While recent advances in activity recognition have achieved remarkable success, these methods depend on large-scale datasets with extensive annotations. Developing fine-grained activity recognition for domain-specific tasks presents unique challenges, including limited labeled data due to privacy concerns and labor-intensive annotation processes. Distinguishing visually similar activities remains difficult, as fine-grained actions often involve subtle differences (i.e., slight variations in hand positioning and tiny object interactions). In trauma resuscitation, critical procedures such as intravenous (IV) placement and temperature measurement occur within small regions of the scene and in complex, crowded environments, further complicating activity recognition. To address these challenges, we reframed medical activity recognition as an image classification task instead of relying on temporal modeling. We introduce TextAidAR, an activity recognition method that incorporates expert-defined domain knowledge to improve visual representation learning. By leveraging vision-text alignment, our approach enhances spatial feature learning using structured medical descriptions provided by domain experts. We also introduce a lightweight module, the MedSpec adapter, to refine pre-trained text embeddings for medical contexts and propose two key loss functions—class-conditioned alignment loss and MedDistinct loss—to enhance the robustness of visual-text alignment. Our studies show that TextAidAR surpasses existing video-based and image-based methods, achieving state-of-the-art performance with a mAP of 0.72 in detecting 13 fine-grained medical activities in real-world trauma resuscitation. On the NurViD dataset, TextAidAR achieves a 41.2% improvement in overall performance compared to the strongest existing baseline.
We propose an automatic region-based registration method for remote sensing imagery. In this method, we aim to register two images by matching region properties to address possible errors caused by local feature estimators. We apply automated image segmentation to identify the regions and calculate regional Fourier descriptors and standardized regional intensity descriptors for each region. We define a joint matching cost, as a linear combination of Euclidean distances, to establish and extract correspondences between regions. The segmentation technique utilizes kernel density estimators for edge localization, followed by morphological reconstruction and the watershed transform. We evaluated the registration performance of our method on synthetic and real datasets. We measured the registration accuracy by calculating the root-mean-squared error (RMSE) between the estimated transformation and the ground truth transformation. The results obtained using the joint intensity-Fourier descriptor were compared to the results obtained using Harris, Minimum eigenvalue, Features accelerated segment test (FAST), speeded-up robust features (SURF), binary robust invariant scalable keypoints (BRISK) and KAZE keypoint descriptors. The joint intensity-Fourier descriptor yielded average RMSE of 0.446±0.359 pixels and 1.152±0.488 pixels on two satellite imagery datasets consisting of 35 image pairs in total. These results indicate the capacity of the proposed technique for high accuracy. Our method also produces a lower registration error than the compared feature-based methods.
With the increasing use of efficient multimodal 3D imaging, clinicians are able to access longitudinal imaging to stage pathological diseases, to monitor the efficacy of therapeutic interventions, or to assess and quantify rehabilitation efforts. Analysis of such four-dimensional (4D) image data presenting pathologies, including disappearing and newly appearing lesions, represents a significant challenge due to the presence of complex spatio-temporal changes. Image analysis methods for such 4D image data have to include not only a concept for joint segmentation of 3D datasets to account for inherent correlations of subject-specific repeated scans but also a mechanism to account for large deformations and the destruction and formation of lesions (e.g., edema, bleeding) due to underlying physiological processes associated with damage, intervention, and recovery. In this paper, we propose a novel framework that provides a joint segmentation-registration framework to tackle the inherent problem of image registration in the presence of objects not present in all images of the time series. Our methodology models 4D changes in pathological anatomy across time and and also provides an explicit mapping of a healthy normative template to a subject's image data with pathologies. Since atlas-moderated segmentation methods cannot explain appearance and locality pathological structures that are not represented in the template atlas, the new framework provides different options for initialization via a supervised learning approach, iterative semisupervised active learning, and also transfer learning, which results in a fully automatic 4D segmentation method. We demonstrate the effectiveness of our novel approach with synthetic experiments and a 4D multimodal MRI dataset of severe traumatic brain injury (TBI), including validation via comparison to expert segmentations. However, the proposed methodology is generic in regard to different clinical applications requiring quantitative analysis of 4D imaging representing spatio-temporal changes of pathologies.
Statistical analysis of shape representations relies on having good correspondence across a population. Improving correspondence yields improved statistics. Point distribution models (PDMs) are often used to represent object boundaries. Skeletal representations (s-reps) model object widths and boundary directions as well as boundary positions, so they should yield better correspondence. We present two methods: one for continuously interpolating a discretely-sampled skeletal model and one for improving correspondence by using this interpolation to shift skeletal samples to new positions. The interpolation operates by an extension of the mathematics of medial structures. As with Cates’ boundary-based method, we evaluate correspondence in terms of regularity and shape-feature population entropies. Evaluation on both synthetic and real data shows that our method both improves correspondence of s-rep models fit to segmented lateral ventricles and that the combined boundary-and-skeletal PDMs implied by these optimized s-reps have better correspondence than optimized boundary PDMs.
Adults with Autism Spectrum Conditions (ASC) experience marked difficulties in recognising the emotions of others and responding appropriately. The clinical characteristics of ASC mean that face to face or group interventions may not be appropriate for this clinical group. This article explores the potential of a new interactive technology, converting text to emotionally expressive speech, to improve emotion processing ability and attention to faces in adults with ASC. We demonstrate a method for generating a near-videorealistic avatar (XpressiveTalk), which can produce a video of a face uttering inputted text, in a large variety of emotional tones. We then demonstrate that general population adults can correctly recognize the emotions portrayed by XpressiveTalk. Adults with ASC are significantly less accurate than controls, but still above chance levels for inferring emotions from XpressiveTalk. Both groups are significantly more accurate when inferring sad emotions from XpressiveTalk compared to the original actress, and rate these expressions as significantly more preferred and realistic. The potential applications for XpressiveTalk as an assistive technology for adults with ASC is discussed.
