arXiv subjects

Yusuf Brima

Publications and source records attributed to Yusuf Brima.

10 recordsLinked to original sources

arXiv2026

A Multimodal Explainable Deep Learning Framework for Alzheimer's Disease Diagnosis using 3D Magnetic Resonance Imaging and Clinical Data

Dementia is a major and growing global health burden, with Alzheimer's disease (AD) accounting for most cases. Timely and accurate diagnosis is central to managing this burden and increasingly depends on integrating complementary clinical and imaging information. Multimodal deep learning can combine these modalities for AD diagnosis, but how its explanations behave across modalities, fusion strategies, and cohorts remains unclear. We developed an explainable multimodal framework pairing a 3D CNN encoder for T1-weighted MRI with a feedforward network for harmonized clinical and demographic data, comparing varied model setups on three-way and pairwise diagnostic tasks using 6,479 internal records from the ADNI and 1,703 independent records from the OASIS-3. On ADNI, the tabular-only model achieved the highest three-class AUC-ROC of 0.879 and best discriminated cognitively normal (CN) versus mild cognitive impairment (MCI; 0.903), while cross-attention performed best for MCI versus AD (0.861); CN versus AD was highly discriminative overall. On OASIS-3, the vision-only model performed best (three-class AUC-ROC 0.910); CN versus MCI remained difficult, and no fusion strategy consistently outperformed single modalities across tasks and cohorts. SHAP and Integrated Gradients identified the MMSE as the dominant tabular feature in both cohorts, with global feature rankings agreeing strongly in ADNI ($ρ=0.94$) and OASIS-3 ($ρ=0.96$); CAM-based explanations, however, changed with model configuration and cohort. These findings show that multimodal performance and explanations are task, modality, fusion, and cohort-dependent: a dominant cognitive signal persisted across cohorts, but feature contributions and CAM explanations did not, underscoring the need to evaluate explainability under cohort shift rather than as a stable, intrinsic property.

cs.CV↗

arXiv2026

Few-shot Cross-country Generalization of Tabular Machine Learning and Foundation Models for Childhood Anemia Prediction under Distribution Shift

Childhood anemia affects around 40% of children aged 6-59 months globally and arises from heterogeneous factors, limiting model generalizability. We evaluate a transformer-based tabular foundation model against classical supervised methods under cross-country and data-scarce settings. We used DHS data from 16 countries across Africa, Asia, Latin America, the Caucasus, and the Middle East (n=68,856). We compared Logistic Regression, XGBoost, LightGBM, and TabPFN v2.6. Performance was assessed using AUC-ROC, Brier score, and ECE. Generalization was evaluated using leave-one-country-out (LOCO), reverse-LOCO, and few-shot settings. Subgroup analyses included sex, age, residence, maternal education, and wealth. Feature importance was estimated using SHAP. TabPFN outperformed classical models in low-data regimes (<200 samples), showing higher discrimination and better calibration. Across countries, it achieved the lowest Brier score (0.042) and ECE (0.203). Under full-data settings, AUC-ROC ranged from 0.59-0.76 with small between-model differences ($\leq 0.05$). LOCO performance was stable (0.58-0.69), driven by country context. Reverse-LOCO showed asymmetric transferability. Subgroup performance was consistent with no systematic demographic bias. SHAP identified child age, altitude, and height-for-age z-score as dominant predictors, followed by wealth and maternal education. Performance in childhood anemia prediction is driven more by population variation than model choice. TabPFN provides advantages in low-resource settings through improved discrimination and calibration, highlighting foundation models as promising tools for data-scarce global health prediction.

cs.LG↗

arXiv2026

An Empirical Study of Machine Learning Robustness and Scalability for Imbalanced Tabular Clinical Data in Emergency and Critical Care

Every year, millions of patients pass through emergency departments and intensive care units, where clinicians must make high-stakes decisions under time pressure and uncertainty. Machine learning could support prediction of deterioration, triage, and rare critical outcomes, but clinical data are often severely imbalanced, biasing models toward majority classes and reducing predictive performance. Developing robust and efficient models for imbalanced clinical tabular data therefore remains an important challenge. We evaluated six model families on imbalanced tabular data from the MIMIC-IV-ED and eICU databases: Decision Tree, Random Forest, XGBoost, TabNet, TabICL, and TabPFN v2.6. Trainable models were optimized using Bayesian hyperparameter tuning, while foundation models were evaluated in their pretrained inference regime without task-specific reweighting. Models were assessed using Macro F1-score, robustness to increasing imbalance, and computational scalability across seven clinical prediction tasks. Results differed across datasets. On MIMIC-IV-ED, TabPFN v2.6 and TabICL achieved the strongest average Macro F1 ranks, with XGBoost remaining competitive. On eICU, XGBoost consistently performed best, followed by other tree-based methods, while foundation models achieved intermediate performance. Across both datasets, TabNet showed the largest degradation under increasing imbalance and the highest computational cost. Training-time analysis showed that tree-based methods scaled most favorably with dataset size, while foundation models offered low per-task adaptation cost. These findings suggest that no single model family dominates across all clinical settings. However, tabular foundation models are narrowing the performance gap with strong classical baselines while offering a distinct efficiency-performance trade-off that may benefit resource-constrained clinical environments.

cs.LG↗

arXiv2026

Bridging visual saliency and large language models for explainable deep learning in medical imaging

The opaque nature of deep learning models remains a significant barrier to their clinical adoption in medical imaging. This paper presents a multimodal explainability framework that bridges the gap between convolutional neural network (CNN) predictions and clinically actionable insights for brain tumor classification, leveraging large language models (LLMs) to deliver human-interpretable diagnostic narratives. The proposed framework operates through three coupled stages. First, nine CNN architectures are extended with a dual-output hybrid formulation that simultaneously optimises a classification head and a segmentation head, enabling spatially richer feature learning. Second, visual saliency attribution methods, namely Grad-CAM, Grad-CAM++, and ScoreCAM, are applied to generate class-discriminative heatmaps, which are subsequently refined into binary tumor masks via an adaptive percentile thresholding pipeline. Third, the resulting masks are mapped onto the Harvard-Oxford cortical atlas to translate pixel-level evidence into named neuroanatomical structures, and the extracted findings are encoded into a structured JSON file that conditions three LLMs (Grok3, Mistral, and LLaMA) to generate coherent, radiological-style diagnostic reports. Evaluated on a dataset of 4,834 contrast-enhanced T1-weighted brain MRI images spanning three tumor classes, InceptionResNetV2 achieved the highest classification performance and Grad-CAM++ yielded the best segmentation overlap. Among the language models, Grok3 led in lexical diversity and coherence, while LLaMA achieved the highest readability score. By integrating visual, anatomical, and linguistic modalities into a unified pipeline, the framework produces explanations that are technically grounded and meaningfully interpretable, advancing the transparency and clinical accountability of artificial intelligence assisted brain tumor diagnosis.

cs.CV↗

arXiv2025

A Systematic Review of Low-Rank and Local Low-Rank Matrix Approximation in Big Data Medical Imaging

The large volume and complexity of medical imaging datasets are bottlenecks for storage, transmission, and processing. To tackle these challenges, the application of low-rank matrix approximation (LRMA) and its derivative, local LRMA (LLRMA) has demonstrated potential. A detailed analysis of the literature identifies LRMA and LLRMA methods applied to various imaging modalities, and the challenges and limitations associated with existing LRMA and LLRMA methods are addressed. We note a significant shift towards a preference for LLRMA in the medical imaging field since 2015, demonstrating its potential and effectiveness in capturing complex structures in medical data compared to LRMA. Acknowledging the limitations of shallow similarity methods used with LLRMA, we suggest advanced semantic image segmentation for similarity measure, explaining in detail how it can be used to measure similar patches and its feasibility. We note that LRMA and LLRMA are mainly applied to unstructured medical data, and we propose extending their application to different medical data types, including structured and semi-structured. This paper also discusses how LRMA and LLRMA can be applied to regular data with missing entries and the impact of inaccuracies in predicting missing values and their effects. We discuss the impact of patch size and propose the use of random search (RS) to determine the optimal patch size. To enhance feasibility, a hybrid approach using Bayesian optimization and RS is proposed, which could improve the application of LRMA and LLRMA in medical imaging.

eess.IV↗

arXiv2025

Learning Disentangled Speech Representations

Disentangled representation learning in speech processing has lagged behind other domains, largely due to the lack of datasets with annotated generative factors for robust evaluation. To address this, we propose SynSpeech, a novel large-scale synthetic speech dataset specifically designed to enable research on disentangled speech representations. SynSpeech includes controlled variations in speaker identity, spoken text, and speaking style, with three dataset versions to support experimentation at different levels of complexity. In this study, we present a comprehensive framework to evaluate disentangled representation learning techniques, applying both linear probing and established supervised disentanglement metrics to assess the modularity, compactness, and informativeness of the representations learned by a state-of-the-art model. Using the RAVE model as a test case, we find that SynSpeech facilitates benchmarking across a range of factors, achieving promising disentanglement of simpler features like gender and speaking style, while highlighting challenges in isolating complex attributes like speaker identity. This benchmark dataset and evaluation framework fills a critical gap, supporting the development of more robust and interpretable speech representation learning methods.

eess.AS↗

arXiv2024

Learning Disentangled Audio Representations through Controlled Synthesis

This paper tackles the scarcity of benchmarking data in disentangled auditory representation learning. We introduce SynTone, a synthetic dataset with explicit ground truth explanatory factors for evaluating disentanglement techniques. Benchmarking state-of-the-art methods on SynTone highlights its utility for method evaluation. Our results underscore strengths and limitations in audio disentanglement, motivating future research.

cs.SD↗

arXiv2024

Understanding Self-Supervised Learning of Speech Representation via Invariance and Redundancy Reduction

Self-supervised learning (SSL) has emerged as a promising paradigm for learning flexible speech representations from unlabeled data. By designing pretext tasks that exploit statistical regularities, SSL models can capture useful representations that are transferable to downstream tasks. This study provides an empirical analysis of Barlow Twins (BT), an SSL technique inspired by theories of redundancy reduction in human perception. On downstream tasks, BT representations accelerated learning and transferred across domains. However, limitations exist in disentangling key explanatory factors, with redundancy reduction and invariance alone insufficient for factorization of learned latents into modular, compact, and informative codes. Our ablations study isolated gains from invariance constraints, but the gains were context-dependent. Overall, this work substantiates the potential of Barlow Twins for sample-efficient speech encoding. However, challenges remain in achieving fully hierarchical representations. The analysis methodology and insights pave a path for extensions incorporating further inductive priors and perceptual principles to further enhance the BT self-supervision framework.

cs.SD↗

arXiv2023

Visual Interpretable and Explainable Deep Learning Models for Brain Tumor MRI and COVID-19 Chest X-ray Images

Deep learning shows promise for medical image analysis but lacks interpretability, hindering adoption in healthcare. Attribution techniques that explain model reasoning may increase trust in deep learning among clinical stakeholders. This paper aimed to evaluate attribution methods for illuminating how deep neural networks analyze medical images. Using adaptive path-based gradient integration, we attributed predictions from brain tumor MRI and COVID-19 chest X-ray datasets made by recent deep convolutional neural network models. The technique highlighted possible biomarkers, exposed model biases, and offered insights into the links between input and prediction. Our analysis demonstrates the method's ability to elucidate model reasoning on these datasets. The resulting attributions show promise for improving deep learning transparency for domain experts by revealing the rationale behind predictions. This study advances model interpretability to increase trust in deep learning among healthcare stakeholders.

cs.LG↗

arXiv2021

Deep Transfer Learning for Brain Magnetic Resonance Image Multi-class Classification

Magnetic Resonance Imaging (MRI) is a principal diagnostic approach used in the field of radiology to create images of the anatomical and physiological structure of patients. MRI is the prevalent medical imaging practice to find abnormalities in soft tissues. Traditionally they are analyzed by a radiologist to detect abnormalities in soft tissues, especially the brain. The process of interpreting a massive volume of patient's MRI is laborious. Hence, the use of Machine Learning methodologies can aid in detecting abnormalities in soft tissues with considerable accuracy. In this research, we have curated a novel dataset and developed a framework that uses Deep Transfer Learning to perform a multi-classification of tumors in the brain MRI images. In this paper, we adopted the Deep Residual Convolutional Neural Network (ResNet50) architecture for the experiments along with discriminative learning techniques to train the model. Using the novel dataset and two publicly available MRI brain datasets, this proposed approach attained a classification accuracy of 86.40% on the curated dataset, 93.80% on the Harvard Whole Brain Atlas dataset, and 97.05% accuracy on the School of Biomedical Engineering dataset. Results of our experiments significantly demonstrate our proposed framework for transfer learning is a potential and effective method for brain tumor multi-classification tasks.

cs.CV↗