#01Aug 25, 2026
eess.IV
Model Effect or Label Effect? Refined Annotations and a Human-Referenced Benchmark for Pulmonary Embolism Segmentation
Qihang Sun, Zhongxiao Liu, Bailiang Jian and 6 more
Purpose: To quantify how evaluation annotations influence measured pulmonary embolism (PE) segmentation performance relative to model training changes, and to establish a human-referenced framework. Materials and Methods: This retrospective study screened 166 voxel-annotated CT pulmonary angiography cases from CADPE (n=91), FUMPE (n=35), and READ (n=40); 149 were included. A primary rater annotated PE by protocol, and a senior thoracic radiologist reviewed and revised all segmentations. Three additional raters at three centers annotated a 15-case subset. The label effect was measured by evaluating two pretrained nnU-Net models (nnU-Net-A, nnU-Net-B) against original and refined annotations. The model effect was measured by comparing the same architecture trained on different dataset combinations with annotations fixed. The benchmark model (nnPE) was trained with leave-one-dataset-out and pooled five-fold cross-validation. Four metric categories were analyzed with case-paired Wilcoxon signed-rank tests, Benjamini-Hochberg correction, and bootstrap 95% CIs. Results: Changing only the annotation increased mean DSC by 0.143 (0.122-0.166) for nnU-Net-A and 0.188 (0.163-0.213) for nnU-Net-B (both P < .001), whereas changing training-dataset composition changed DSC by 0.028. The label effect exceeded the model effect on CADPE and FUMPE and was 0.045 on READ. Within-mask attenuation SD fell in all three datasets after re-annotation (all P < .001). nnPE reached DSC 0.72 +/- 0.22 on pooled cross-validation but scored below all four annotators across 52 paired comparisons (all corrected P < .05). Conclusion: Evaluation annotations affected measured PE segmentation performance at least as much as model training choices. A human-referenced evaluation framework is publicly available for future study.
#02Aug 25, 2026
cs.CV
Ensemble of Convolutional Neural Networks for StrokePrediction: Towards Improved Diagnostic Accuracy
Md Shahriar Sajid
Brain stroke, known for its high mortality and incidence rates, poses significant health risks and requires rapid intervention for survival. Early diagnosis and preventive measures can greatly reduce life loss and disabilities. Recent advancements in deep learning have led to novel computer-aided diagnostic techniques for early stroke detection. This study proposes an intelligent system that predicts potential strokes using eleven features, evaluated through seven supervised machine learning algorithms. The process includes a literature review, dataset visualization, data preprocessing, and model evaluation. Ensemble methods like Random Forest, Stacking Classifier, and Bagging Classifier achieved high accuracies of 99.52%, while Decision Tree reached 98.24%. Other models, including KNN and TabNet, demonstrated reliable performance, achieving accuracies of 96.73% and 96.49%, respectively. The custom feedforward model achieved 94.91%, while SVC and logistic regression had lower accuracies at 88.06% and 77.03%. The results highlight the effectiveness of ensemble methods in stroke classification.
#03Aug 25, 2026
cs.CV
EMFE: A lightweight, explainable machine learning framework for malaria cell classification
Md Abdullah Al Kafi, Walayat Hussain, Mousumi Karmakar and 2 more
Automated malaria diagnosis from stained blood-smear microscopy is dominated by deep convolutional neural networks that are accurate but computationally expensive, poorly interpretable, and rarely validated with patient-level rigor. We present EMFE (Efficient Mathematical Feature Extraction), a five-feature framework for classifying single red-blood-cell images as parasitized or uninfected using Gray World color normalization, adaptive green-channel thresholding, morphological spot detection, and classical machine learning. Using the NIH LHNCBC malaria dataset (27,558 images from 200 patients), we evaluate Random Forest, Histogram Gradient Boosting, and Support Vector Machine classifiers under patient-grouped nested cross-validation (K_outer=20, K_inner=3), ensuring that cells from each patient remain within a single fold. The optimized Random Forest achieves 94.6% pooled out-of-fold accuracy (95% CI [93.6, 95.7]), corroborated by an untouched 40-patient holdout test (94.3%) and a patient-level permutation test (p<0.001, 1,000 permutations). Ablation experiments quantify the contribution of individual features and pipeline stages. Hardware-matched comparisons with retrained DenseNet121, ResNet50, and MobileNetV2 models assess the accuracy-efficiency trade-off. Synthetic perturbations characterize three failure modes, while explainability analysis identifies spot saturation as the dominant discriminative feature. Patient-level aggregation further quantifies sensitivity-specificity trade-offs and false-positive accumulation. These results demonstrate a statistically rigorous, interpretable, and computationally lightweight alternative to deep learning, while explicitly quantifying its limitations.
#04Aug 25, 2026
cs.CV
Weakly Supervised Seafloor Segmentation for Seagrass Habitat Mapping in Side-Scan Sonar Imagery
Hayat Rajani, Nuno Gracias, Rafael Garcia
Seagrass meadows are crucial blue-carbon habitats, and mapping their extent is a prerequisite for coastal management and carbon inventory. Optical satellite sensors cover large areas but cannot reach deep or turbid water, whereas side-scan sonar (SSS) images the seabed at high resolution and at any depth. Interpreting SSS, however, still relies on dense manual annotation, which is slow and costly. We address this by adapting a weakly supervised semantic segmentation framework to SSS benthic habitat mapping, so that pixel-level maps are learned from image-level labels alone. The framework couples a ViT-based encoder-decoder with a classification branch, extracts class activation maps, and refines them into pseudo-labels with a dense conditional random field that we tune for the noise and weak boundaries of acoustic imagery. It follows an iterative self-training scheme, together with a sampling strategy to cope with the strong class imbalance of the data. We also study the effect of different loss functions on segmentation quality, finding Lovász-Softmax loss the most effective. On a held-out transect, the refined pseudo-labels reached an mIoU of 89.3\% against the ground truth, and the segmentation branch, trained without any pixel-level labels, reached 87.6\%. Self-supervised pretraining on unlabelled SSS added a further 3\% in mean intersection-over-union. Field trials further demonstrate the generalizability of the trained model. These results show that accurate and label-efficient benthic habitat mapping from side-scan sonar is feasible at the scale needed for coast-wide seagrass monitoring.
#05Aug 25, 2026
cs.CV
DoublesEval: Diagnosing Multi-Agent Tactical Reasoning in Vision-Language Models via Professional Doubles Badminton
Jintao Cheng, Weibin Li
Visual Language Models (VLMs) excel at describing visible scene content but struggle to reason about dynamic multi-agent interactions, where action semantics depend on coordinated roles and spatial-temporal dependencies. We formalize this capability as \textbf{multi-agent tactical reasoning} and introduce \textbf{DoublesEval}, a diagnostic evaluation framework that leverages professional doubles badminton as a structurally tractable testbed. DoublesEval employs a key-moment-based protocol that decomposes rallies into tactically salient instants and probes models across four interpretable dimensions: atomic recognition, intra-segment composite understanding, cross-segment causal reasoning, and high-level tactical abstraction. This design isolates \emph{where} reasoning fails, rather than merely measuring answer correctness. To address observed failure modes, we propose \textbf{TacticCheck}, a lightweight constraint-guided test-time consistency checker that reranks candidate answers using the model's own lower-level tactical predictions, requiring no parameter updates or ground-truth labels at inference time. Evaluating four representative open-source VLMs on 60 curated rallies (yielding $\sim$9.6K structured instances) via a zero-shot protocol, we find that models remain weak across all diagnostic levels, with especially clear bottlenecks in spatial state, interaction binding, and terminal evidence. TacticCheck delivers consistent gains across all evaluated models, while still leaving a substantial gap to robust tactical reasoning. These results highlight the need for structured, interaction-aware evaluation paradigms for next-generation VLMs. The source code is available in \href{https://github.com/Chengjt1999/DoublesEval}{\textcolor{blue}{our GitHub repository}}.