A Multi-domain Image Translative Diffusion StyleGAN for Iris Presentation Attack Detection

An iris biometric system can be compromised by presentation attacks (PAs) where artifacts such as artificial eyes, printed eye images, or cosmetic contact lenses are presented to the system. To counteract this, several presentation attack detection (PAD) methods have been developed. However, there is a scarcity of datasets for training and evaluating iris PAD techniques due to the implicit difficulties in constructing and imaging PAs. To address this, we introduce the Multi-domain Image Translative Diffusion StyleGAN (MID-StyleGAN), a new framework for generating synthetic ocular images that captures the PA and bonafide characteristics in multiple domains such as bonafide, printed eyes and cosmetic contact lens. MID-StyleGAN combines the strengths of diffusion models and generative adversarial networks (GANs) to produce realistic and diverse synthetic data. Our approach utilizes a multi-domain architecture that enables the translation between bonafide ocular images and different PA domains. The model employs an adaptive loss function tailored for ocular data to maintain domain consistency. Extensive experiments demonstrate that MID-StyleGAN outperforms existing methods in generating high-quality synthetic ocular images. The generated data was used to significantly enhance the performance of PAD systems, providing a scalable solution to the data scarcity problem in iris and ocular biometrics. For example, on the LivDet2020 dataset, the true detect rate at 1% false detect rate improved from 93.41% to 98.72%, showcasing the impact of the proposed method.

MeCaMIL: Causality-Aware Multiple Instance Learning for Fair and Interpretable Whole Slide Image Diagnosis

Multiple instance learning (MIL) has emerged as the dominant paradigm for whole slide image (WSI) analysis in computational pathology, achieving strong diagnostic performance through patch-level feature aggregation. However, existing MIL methods face critical limitations: (1) they rely on attention mechanisms that lack causal interpretability, and (2) they fail to integrate patient demographics (age, gender, race), leading to fairness concerns across diverse populations. These shortcomings hinder clinical translation, where algorithmic bias can exacerbate health disparities. We introduce \textbf{MeCaMIL}, a causality-aware MIL framework that explicitly models demographic confounders through structured causal graphs. Unlike prior approaches treating demographics as auxiliary features, MeCaMIL employs principled causal inference -- leveraging do-calculus and collider structures -- to disentangle disease-relevant signals from spurious demographic correlations. Extensive evaluation on three benchmarks demonstrates state-of-the-art performance across CAMELYON16 (ACC/AUC/F1: 0.939/0.983/0.946), TCGA-Lung (0.935/0.979/0.931), and TCGA-Multi (0.977/0.993/0.970, five cancer types). Critically, MeCaMIL achieves superior fairness -- demographic disparity variance drops by over 65% relative reduction on average across attributes, with notable improvements for underserved populations. The framework generalizes to survival prediction (mean C-index: 0.653, +0.017 over best baseline across five cancer types). Ablation studies confirm causal graph structure is essential -- alternative designs yield 0.048 lower accuracy and 4.2x times worse fairness. These results establish MeCaMIL as a principled framework for fair, interpretable, and clinically actionable AI in digital pathology. Code will be released upon acceptance.

Segment Any Tumour: An Uncertainty-Aware Vision Foundation Model for Whole-Body Analysis

Prompt-driven vision foundation models, such as the Segment Anything Model, have recently demonstrated remarkable adaptability in computer vision. However, their direct application to medical imaging remains challenging due to heterogeneous tissue structures, imaging artefacts, and low-contrast boundaries, particularly in tumours and cancer primaries leading to suboptimal segmentation in ambiguous or overlapping lesion regions. Here, we present Segment Any Tumour 3D (SAT3D), a lightweight volumetric foundation model designed to enable robust and generalisable tumour segmentation across diverse medical imaging modalities. SAT3D integrates a shifted-window vision transformer for hierarchical volumetric representation with an uncertainty-aware training pipeline that explicitly incorporates uncertainty estimates as prompts to guide reliable boundary prediction in low-contrast regions. Adversarial learning further enhances model performance for the ambiguous pathological regions. We benchmark SAT3D against three recent vision foundation models and nnUNet across 11 publicly available datasets, encompassing 3,884 tumour and cancer cases for training and 694 cases for in-distribution evaluation. Trained on 17,075 3D volume-mask pairs across multiple modalities and cancer primaries, SAT3D demonstrates strong generalisation and robustness. To facilitate practical use and clinical translation, we developed a 3D Slicer plugin that enables interactive, prompt-driven segmentation and visualisation using the trained SAT3D model. Extensive experiments highlight its effectiveness in improving segmentation accuracy under challenging and out-of-distribution scenarios, underscoring its potential as a scalable foundation model for medical image analysis.

Adversarial and Score-Based CT Denoising: CycleGAN vs Noise2Score

We study CT image denoising in the unpaired and self-supervised regimes by evaluating two strong, training-data-efficient paradigms: a CycleGAN-based residual translator and a Noise2Score (N2S) score-matching denoiser. Under a common evaluation protocol, a configuration sweep identifies a simple standard U-Net backbone within CycleGAN (lambda_cycle = 30, lambda_iden = 2, ngf = ndf = 64) as the most reliable setting; we then train it to convergence with a longer schedule. The selected CycleGAN improves the noisy input from 34.66 dB / 0.9234 SSIM to 38.913 dB / 0.971 SSIM and attains an estimated score of 1.9441 and an unseen-set (Kaggle leaderboard) score of 1.9343. Noise2Score, while slightly behind in absolute PSNR / SSIM, achieves large gains over very noisy inputs, highlighting its utility when clean pairs are unavailable. Overall, CycleGAN offers the strongest final image quality, whereas Noise2Score provides a robust pair-free alternative with competitive performance. Source code is available at https://github.com/hanifsyarubany/CT-Scan-Image-Denoising-using-CycleGAN-and-Noise2Score.

nnMIL: A generalizable multiple instance learning framework for computational pathology

Computational pathology holds substantial promise for improving diagnosis and guiding treatment decisions. Recent pathology foundation models enable the extraction of rich patch-level representations from large-scale whole-slide images (WSIs), but current approaches for aggregating these features into slide-level predictions remain constrained by design limitations that hinder generalizability and reliability. Here, we developed nnMIL, a simple yet broadly applicable multiple-instance learning framework that connects patch-level foundation models to robust slide-level clinical inference. nnMIL introduces random sampling at both the patch and feature levels, enabling large-batch optimization, task-aware sampling strategies, and efficient and scalable training across datasets and model architectures. A lightweight aggregator performs sliding-window inference to generate ensemble slide-level predictions and supports principled uncertainty estimation. Across 40,000 WSIs encompassing 35 clinical tasks and four pathology foundation models, nnMIL consistently outperformed existing MIL methods for disease diagnosis, histologic subtyping, molecular biomarker detection, and pan- cancer prognosis prediction. It further demonstrated strong cross-model generalization, reliable uncertainty quantification, and robust survival stratification in multiple external cohorts. In conclusion, nnMIL offers a practical and generalizable solution for translating pathology foundation models into clinically meaningful predictions, advancing the development and deployment of reliable AI systems in real-world settings.

IndicVisionBench: Benchmarking Cultural and Multilingual Understanding in VLMs

Vision-language models (VLMs) have demonstrated impressive generalization across multimodal tasks, yet most evaluation benchmarks remain Western-centric, leaving open questions about their performance in culturally diverse and multilingual settings. To address this gap, we introduce IndicVisionBench, the first large-scale benchmark centered on the Indian subcontinent. Covering English and 10 Indian languages, our benchmark spans 3 multimodal tasks, including Optical Character Recognition (OCR), Multimodal Machine Translation (MMT), and Visual Question Answering (VQA), covering 6 kinds of question types. Our final benchmark consists of a total of ~5K images and 37K+ QA pairs across 13 culturally grounded topics. In addition, we release a paired parallel corpus of annotations across 10 Indic languages, creating a unique resource for analyzing cultural and linguistic biases in VLMs. We evaluate a broad spectrum of 8 models, from proprietary closed-source systems to open-weights medium and large-scale models. Our experiments reveal substantial performance gaps, underscoring the limitations of current VLMs in culturally diverse contexts. By centering cultural diversity and multilinguality, IndicVisionBench establishes a reproducible evaluation framework that paves the way for more inclusive multimodal research.

Towards General Modality Translation with Contrastive and Predictive Latent Diffusion Bridge

Recent advances in generative modeling have positioned diffusion models as state-of-the-art tools for sampling from complex data distributions. While these models have shown remarkable success across single-modality domains such as images and audio, extending their capabilities to Modality Translation (MT), translating information across different sensory modalities, remains an open challenge. Existing approaches often rely on restrictive assumptions, including shared dimensionality, Gaussian source priors, and modality-specific architectures, which limit their generality and theoretical grounding. In this work, we propose the Latent Denoising Diffusion Bridge Model (LDDBM), a general-purpose framework for modality translation based on a latent-variable extension of Denoising Diffusion Bridge Models. By operating in a shared latent space, our method learns a bridge between arbitrary modalities without requiring aligned dimensions. We introduce a contrastive alignment loss to enforce semantic consistency between paired samples and design a domain-agnostic encoder-decoder architecture tailored for noise prediction in latent space. Additionally, we propose a predictive loss to guide training toward accurate cross-domain translation and explore several training strategies to improve stability. Our approach supports arbitrary modality pairs and performs strongly on diverse MT tasks, including multi-view to 3D shape generation, image super-resolution, and multi-view scene synthesis. Comprehensive experiments and ablations validate the effectiveness of our framework, establishing a new strong baseline in general modality translation. For more information, see our project page: https://sites.google.com/view/lddbm/home.

Noise Injection: Improving Out-of-Distribution Generalization for Limited Size Datasets

Deep learned (DL) models for image recognition have been shown to fail to generalize to data from different devices, populations, etc. COVID-19 detection from Chest X-rays (CXRs), in particular, has been shown to fail to generalize to out-of-distribution (OOD) data from new clinical sources not covered in the training set. This occurs because models learn to exploit shortcuts - source-specific artifacts that do not translate to new distributions - rather than reasonable biomarkers to maximize performance on in-distribution (ID) data. Rendering the models more robust to distribution shifts, our study investigates the use of fundamental noise injection techniques (Gaussian, Speckle, Poisson, and Salt and Pepper) during training. Our empirical results demonstrate that this technique can significantly reduce the performance gap between ID and OOD evaluation from 0.10-0.20 to 0.01-0.06, based on results averaged over ten random seeds across key metrics such as AUC, F1, accuracy, recall and specificity. Our source code is publicly available at https://github.com/Duongmai127/Noisy-ood

Quantifying the Climate Risk of Generative AI: Region-Aware Carbon Accounting with G-TRACE and the AI Sustainability Pyramid

Generative Artificial Intelligence (GenAI) represents a rapidly expanding digital infrastructure whose energy demand and associated CO2 emissions are emerging as a new category of climate risk. This study introduces G-TRACE (GenAI Transformative Carbon Estimator), a cross-modal, region-aware framework that quantifies training- and inference-related emissions across modalities and deployment geographies. Using real-world analytics and microscopic simulation, G-TRACE measures energy use and carbon intensity per output type (text, image, video) and reveals how decentralized inference amplifies small per-query energy costs into system-level impacts. Through the Ghibli-style image generation trend (2024-2025), we estimate 4,309 MWh of energy consumption and 2,068 tCO2 emissions, illustrating how viral participation inflates individual digital actions into tonne-scale consequences. Building on these findings, we propose the AI Sustainability Pyramid, a seven-level governance model linking carbon accounting metrics (L1-L7) with operational readiness, optimization, and stewardship. This framework translates quantitative emission metrics into actionable policy guidance for sustainable AI deployment. The study contributes to the quantitative assessment of emerging digital infrastructures as a novel category of climate risk, supporting adaptive governance for sustainable technology deployment. By situating GenAI within climate-risk frameworks, the work advances data-driven methods for aligning technological innovation with global decarbonization and resilience objectives.

The best performance in the CARE 2025 -- Liver Task (LiSeg-Contrast): Contrast-Aware Semi-Supervised Segmentation with Domain Generalization and Test-Time Adaptation

Accurate liver segmentation from contrast-enhanced MRI is essential for diagnosis, treatment planning, and disease monitoring. However, it remains challenging due to limited annotated data, heterogeneous enhancement protocols, and significant domain shifts across scanners and institutions. Traditional image-to-image translation frameworks have made great progress in domain generalization, but their application is not straightforward. For example, Pix2Pix requires image registration, and cycle-GAN cannot be integrated seamlessly into segmentation pipelines. Meanwhile, these methods are originally used to deal with cross-modality scenarios, and often introduce structural distortions and suffer from unstable training, which may pose drawbacks in our single-modality scenario. To address these challenges, we propose CoSSeg-TTA, a compact segmentation framework for the GED4 (Gd-EOB-DTPA enhanced hepatobiliary phase MRI) modality built upon nnU-Netv2 and enhanced with a semi-supervised mean teacher scheme to exploit large amounts of unlabeled volumes. A domain adaptation module, incorporating a randomized histogram-based style appearance transfer function and a trainable contrast-aware network, enriches domain diversity and mitigates cross-center variability. Furthermore, a continual test-time adaptation strategy is employed to improve robustness during inference. Extensive experiments demonstrate that our framework consistently outperforms the nnU-Netv2 baseline, achieving superior Dice score and Hausdorff Distance while exhibiting strong generalization to unseen domains under low-annotation conditions.