM to extract clinical information from radiology reports. We first use GPT-4 to create a small labeled dataset, then fine-tune a Llama3-8B model on it. Evaluated on clinician-annotated reports, our model achieves an average F1 score of 84.6%, which is on par with GPT-4. Our findings demonstrate the feasibility of developing an in-house LLM that not only matches GPT-4's performance but also offers cost reductions and enhanced data privacy.

cs.CL

A training regime to learn unified representations from complementary breast imaging modalities

Full Field Digital Mammograms (FFDMs) and Digital Breast Tomosynthesis (DBT) are the two most widely used imaging modalities for breast cancer screening. Although DBT has increased cancer detection compared to FFDM, its widespread adoption in clinical practice has been slowed by increased interpretation times and a perceived decrease in the conspicuity of specific lesion types. Specifically, the non-inferiority of DBT for microcalcifications remains under debate. Due to concerns about the decrease in visual acuity, combined DBT-FFDM acquisitions remain popular, leading to overall increased exam times and radiation dosage. Enabling DBT to provide diagnostic information present in both FFDM and DBT would reduce reliance on FFDM, resulting in a reduction in both quantities. We propose a machine learning methodology that learns high-level representations leveraging the complementary diagnostic signal from both DBT and FFDM. Experiments on a large-scale data set validate our claims and show that our representations enable more accurate breast lesion detection than any DBT- or FFDM-based model.

cs.CV

Adaptive Sampling of k-Space in Magnetic Resonance for Rapid Pathology Prediction

Magnetic Resonance (MR) imaging, despite its proven diagnostic utility, remains an inaccessible imaging modality for disease surveillance at the population level. A major factor rendering MR inaccessible is lengthy scan times. An MR scanner collects measurements associated with the underlying anatomy in the Fourier space, also known as the k-space. Creating a high-fidelity image requires collecting large quantities of such measurements, increasing the scan time. Traditionally to accelerate an MR scan, image reconstruction from under-sampled k-space data is the method of choice. However, recent works show the feasibility of bypassing image reconstruction and directly learning to detect disease directly from a sparser learned subset of the k-space measurements. In this work, we propose Adaptive Sampling for MR (ASMR), a sampling method that learns an adaptive policy to sequentially select k-space samples to optimize for target disease detection. On 6 out of 8 pathology classification tasks spanning the Knee, Brain, and Prostate MR scans, ASMR reaches within 2% of the performance of a fully sampled classifier while using only 8% of the k-space, as well as outperforming prior state-of-the-art work in k-space sampling such as EMRT, LOUPE, and DPS.

cs.LG

Jointly Modeling Inter- & Intra-Modality Dependencies for Multi-modal Learning

Supervised multi-modal learning involves mapping multiple modalities to a target label. Previous studies in this field have concentrated on capturing in isolation either the inter-modality dependencies (the relationships between different modalities and the label) or the intra-modality dependencies (the relationships within a single modality and the label). We argue that these conventional approaches that rely solely on either inter- or intra-modality dependencies may not be optimal in general. We view the multi-modal learning problem from the lens of generative models where we consider the target as a source of multiple modalities and the interaction between them. Towards that end, we propose inter- & intra-modality modeling (I2M2) framework, which captures and integrates both the inter- and intra-modality dependencies, leading to more accurate predictions. We evaluate our approach using real-world healthcare and vision-and-language datasets with state-of-the-art models, demonstrating superior performance over traditional methods focusing only on one type of modality dependency.

cs.CV

On Sensitivity and Robustness of Normalization Schemes to Input Distribution Shifts in Automatic MR Image Diagnosis

Magnetic Resonance Imaging (MRI) is considered the gold standard of medical imaging because of the excellent soft-tissue contrast exhibited in the images reconstructed by the MRI pipeline, which in-turn enables the human radiologist to discern many pathologies easily. More recently, Deep Learning (DL) models have also achieved state-of-the-art performance in diagnosing multiple diseases using these reconstructed images as input. However, the image reconstruction process within the MRI pipeline, which requires the use of complex hardware and adjustment of a large number of scanner parameters, is highly susceptible to noise of various forms, resulting in arbitrary artifacts within the images. Furthermore, the noise distribution is not stationary and varies within a machine, across machines, and patients, leading to varying artifacts within the images. Unfortunately, DL models are quite sensitive to these varying artifacts as it leads to changes in the input data distribution between the training and testing phases. The lack of robustness of these models against varying artifacts impedes their use in medical applications where safety is critical. In this work, we focus on improving the generalization performance of these models in the presence of multiple varying artifacts that manifest due to the complexity of the MR data acquisition. In our experiments, we observe that Batch Normalization, a widely used technique during the training of DL models for medical image analysis, is a significant cause of performance degradation in these changing environments. As a solution, we propose to use other normalization techniques, such as Group Normalization and Layer Normalization (LN), to inject robustness into model performance against varying image artifacts. Through a systematic set of experiments, we show that GN and LN provide better accuracy for various MR artifacts and distribution shifts.

eess.IV

FastMRI Prostate: A Publicly Available, Biparametric MRI Dataset to Advance Machine Learning for Prostate Cancer Imaging

The fastMRI brain and knee dataset has enabled significant advances in exploring reconstruction methods for improving speed and image quality for Magnetic Resonance Imaging (MRI) via novel, clinically relevant reconstruction approaches. In this study, we describe the April 2023 expansion of the fastMRI dataset to include biparametric prostate MRI data acquired on a clinical population. The dataset consists of raw k-space and reconstructed images for T2-weighted and diffusion-weighted sequences along with slice-level labels that indicate the presence and grade of prostate cancer. As has been the case with fastMRI, increasing accessibility to raw prostate MRI data will further facilitate research in MR image reconstruction and evaluation with the larger goal of improving the utility of MRI for prostate cancer detection and evaluation. The dataset is available at https://fastmri.med.nyu.edu.

physics.med-ph

On the Feasibility of Machine Learning Augmented Magnetic Resonance for Point-of-Care Identification of Disease

Early detection of many life-threatening diseases (e.g., prostate and breast cancer) within at-risk population can improve clinical outcomes and reduce cost of care. While numerous disease-specific "screening" tests that are closer to Point-of-Care (POC) are in use for this task, their low specificity results in unnecessary biopsies, leading to avoidable patient trauma and wasteful healthcare spending. On the other hand, despite the high accuracy of Magnetic Resonance (MR) imaging in disease diagnosis, it is not used as a POC disease identification tool because of poor accessibility. The root cause of poor accessibility of MR stems from the requirement to reconstruct high-fidelity images, as it necessitates a lengthy and complex process of acquiring large quantities of high-quality k-space measurements. In this study we explore the feasibility of an ML-augmented MR pipeline that directly infers the disease sidestepping the image reconstruction process. We hypothesise that the disease classification task can be solved using a very small tailored subset of k-space data, compared to image reconstruction. Towards that end, we propose a method that performs two tasks: 1) identifies a subset of the k-space that maximizes disease identification accuracy, and 2) infers the disease directly using the identified k-space subset, bypassing the image reconstruction step. We validate our hypothesis by measuring the performance of the proposed system across multiple diseases and anatomies. We show that comparable performance to image-based classifiers, trained on images reconstructed with full k-space data, can be achieved using small quantities of data: 8% of the data for detecting multiple abnormalities in prostate and brain scans, and 5% of the data for knee abnormalities. To better understand the proposed approach and instigate future research, we provide an extensive analysis and release code.

cs.LG

Generative Image Translation for Data Augmentation of Bone Lesion Pathology

Insufficient training data and severe class imbalance are often limiting factors when developing machine learning models for the classification of rare diseases. In this work, we address the problem of classifying bone lesions from X-ray images by increasing the small number of positive samples in the training set. We propose a generative data augmentation approach based on a cycle-consistent generative adversarial network that synthesizes bone lesions on images without pathology. We pose the generative task as an image-patch translation problem that we optimize specifically for distinct bones (humerus, tibia, femur). In experimental results, we confirm that the described method mitigates the class imbalance problem in the binary classification task of bone lesion detection. We show that the augmented training sets enable the training of superior classifiers achieving better performance on a held-out test set. Additionally, we demonstrate the feasibility of transfer learning and apply a generative model that was trained on one body part to another.

cs.LG

StarSpace: Embed All The Things!

We present StarSpace, a general-purpose neural embedding model that can solve a wide variety of problems: labeling tasks such as text classification, ranking tasks such as information retrieval/web search, collaborative filtering-based or content-based recommendation, embedding of multi-relational graphs, and learning word, sentence or document level embeddings. In each case the model works by embedding those entities comprised of discrete features and comparing them against each other -- learning similarities dependent on the task. Empirical results on a number of tasks show that StarSpace is highly competitive with existing methods, whilst also being generally applicable to new cases where those methods are not.

cs.CL