SelectiveKD: A semi-supervised framework for cancer detection in DBT through Knowledge Distillation and Pseudo-labeling

When developing Computer Aided Detection (CAD) systems for Digital Breast Tomosynthesis (DBT), the complexity arising from the volumetric nature of the modality poses significant technical challenges for obtaining large-scale accurate annotations. Without access to large-scale annotations, the resulting model may not generalize to different domains. Given the costly nature of obtaining DBT annotations, how to effectively increase the amount of data used for training DBT CAD systems remains an open challenge. In this paper, we present SelectiveKD, a semi-supervised learning framework for building cancer detection models for DBT, which only requires a limited number of annotated slices to reach high performance. We achieve this by utilizing unlabeled slices available in a DBT stack through a knowledge distillation framework in which the teacher model provides a supervisory signal to the student model for all slices in the DBT volume. Our framework mitigates the potential noise in the supervisory signal from a sub-optimal teacher by implementing a selective dataset expansion strategy using pseudo labels. We evaluate our approach with a large-scale real-world dataset of over 10,000 DBT exams collected from multiple device manufacturers and locations. The resulting SelectiveKD process effectively utilizes unannotated slices from a DBT stack, leading to significantly improved cancer classification performance (AUC) and generalization performance.

Is user feedback always informative? Retrieval Latent Defending for Semi-Supervised Domain Adaptation without Source Data

This paper aims to adapt the source model to the target environment, leveraging small user feedback (i.e., labeled target data) readily available in real-world applications. We find that existing semi-supervised domain adaptation (SemiSDA) methods often suffer from poorly improved adaptation performance when directly utilizing such feedback data, as shown in Figure 1. We analyze this phenomenon via a novel concept called Negatively Biased Feedback (NBF), which stems from the observation that user feedback is more likely for data points where the model produces incorrect predictions. To leverage this feedback while avoiding the issue, we propose a scalable adapting approach, Retrieval Latent Defending. This approach helps existing SemiSDA methods to adapt the model with a balanced supervised signal by utilizing latent defending samples throughout the adaptation process. We demonstrate the problem caused by NBF and the efficacy of our approach across various benchmarks, including image classification, semantic segmentation, and a real-world medical imaging application. Our extensive experiments reveal that integrating our approach with multiple state-of-the-art SemiSDA methods leads to significant performance improvements.

One vs. Many: Comprehending Accurate Information from Multiple Erroneous and Inconsistent AI Generations

As Large Language Models (LLMs) are nondeterministic, the same input can generate different outputs, some of which may be incorrect or hallucinated. If run again, the LLM may correct itself and produce the correct answer. Unfortunately, most LLM-powered systems resort to single results which, correct or not, users accept. Having the LLM produce multiple outputs may help identify disagreements or alternatives. However, it is not obvious how the user will interpret conflicts or inconsistencies. To this end, we investigate how users perceive the AI model and comprehend the generated information when they receive multiple, potentially inconsistent, outputs. Through a preliminary study, we identified five types of output inconsistencies. Based on these categories, we conducted a study (N=252) in which participants were given one or more LLM-generated passages to an information-seeking question. We found that inconsistency within multiple LLM-generated outputs lowered the participants' perceived AI capacity, while also increasing their comprehension of the given information. Specifically, we observed that this positive effect of inconsistencies was most significant for participants who read two passages, compared to those who read three. Based on these findings, we present design implications that, instead of regarding LLM output inconsistencies as a drawback, we can reveal the potential inconsistencies to transparently indicate the limitations of these models and promote critical LLM usage.

EvalLM: Interactive Evaluation of Large Language Model Prompts on User-Defined Criteria

By simply composing prompts, developers can prototype novel generative applications with Large Language Models (LLMs). To refine prototypes into products, however, developers must iteratively revise prompts by evaluating outputs to diagnose weaknesses. Formative interviews (N=8) revealed that developers invest significant effort in manually evaluating outputs as they assess context-specific and subjective criteria. We present EvalLM, an interactive system for iteratively refining prompts by evaluating multiple outputs on user-defined criteria. By describing criteria in natural language, users can employ the system's LLM-based evaluator to get an overview of where prompts excel or fail, and improve these based on the evaluator's feedback. A comparative study (N=12) showed that EvalLM, when compared to manual evaluation, helped participants compose more diverse criteria, examine twice as many outputs, and reach satisfactory prompts with 59% fewer revisions. Beyond prompts, our work can be extended to augment model evaluation and alignment in specific application contexts.

ELVIS: Empowering Locality of Vision Language Pre-training with Intra-modal Similarity

Deep learning has shown great potential in assisting radiologists in reading chest X-ray (CXR) images, but its need for expensive annotations for improving performance prevents widespread clinical application. Visual language pre-training (VLP) can alleviate the burden and cost of annotation by leveraging routinely generated reports for radiographs, which exist in large quantities as well as in paired form (imagetext pairs). Additionally, extensions to localization-aware VLPs are being proposed to address the needs of accurate localization of abnormalities for CAD in CXR. However, we find that the formulation proposed by locality-aware VLP literatures actually leads to loss in spatial relationships required for downstream localization tasks. Therefore, we propose Empowering Locality of VLP with Intra-modal Similarity, ELVIS, a VLP aware of intra-modal locality, to better preserve the locality within radiographs or reports, which enhances the ability to comprehend location references in text reports. Our locality-aware VLP method significantly outperforms state-of-the art baselines in multiple segmentation tasks and the MS-CXR phrase grounding task. Qualitatively, ELVIS is able to focus well on regions of interest described in the report text compared to prior approaches, allowing for enhanced interpretability.

LMCanvas: Object-Oriented Interaction to Personalize Large Language Model-Powered Writing Environments

Large language models (LLMs) can enhance writing by automating or supporting specific tasks in writers' workflows (e.g., paraphrasing, creating analogies). Leveraging this capability, a collection of interfaces have been developed that provide LLM-powered tools for specific writing tasks. However, these interfaces provide limited support for writers to create personal tools for their own unique tasks, and may not comprehensively fulfill a writer's needs -- requiring them to continuously switch between interfaces during writing. In this work, we envision LMCanvas, an interface that enables writers to create their own LLM-powered writing tools and arrange their personal writing environment by interacting with "blocks" in a canvas. In this interface, users can create text blocks to encapsulate writing and LLM prompts, model blocks for model parameter configurations, and connect these to create pipeline blocks that output generations. In this workshop paper, we discuss the design for LMCanvas and our plans to develop this concept.

The Semantic Reader Project: Augmenting Scholarly Documents through AI-Powered Interactive Reading Interfaces

Scholarly publications are key to the transfer of knowledge from scholars to others. However, research papers are information-dense, and as the volume of the scientific literature grows, the need for new technology to support the reading process grows. In contrast to the process of finding papers, which has been transformed by Internet technology, the experience of reading research papers has changed little in decades. The PDF format for sharing research papers is widely used due to its portability, but it has significant downsides including: static content, poor accessibility for low-vision readers, and difficulty reading on mobile devices. This paper explores the question "Can recent advances in AI and HCI power intelligent, interactive, and accessible reading interfaces -- even for legacy PDFs?" We describe the Semantic Reader Project, a collaborative effort across multiple institutions to explore automatic creation of dynamic reading interfaces for research papers. Through this project, we've developed ten research prototype interfaces and conducted usability studies with more than 300 participants and real-world users showing improved reading experiences for scholars. We've also released a production reading interface for research papers that will incorporate the best features as they mature. We structure this paper around challenges scholars and the public face when reading research papers -- Discovery, Efficiency, Comprehension, Synthesis, and Accessibility -- and present an overview of our progress and remaining open challenges.

Did You Get What You Paid For? Rethinking Annotation Cost of Deep Learning Based Computer Aided Detection in Chest Radiographs

As deep networks require large amounts of accurately labeled training data, a strategy to collect sufficiently large and accurate annotations is as important as innovations in recognition methods. This is especially true for building Computer Aided Detection (CAD) systems for chest X-rays where domain expertise of radiologists is required to annotate the presence and location of abnormalities on X-ray images. However, there lacks concrete evidence that provides guidance on how much resource to allocate for data annotation such that the resulting CAD system reaches desired performance. Without this knowledge, practitioners often fall back to the strategy of collecting as much detail as possible on as much data as possible which is cost inefficient. In this work, we investigate how the cost of data annotation ultimately impacts the CAD model performance on classification and segmentation of chest abnormalities in frontal-view X-ray images. We define the cost of annotation with respect to the following three dimensions: quantity, quality and granularity of labels. Throughout this study, we isolate the impact of each dimension on the resulting CAD model performance on detecting 10 chest abnormalities in X-rays. On a large scale training data with over 120K X-ray images with gold-standard annotations, we find that cost-efficient annotations provide great value when collected in large amounts and lead to competitive performance when compared to models trained with only gold-standard annotations. We also find that combining large amounts of cost efficient annotations with only small amounts of expensive labels leads to competitive CAD models at a much lower cost.

Video-based assessment of intraoperative surgical skill

Purpose: The objective of this investigation is to provide a comprehensive analysis of state-of-the-art methods for video-based assessment of surgical skill in the operating room. Methods: Using a data set of 99 videos of capsulorhexis, a critical step in cataract surgery, we evaluate feature based methods previously developed for surgical skill assessment mostly under benchtop settings. In addition, we present and validate two deep learning methods that directly assess skill using RGB videos. In the first method, we predict instrument tips as keypoints, and learn surgical skill using temporal convolutional neural networks. In the second method, we propose a novel architecture for surgical skill assessment that includes a frame-wise encoder (2D convolutional neural network) followed by a temporal model (recurrent neural network), both of which are augmented by visual attention mechanisms. We report the area under the receiver operating characteristic curve, sensitivity, specificity, and predictive values with each method through 5-fold cross-validation. Results: For the task of binary skill classification (expert vs. novice), deep neural network based methods exhibit higher AUC than the classical spatiotemporal interest point based methods. The neural network approach using attention mechanisms also showed high sensitivity and specificity. Conclusion: Deep learning methods are necessary for video-based assessment of surgical skill in the operating room. Our findings of internal validity of a network using attention mechanisms to assess skill directly using RGB videos should be evaluated for external validity in other data sets.

Motion Guided Attention Fusion to Recognize Interactions from Videos

We present a dual-pathway approach for recognizing fine-grained interactions from videos. We build on the success of prior dual-stream approaches, but make a distinction between the static and dynamic representations of objects and their interactions explicit by introducing separate motion and object detection pathways. Then, using our new Motion-Guided Attention Fusion module, we fuse the bottom-up features in the motion pathway with features captured from object detections to learn the temporal aspects of an action. We show that our approach can generalize across appearance effectively and recognize actions where an actor interacts with previously unseen objects. We validate our approach using the compositional action recognition task from the Something-Something-v2 dataset where we outperform existing state-of-the-art methods. We also show that our method can generalize well to real world tasks by showing state-of-the-art performance on recognizing humans assembling various IKEA furniture on the IKEA-ASM dataset.