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Brain disorders are a major challenge to global health, causing millions of deaths each year. Accurate diagnosis of these diseases relies heavily on advanced medical imaging techniques such as Magnetic Resonance Imaging (MRI) and Computed Tomography (CT). However, the scarcity of annotated data poses a significant challenge in deploying machine learning models for medical diagnosis. To address this limitation, deep learning techniques have shown considerable promise. Domain adaptation techniques enhance a model's ability to generalize across imaging modalities by transferring knowledge from one domain (e.g., CT images) to another (e.g., MRI images). Such cross-modality adaptation is essential to improve the ability of models to consistently generalize across different imaging modalities. This study collected relevant resources from the Kaggle website and employed the Maximum Mean Difference (MMD) method - a popular domain adaptation method - to reduce the differences between imaging domains. By combining MMD with Convolutional Neural Networks (CNNs), the accuracy and utility of the model is obviously enhanced. The excellent experimental results highlight the great potential of data-driven domain adaptation techniques to improve diagnostic accuracy and efficiency, especially in resource-limited environments. By bridging the gap between different imaging modalities, the study aims to provide clinicians with more reliable diagnostic tools.

Recent advancements in AI have democratized its deployment as a healthcare assistant. While pretrained models from large-scale visual and audio datasets have demonstrably generalized to this task, surprisingly, no studies have explored pretrained speech models, which, as human-originated sounds, intuitively would share closer resemblance to lung sounds. This paper explores the efficacy of pretrained speech models for respiratory sound classification. We find that there is a characterization gap between speech and lung sound samples, and to bridge this gap, data augmentation is essential. However, the most widely used augmentation technique for audio and speech, SpecAugment, requires 2-dimensional spectrogram format and cannot be applied to models pretrained on speech waveforms. To address this, we propose RepAugment, an input-agnostic representation-level augmentation technique that outperforms SpecAugment, but is also suitable for respiratory sound classification with waveform pretrained models. Experimental results show that our approach outperforms the SpecAugment, demonstrating a substantial improvement in the accuracy of minority disease classes, reaching up to 7.14%.

Given a query consisting of a reference image and a relative caption, Composed Image Retrieval (CIR) aims to retrieve target images visually similar to the reference one while incorporating the changes specified in the relative caption. The reliance of supervised methods on labor-intensive manually labeled datasets hinders their broad applicability. In this work, we introduce a new task, Zero-Shot CIR (ZS-CIR), that addresses CIR without the need for a labeled training dataset. We propose an approach named iSEARLE (improved zero-Shot composEd imAge Retrieval with textuaL invErsion) that involves mapping the visual information of the reference image into a pseudo-word token in CLIP token embedding space and combining it with the relative caption. To foster research on ZS-CIR, we present an open-domain benchmarking dataset named CIRCO (Composed Image Retrieval on Common Objects in context), the first CIR dataset where each query is labeled with multiple ground truths and a semantic categorization. The experimental results illustrate that iSEARLE obtains state-of-the-art performance on three different CIR datasets -- FashionIQ, CIRR, and the proposed CIRCO -- and two additional evaluation settings, namely domain conversion and object composition. The dataset, the code, and the model are publicly available at //github.com/miccunifi/SEARLE.

Large Language Models (LLMs) have swiftly emerged as vital resources for different applications in the biomedical and healthcare domains; however, these models encounter issues such as generating inaccurate information or hallucinations. Retrieval-augmented generation provided a solution for these models to update knowledge and enhance their performance. In contrast to previous retrieval-augmented LMs, which utilize specialized cross-attention mechanisms to help LLM encode retrieved text, BiomedRAG adopts a simpler approach by directly inputting the retrieved chunk-based documents into the LLM. This straightforward design is easily applicable to existing retrieval and language models, effectively bypassing noise information in retrieved documents, particularly in noise-intensive tasks. Moreover, we demonstrate the potential for utilizing the LLM to supervise the retrieval model in the biomedical domain, enabling it to retrieve the document that assists the LM in improving its predictions. Our experiments reveal that with the tuned scorer,\textsc{ BiomedRAG} attains superior performance across 5 biomedical NLP tasks, encompassing information extraction (triple extraction, relation extraction), text classification, link prediction, and question-answering, leveraging over 9 datasets. For instance, in the triple extraction task, \textsc{BiomedRAG} outperforms other triple extraction systems with micro-F1 scores of 81.42 and 88.83 on GIT and ChemProt corpora, respectively.

Varied approaches for aligning language models have been proposed, including supervised fine-tuning, RLHF, and direct optimization methods such as DPO. Although DPO has rapidly gained popularity due to its straightforward training process and competitive results, there is an open question of whether there remain practical advantages of using a discriminator, like a reward model, to evaluate responses. We propose D2PO, discriminator-guided DPO, an approach for the online setting where preferences are being collected throughout learning. As we collect gold preferences, we use these not only to train our policy, but to train a discriminative response evaluation model to silver-label even more synthetic data for policy training. We explore this approach across a set of diverse tasks, including a realistic chat setting, we find that our approach leads to higher-quality outputs compared to DPO with the same data budget, and greater efficiency in terms of preference data requirements. Furthermore, we show conditions under which silver labeling is most helpful: it is most effective when training the policy with DPO, outperforming traditional PPO, and benefits from maintaining a separate discriminator from the policy model.

This paper proposes a Workflow for Assessing Treatment effeCt Heterogeneity (WATCH) in clinical drug development targeted at clinical trial sponsors. The workflow is designed to address the challenges of investigating treatment effect heterogeneity (TEH) in randomized clinical trials, where sample size and multiplicity limit the reliability of findings. The proposed workflow includes four steps: Analysis Planning, Initial Data Analysis and Analysis Dataset Creation, TEH Exploration, and Multidisciplinary Assessment. The workflow aims to provide a systematic approach to explore treatment effect heterogeneity in the exploratory setting, taking into account external evidence and best scientific understanding.

The recent advancements in artificial intelligence (AI) combined with the extensive amount of data generated by today's clinical systems, has led to the development of imaging AI solutions across the whole value chain of medical imaging, including image reconstruction, medical image segmentation, image-based diagnosis and treatment planning. Notwithstanding the successes and future potential of AI in medical imaging, many stakeholders are concerned of the potential risks and ethical implications of imaging AI solutions, which are perceived as complex, opaque, and difficult to comprehend, utilise, and trust in critical clinical applications. Despite these concerns and risks, there are currently no concrete guidelines and best practices for guiding future AI developments in medical imaging towards increased trust, safety and adoption. To bridge this gap, this paper introduces a careful selection of guiding principles drawn from the accumulated experiences, consensus, and best practices from five large European projects on AI in Health Imaging. These guiding principles are named FUTURE-AI and its building blocks consist of (i) Fairness, (ii) Universality, (iii) Traceability, (iv) Usability, (v) Robustness and (vi) Explainability. In a step-by-step approach, these guidelines are further translated into a framework of concrete recommendations for specifying, developing, evaluating, and deploying technically, clinically and ethically trustworthy AI solutions into clinical practice.

Learning disentanglement aims at finding a low dimensional representation which consists of multiple explanatory and generative factors of the observational data. The framework of variational autoencoder (VAE) is commonly used to disentangle independent factors from observations. However, in real scenarios, factors with semantics are not necessarily independent. Instead, there might be an underlying causal structure which renders these factors dependent. We thus propose a new VAE based framework named CausalVAE, which includes a Causal Layer to transform independent exogenous factors into causal endogenous ones that correspond to causally related concepts in data. We further analyze the model identifiabitily, showing that the proposed model learned from observations recovers the true one up to a certain degree. Experiments are conducted on various datasets, including synthetic and real word benchmark CelebA. Results show that the causal representations learned by CausalVAE are semantically interpretable, and their causal relationship as a Directed Acyclic Graph (DAG) is identified with good accuracy. Furthermore, we demonstrate that the proposed CausalVAE model is able to generate counterfactual data through "do-operation" to the causal factors.

Applying artificial intelligence techniques in medical imaging is one of the most promising areas in medicine. However, most of the recent success in this area highly relies on large amounts of carefully annotated data, whereas annotating medical images is a costly process. In this paper, we propose a novel method, called FocalMix, which, to the best of our knowledge, is the first to leverage recent advances in semi-supervised learning (SSL) for 3D medical image detection. We conducted extensive experiments on two widely used datasets for lung nodule detection, LUNA16 and NLST. Results show that our proposed SSL methods can achieve a substantial improvement of up to 17.3% over state-of-the-art supervised learning approaches with 400 unlabeled CT scans.