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Sep 18

NurViD: A Large Expert-Level Video Database for Nursing Procedure Activity Understanding

The application of deep learning to nursing procedure activity understanding has the potential to greatly enhance the quality and safety of nurse-patient interactions. By utilizing the technique, we can facilitate training and education, improve quality control, and enable operational compliance monitoring. However, the development of automatic recognition systems in this field is currently hindered by the scarcity of appropriately labeled datasets. The existing video datasets pose several limitations: 1) these datasets are small-scale in size to support comprehensive investigations of nursing activity; 2) they primarily focus on single procedures, lacking expert-level annotations for various nursing procedures and action steps; and 3) they lack temporally localized annotations, which prevents the effective localization of targeted actions within longer video sequences. To mitigate these limitations, we propose NurViD, a large video dataset with expert-level annotation for nursing procedure activity understanding. NurViD consists of over 1.5k videos totaling 144 hours, making it approximately four times longer than the existing largest nursing activity datasets. Notably, it encompasses 51 distinct nursing procedures and 177 action steps, providing a much more comprehensive coverage compared to existing datasets that primarily focus on limited procedures. To evaluate the efficacy of current deep learning methods on nursing activity understanding, we establish three benchmarks on NurViD: procedure recognition on untrimmed videos, procedure and action recognition on trimmed videos, and action detection. Our benchmark and code will be available at https://github.com/minghu0830/NurViD-benchmark.

Dynamic Perceiver for Efficient Visual Recognition

Early exiting has become a promising approach to improving the inference efficiency of deep networks. By structuring models with multiple classifiers (exits), predictions for ``easy'' samples can be generated at earlier exits, negating the need for executing deeper layers. Current multi-exit networks typically implement linear classifiers at intermediate layers, compelling low-level features to encapsulate high-level semantics. This sub-optimal design invariably undermines the performance of later exits. In this paper, we propose Dynamic Perceiver (Dyn-Perceiver) to decouple the feature extraction procedure and the early classification task with a novel dual-branch architecture. A feature branch serves to extract image features, while a classification branch processes a latent code assigned for classification tasks. Bi-directional cross-attention layers are established to progressively fuse the information of both branches. Early exits are placed exclusively within the classification branch, thus eliminating the need for linear separability in low-level features. Dyn-Perceiver constitutes a versatile and adaptable framework that can be built upon various architectures. Experiments on image classification, action recognition, and object detection demonstrate that our method significantly improves the inference efficiency of different backbones, outperforming numerous competitive approaches across a broad range of computational budgets. Evaluation on both CPU and GPU platforms substantiate the superior practical efficiency of Dyn-Perceiver. Code is available at https://www.github.com/LeapLabTHU/Dynamic_Perceiver.

Improving Prototypical Parts Abstraction for Case-Based Reasoning Explanations Designed for the Kidney Stone Type Recognition

The in-vivo identification of the kidney stone types during an ureteroscopy would be a major medical advance in urology, as it could reduce the time of the tedious renal calculi extraction process, while diminishing infection risks. Furthermore, such an automated procedure would make possible to prescribe anti-recurrence treatments immediately. Nowadays, only few experienced urologists are able to recognize the kidney stone types in the images of the videos displayed on a screen during the endoscopy. Thus, several deep learning (DL) models have recently been proposed to automatically recognize the kidney stone types using ureteroscopic images. However, these DL models are of black box nature whicl limits their applicability in clinical settings. This contribution proposes a case-based reasoning DL model which uses prototypical parts (PPs) and generates local and global descriptors. The PPs encode for each class (i.e., kidney stone type) visual feature information (hue, saturation, intensity and textures) similar to that used by biologists. The PPs are optimally generated due a new loss function used during the model training. Moreover, the local and global descriptors of PPs allow to explain the decisions ("what" information, "where in the images") in an understandable way for biologists and urologists. The proposed DL model has been tested on a database including images of the six most widespread kidney stone types. The overall average classification accuracy was 90.37. When comparing this results with that of the eight other DL models of the kidney stone state-of-the-art, it can be seen that the valuable gain in explanability was not reached at the expense of accuracy which was even slightly increased with respect to that (88.2) of the best method of the literature. These promising and interpretable results also encourage urologists to put their trust in AI-based solutions.

MarvelOVD: Marrying Object Recognition and Vision-Language Models for Robust Open-Vocabulary Object Detection

Learning from pseudo-labels that generated with VLMs~(Vision Language Models) has been shown as a promising solution to assist open vocabulary detection (OVD) in recent studies. However, due to the domain gap between VLM and vision-detection tasks, pseudo-labels produced by the VLMs are prone to be noisy, while the training design of the detector further amplifies the bias. In this work, we investigate the root cause of VLMs' biased prediction under the OVD context. Our observations lead to a simple yet effective paradigm, coded MarvelOVD, that generates significantly better training targets and optimizes the learning procedure in an online manner by marrying the capability of the detector with the vision-language model. Our key insight is that the detector itself can act as a strong auxiliary guidance to accommodate VLM's inability of understanding both the ``background'' and the context of a proposal within the image. Based on it, we greatly purify the noisy pseudo-labels via Online Mining and propose Adaptive Reweighting to effectively suppress the biased training boxes that are not well aligned with the target object. In addition, we also identify a neglected ``base-novel-conflict'' problem and introduce stratified label assignments to prevent it. Extensive experiments on COCO and LVIS datasets demonstrate that our method outperforms the other state-of-the-arts by significant margins. Codes are available at https://github.com/wkfdb/MarvelOVD

Visual Classification via Description from Large Language Models

Vision-language models (VLMs) such as CLIP have shown promising performance on a variety of recognition tasks using the standard zero-shot classification procedure -- computing similarity between the query image and the embedded words for each category. By only using the category name, they neglect to make use of the rich context of additional information that language affords. The procedure gives no intermediate understanding of why a category is chosen, and furthermore provides no mechanism for adjusting the criteria used towards this decision. We present an alternative framework for classification with VLMs, which we call classification by description. We ask VLMs to check for descriptive features rather than broad categories: to find a tiger, look for its stripes; its claws; and more. By basing decisions on these descriptors, we can provide additional cues that encourage using the features we want to be used. In the process, we can get a clear idea of what features the model uses to construct its decision; it gains some level of inherent explainability. We query large language models (e.g., GPT-3) for these descriptors to obtain them in a scalable way. Extensive experiments show our framework has numerous advantages past interpretability. We show improvements in accuracy on ImageNet across distribution shifts; demonstrate the ability to adapt VLMs to recognize concepts unseen during training; and illustrate how descriptors can be edited to effectively mitigate bias compared to the baseline.

Multi-view Video-Pose Pretraining for Operating Room Surgical Activity Recognition

Understanding the workflow of surgical procedures in complex operating rooms requires a deep understanding of the interactions between clinicians and their environment. Surgical activity recognition (SAR) is a key computer vision task that detects activities or phases from multi-view camera recordings. Existing SAR models often fail to account for fine-grained clinician movements and multi-view knowledge, or they require calibrated multi-view camera setups and advanced point-cloud processing to obtain better results. In this work, we propose a novel calibration-free multi-view multi-modal pretraining framework called Multiview Pretraining for Video-Pose Surgical Activity Recognition PreViPS, which aligns 2D pose and vision embeddings across camera views. Our model follows CLIP-style dual-encoder architecture: one encoder processes visual features, while the other encodes human pose embeddings. To handle the continuous 2D human pose coordinates, we introduce a tokenized discrete representation to convert the continuous 2D pose coordinates into discrete pose embeddings, thereby enabling efficient integration within the dual-encoder framework. To bridge the gap between these two modalities, we propose several pretraining objectives using cross- and in-modality geometric constraints within the embedding space and incorporating masked pose token prediction strategy to enhance representation learning. Extensive experiments and ablation studies demonstrate improvements over the strong baselines, while data-efficiency experiments on two distinct operating room datasets further highlight the effectiveness of our approach. We highlight the benefits of our approach for surgical activity recognition in both multi-view and single-view settings, showcasing its practical applicability in complex surgical environments. Code will be made available at: https://github.com/CAMMA-public/PreViPS.

Named Clinical Entity Recognition Benchmark

This technical report introduces a Named Clinical Entity Recognition Benchmark for evaluating language models in healthcare, addressing the crucial natural language processing (NLP) task of extracting structured information from clinical narratives to support applications like automated coding, clinical trial cohort identification, and clinical decision support. The leaderboard provides a standardized platform for assessing diverse language models, including encoder and decoder architectures, on their ability to identify and classify clinical entities across multiple medical domains. A curated collection of openly available clinical datasets is utilized, encompassing entities such as diseases, symptoms, medications, procedures, and laboratory measurements. Importantly, these entities are standardized according to the Observational Medical Outcomes Partnership (OMOP) Common Data Model, ensuring consistency and interoperability across different healthcare systems and datasets, and a comprehensive evaluation of model performance. Performance of models is primarily assessed using the F1-score, and it is complemented by various assessment modes to provide comprehensive insights into model performance. The report also includes a brief analysis of models evaluated to date, highlighting observed trends and limitations. By establishing this benchmarking framework, the leaderboard aims to promote transparency, facilitate comparative analyses, and drive innovation in clinical entity recognition tasks, addressing the need for robust evaluation methods in healthcare NLP.

A Large Dataset of Spontaneous Speech with the Accent Spoken in São Paulo for Automatic Speech Recognition Evaluation

We present a freely available spontaneous speech corpus for the Brazilian Portuguese language and report preliminary automatic speech recognition (ASR) results, using both the Wav2Vec2-XLSR-53 and Distil-Whisper models fine-tuned and trained on our corpus. The NURC-SP Audio Corpus comprises 401 different speakers (204 females, 197 males) with a total of 239.30 hours of transcribed audio recordings. To the best of our knowledge, this is the first large Paulistano accented spontaneous speech corpus dedicated to the ASR task in Portuguese. We first present the design and development procedures of the NURC-SP Audio Corpus, and then describe four ASR experiments in detail. The experiments demonstrated promising results for the applicability of the corpus for ASR. Specifically, we fine-tuned two versions of Wav2Vec2-XLSR-53 model, trained a Distil-Whisper model using our dataset with labels determined by Whisper Large-V3 model, and fine-tuned this Distil-Whisper model with our corpus. Our best results were the Distil-Whisper fine-tuned over NURC-SP Audio Corpus with a WER of 24.22% followed by a fine-tuned versions of Wav2Vec2-XLSR-53 model with a WER of 33.73%, that is almost 10% point worse than Distil-Whisper's. To enable experiment reproducibility, we share the NURC-SP Audio Corpus dataset, pre-trained models, and training recipes in Hugging-Face and Github repositories.

ArzEn-LLM: Code-Switched Egyptian Arabic-English Translation and Speech Recognition Using LLMs

Motivated by the widespread increase in the phenomenon of code-switching between Egyptian Arabic and English in recent times, this paper explores the intricacies of machine translation (MT) and automatic speech recognition (ASR) systems, focusing on translating code-switched Egyptian Arabic-English to either English or Egyptian Arabic. Our goal is to present the methodologies employed in developing these systems, utilizing large language models such as LLama and Gemma. In the field of ASR, we explore the utilization of the Whisper model for code-switched Egyptian Arabic recognition, detailing our experimental procedures including data preprocessing and training techniques. Through the implementation of a consecutive speech-to-text translation system that integrates ASR with MT, we aim to overcome challenges posed by limited resources and the unique characteristics of the Egyptian Arabic dialect. Evaluation against established metrics showcases promising results, with our methodologies yielding a significant improvement of 56% in English translation over the state-of-the-art and 9.3% in Arabic translation. Since code-switching is deeply inherent in spoken languages, it is crucial that ASR systems can effectively handle this phenomenon. This capability is crucial for enabling seamless interaction in various domains, including business negotiations, cultural exchanges, and academic discourse. Our models and code are available as open-source resources. Code: http://github.com/ahmedheakl/arazn-llm}, Models: http://huggingface.co/collections/ahmedheakl/arazn-llm-662ceaf12777656607b9524e.

HecVL: Hierarchical Video-Language Pretraining for Zero-shot Surgical Phase Recognition

Natural language could play an important role in developing generalist surgical models by providing a broad source of supervision from raw texts. This flexible form of supervision can enable the model's transferability across datasets and tasks as natural language can be used to reference learned visual concepts or describe new ones. In this work, we present HecVL, a novel hierarchical video-language pretraining approach for building a generalist surgical model. Specifically, we construct a hierarchical video-text paired dataset by pairing the surgical lecture video with three hierarchical levels of texts: at clip-level, atomic actions using transcribed audio texts; at phase-level, conceptual text summaries; and at video-level, overall abstract text of the surgical procedure. Then, we propose a novel fine-to-coarse contrastive learning framework that learns separate embedding spaces for the three video-text hierarchies using a single model. By disentangling embedding spaces of different hierarchical levels, the learned multi-modal representations encode short-term and long-term surgical concepts in the same model. Thanks to the injected textual semantics, we demonstrate that the HecVL approach can enable zero-shot surgical phase recognition without any human annotation. Furthermore, we show that the same HecVL model for surgical phase recognition can be transferred across different surgical procedures and medical centers. The code is available at https://github.com/CAMMA-public/SurgVLP

FAIR1M: A Benchmark Dataset for Fine-grained Object Recognition in High-Resolution Remote Sensing Imagery

With the rapid development of deep learning, many deep learning-based approaches have made great achievements in object detection task. It is generally known that deep learning is a data-driven method. Data directly impact the performance of object detectors to some extent. Although existing datasets have included common objects in remote sensing images, they still have some limitations in terms of scale, categories, and images. Therefore, there is a strong requirement for establishing a large-scale benchmark on object detection in high-resolution remote sensing images. In this paper, we propose a novel benchmark dataset with more than 1 million instances and more than 15,000 images for Fine-grAined object recognItion in high-Resolution remote sensing imagery which is named as FAIR1M. All objects in the FAIR1M dataset are annotated with respect to 5 categories and 37 sub-categories by oriented bounding boxes. Compared with existing detection datasets dedicated to object detection, the FAIR1M dataset has 4 particular characteristics: (1) it is much larger than other existing object detection datasets both in terms of the quantity of instances and the quantity of images, (2) it provides more rich fine-grained category information for objects in remote sensing images, (3) it contains geographic information such as latitude, longitude and resolution, (4) it provides better image quality owing to a careful data cleaning procedure. To establish a baseline for fine-grained object recognition, we propose a novel evaluation method and benchmark fine-grained object detection tasks and a visual classification task using several State-Of-The-Art (SOTA) deep learning-based models on our FAIR1M dataset. Experimental results strongly indicate that the FAIR1M dataset is closer to practical application and it is considerably more challenging than existing datasets.

A Novel Predictive-Coding-Inspired Variational RNN Model for Online Prediction and Recognition

This study introduces PV-RNN, a novel variational RNN inspired by the predictive-coding ideas. The model learns to extract the probabilistic structures hidden in fluctuating temporal patterns by dynamically changing the stochasticity of its latent states. Its architecture attempts to address two major concerns of variational Bayes RNNs: how can latent variables learn meaningful representations and how can the inference model transfer future observations to the latent variables. PV-RNN does both by introducing adaptive vectors mirroring the training data, whose values can then be adapted differently during evaluation. Moreover, prediction errors during backpropagation, rather than external inputs during the forward computation, are used to convey information to the network about the external data. For testing, we introduce error regression for predicting unseen sequences as inspired by predictive coding that leverages those mechanisms. The model introduces a weighting parameter, the meta-prior, to balance the optimization pressure placed on two terms of a lower bound on the marginal likelihood of the sequential data. We test the model on two datasets with probabilistic structures and show that with high values of the meta-prior the network develops deterministic chaos through which the data's randomness is imitated. For low values, the model behaves as a random process. The network performs best on intermediate values, and is able to capture the latent probabilistic structure with good generalization. Analyzing the meta-prior's impact on the network allows to precisely study the theoretical value and practical benefits of incorporating stochastic dynamics in our model. We demonstrate better prediction performance on a robot imitation task with our model using error regression compared to a standard variational Bayes model lacking such a procedure.

Learning Multi-modal Representations by Watching Hundreds of Surgical Video Lectures

Recent advancements in surgical computer vision have been driven by vision-only models, which lack language semantics, relying on manually annotated videos to predict fixed object categories. This limits their generalizability to unseen surgical procedures and tasks. We propose leveraging surgical video lectures from e-learning platforms to provide effective vision and language supervisory signals for multi-modal representation learning, bypassing manual annotations. We address surgery-specific linguistic challenges using multiple automatic speech recognition systems for text transcriptions. We introduce SurgVLP - Surgical Vision Language Pre-training - a novel method for multi-modal representation learning. SurgVLP employs a new contrastive learning objective, aligning video clip embeddings with corresponding multiple text embeddings in a joint latent space. We demonstrate the representational capability of this space through several vision-and-language surgical tasks and vision-only tasks specific to surgery. Unlike current fully supervised approaches, SurgVLP adapts to different surgical procedures and tasks without specific fine-tuning, achieving zero-shot adaptation to tasks such as surgical tool, phase, and triplet recognition without manual annotation. These results highlight the transferability and versatility of the learned multi-modal representations in surgical video analysis. The code is available at https://github.com/CAMMA-public/SurgVLP

Scaling up self-supervised learning for improved surgical foundation models

Foundation models have revolutionized computer vision by achieving vastly superior performance across diverse tasks through large-scale pretraining on extensive datasets. However, their application in surgical computer vision has been limited. This study addresses this gap by introducing SurgeNetXL, a novel surgical foundation model that sets a new benchmark in surgical computer vision. Trained on the largest reported surgical dataset to date, comprising over 4.7 million video frames, SurgeNetXL achieves consistent top-tier performance across six datasets spanning four surgical procedures and three tasks, including semantic segmentation, phase recognition, and critical view of safety (CVS) classification. Compared with the best-performing surgical foundation models, SurgeNetXL shows mean improvements of 2.4, 9.0, and 12.6 percent for semantic segmentation, phase recognition, and CVS classification, respectively. Additionally, SurgeNetXL outperforms the best-performing ImageNet-based variants by 14.4, 4.0, and 1.6 percent in the respective tasks. In addition to advancing model performance, this study provides key insights into scaling pretraining datasets, extending training durations, and optimizing model architectures specifically for surgical computer vision. These findings pave the way for improved generalizability and robustness in data-scarce scenarios, offering a comprehensive framework for future research in this domain. All models and a subset of the SurgeNetXL dataset, including over 2 million video frames, are publicly available at: https://github.com/TimJaspers0801/SurgeNet.

Foresight -- Generative Pretrained Transformer (GPT) for Modelling of Patient Timelines using EHRs

Background: Electronic Health Records hold detailed longitudinal information about each patient's health status and general clinical history, a large portion of which is stored within the unstructured text. Existing approaches focus mostly on structured data and a subset of single-domain outcomes. We explore how temporal modelling of patients from free text and structured data, using deep generative transformers can be used to forecast a wide range of future disorders, substances, procedures or findings. Methods: We present Foresight, a novel transformer-based pipeline that uses named entity recognition and linking tools to convert document text into structured, coded concepts, followed by providing probabilistic forecasts for future medical events such as disorders, substances, procedures and findings. We processed the entire free-text portion from three different hospital datasets totalling 811336 patients covering both physical and mental health. Findings: On tests in two UK hospitals (King's College Hospital, South London and Maudsley) and the US MIMIC-III dataset precision@10 0.68, 0.76 and 0.88 was achieved for forecasting the next disorder in a patient timeline, while precision@10 of 0.80, 0.81 and 0.91 was achieved for forecasting the next biomedical concept. Foresight was also validated on 34 synthetic patient timelines by five clinicians and achieved relevancy of 97% for the top forecasted candidate disorder. As a generative model, it can forecast follow-on biomedical concepts for as many steps as required. Interpretation: Foresight is a general-purpose model for biomedical concept modelling that can be used for real-world risk forecasting, virtual trials and clinical research to study the progression of disorders, simulate interventions and counterfactuals, and educational purposes.

MatSci-NLP: Evaluating Scientific Language Models on Materials Science Language Tasks Using Text-to-Schema Modeling

We present MatSci-NLP, a natural language benchmark for evaluating the performance of natural language processing (NLP) models on materials science text. We construct the benchmark from publicly available materials science text data to encompass seven different NLP tasks, including conventional NLP tasks like named entity recognition and relation classification, as well as NLP tasks specific to materials science, such as synthesis action retrieval which relates to creating synthesis procedures for materials. We study various BERT-based models pretrained on different scientific text corpora on MatSci-NLP to understand the impact of pretraining strategies on understanding materials science text. Given the scarcity of high-quality annotated data in the materials science domain, we perform our fine-tuning experiments with limited training data to encourage the generalize across MatSci-NLP tasks. Our experiments in this low-resource training setting show that language models pretrained on scientific text outperform BERT trained on general text. MatBERT, a model pretrained specifically on materials science journals, generally performs best for most tasks. Moreover, we propose a unified text-to-schema for multitask learning on \benchmark and compare its performance with traditional fine-tuning methods. In our analysis of different training methods, we find that our proposed text-to-schema methods inspired by question-answering consistently outperform single and multitask NLP fine-tuning methods. The code and datasets are publicly available at https://github.com/BangLab-UdeM-Mila/NLP4MatSci-ACL23.