Deep Learning Techniques for Automatic Lateral X-ray Cephalometric Landmark Detection: Is the Problem Solved?

Localization of the craniofacial landmarks from lateral cephalograms is a fundamental task in cephalometric analysis. The automation of the corresponding tasks has thus been the subject of intense research over the past decades. In this paper, we introduce the "Cephalometric Landmark Detection (CL-Detection)" dataset, which is the largest publicly available and comprehensive dataset for cephalometric landmark detection. This multi-center and multi-vendor dataset includes 600 lateral X-ray images with 38 landmarks acquired with different equipment from three medical centers. The overarching objective of this paper is to measure how far state-of-the-art deep learning methods can go for cephalometric landmark detection. Following the 2023 MICCAI CL-Detection Challenge, we report the results of the top ten research groups using deep learning methods. Results show that the best methods closely approximate the expert analysis, achieving a mean detection rate of 75.719% and a mean radial error of 1.518 mm. While there is room for improvement, these findings undeniably open the door to highly accurate and fully automatic location of craniofacial landmarks. We also identify scenarios for which deep learning methods are still failing. Both the dataset and detailed results are publicly available online, while the platform will remain open for the community to benchmark future algorithm developments at https://cl-detection2023.grand-challenge.org/.

ReMoDetect: Reward Models Recognize Aligned LLM's Generations

The remarkable capabilities and easy accessibility of large language models (LLMs) have significantly increased societal risks (e.g., fake news generation), necessitating the development of LLM-generated text (LGT) detection methods for safe usage. However, detecting LGTs is challenging due to the vast number of LLMs, making it impractical to account for each LLM individually; hence, it is crucial to identify the common characteristics shared by these models. In this paper, we draw attention to a common feature of recent powerful LLMs, namely the alignment training, i.e., training LLMs to generate human-preferable texts. Our key finding is that as these aligned LLMs are trained to maximize the human preferences, they generate texts with higher estimated preferences even than human-written texts; thus, such texts are easily detected by using the reward model (i.e., an LLM trained to model human preference distribution). Based on this finding, we propose two training schemes to further improve the detection ability of the reward model, namely (i) continual preference fine-tuning to make the reward model prefer aligned LGTs even further and (ii) reward modeling of Human/LLM mixed texts (a rephrased texts from human-written texts using aligned LLMs), which serves as a median preference text corpus between LGTs and human-written texts to learn the decision boundary better. We provide an extensive evaluation by considering six text domains across twelve aligned LLMs, where our method demonstrates state-of-the-art results. Code is available at https://github.com/hyunseoklee-ai/reward_llm_detect.

Assessing generalisability of deep learning-based polyp detection and segmentation methods through a computer vision challenge

Polyps are well-known cancer precursors identified by colonoscopy. However, variability in their size, location, and surface largely affect identification, localisation, and characterisation. Moreover, colonoscopic surveillance and removal of polyps (referred to as polypectomy ) are highly operator-dependent procedures. There exist a high missed detection rate and incomplete removal of colonic polyps due to their variable nature, the difficulties to delineate the abnormality, the high recurrence rates, and the anatomical topography of the colon. There have been several developments in realising automated methods for both detection and segmentation of these polyps using machine learning. However, the major drawback in most of these methods is their ability to generalise to out-of-sample unseen datasets that come from different centres, modalities and acquisition systems. To test this hypothesis rigorously we curated a multi-centre and multi-population dataset acquired from multiple colonoscopy systems and challenged teams comprising machine learning experts to develop robust automated detection and segmentation methods as part of our crowd-sourcing Endoscopic computer vision challenge (EndoCV) 2021. In this paper, we analyse the detection results of the four top (among seven) teams and the segmentation results of the five top teams (among 16). Our analyses demonstrate that the top-ranking teams concentrated on accuracy (i.e., accuracy > 80% on overall Dice score on different validation sets) over real-time performance required for clinical applicability. We further dissect the methods and provide an experiment-based hypothesis that reveals the need for improved generalisability to tackle diversity present in multi-centre datasets.