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Publications
PRISM: High-Resolution&Precise Counterfactual Medical Image Generation using Language-guided Stable Diffusion
Developing reliable and generalizable deep learning systems for medical imaging faces significant obstacles due to spurious correlations, da… (voir plus)ta imbalances, and limited text annotations in datasets. Addressing these challenges requires architectures robust to the unique complexities posed by medical imaging data. The rapid advancements in vision-language foundation models within the natural image domain prompt the question of how they can be adapted for medical imaging tasks. In this work, we present PRISM, a framework that leverages foundation models to generate high-resolution, language-guided medical image counterfactuals using Stable Diffusion. Our approach demonstrates unprecedented precision in selectively modifying spurious correlations (the medical devices) and disease features, enabling the removal and addition of specific attributes while preserving other image characteristics. Through extensive evaluation, we show how PRISM advances counterfactual generation and enables the development of more robust downstream classifiers for clinically deployable solutions. To facilitate broader adoption and research, we make our code publicly available at https://github.com/Amarkr1/PRISM.
Ultrasound is considered a key modality for the clinical assessment of hepatic steatosis (i.e., fatty liver) due to its non-invasiveness and… (voir plus) availability. Deep learning methods have attracted considerable interest in this field, as they are capable of learning patterns in a collection of images and achieve clinically comparable levels of accuracy in steatosis grading. However, variations in patient populations, acquisition protocols, equipment, and operator expertise across clinical sites can introduce domain shifts that reduce model performance when applied outside the original training setting. In response, unsupervised domain adaptation techniques are being investigated to address these shifts, allowing models to generalize more effectively across diverse clinical environments. In this work, we propose a test-time batch normalization technique designed to handle domain shift, especially for changes in label distribution, by adapting selected features of batch normalization layers in a trained convolutional neural network model. This approach operates in an unsupervised manner, allowing robust adaptation to new distributions without access to label data. The method was evaluated on two abdominal ultrasound datasets collected at different institutions, assessing its capability in mitigating domain shift for hepatic steatosis classification. The proposed method reduced the mean absolute error in steatosis grading by 37% and improved the area under the receiver operating characteristic curve for steatosis detection from 0.78 to 0.97, compared to non-adapted models. These findings demonstrate the potential of the proposed method to address domain shift in ultrasound-based hepatic steatosis diagnosis, minimizing risks associated with deploying trained models in various clinical settings.
2025-03-26
IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control (publié)
