Daily Papers

Generative models, particularly text-to-image (T2I) diffusion models, play a crucial role in medical image analysis. However, these models are prone to training data memorization, posing significant risks to patient privacy. Synthetic chest X-ray generation is one of the most common applications in medical image analysis with the MIMIC-CXR dataset serving as the primary data repository for this task. This study adopts a data-driven approach and presents the first systematic attempt to identify prompts and text tokens in MIMIC-CXR that contribute the most to training data memorization. Our analysis reveals an unexpected finding: prompts containing traces of de-identification procedures are among the most memorized, with de-identification markers contributing the most. Furthermore, we also find existing inference-time memorization mitigation strategies are ineffective and fail to sufficiently reduce the model's reliance on memorized text tokens highlighting a broader issue in T2I synthesis with MIMIC-CXR. On this front, we propose actionable strategies to enhance privacy and improve the reliability of generative models in medical imaging. Finally, our results provide a foundation for future work on developing and benchmarking memorization mitigation techniques for synthetic chest X-ray generation using the MIMIC-CXR dataset.

We introduce Ego4D, a massive-scale egocentric video dataset and benchmark suite. It offers 3,670 hours of daily-life activity video spanning hundreds of scenarios (household, outdoor, workplace, leisure, etc.) captured by 931 unique camera wearers from 74 worldwide locations and 9 different countries. The approach to collection is designed to uphold rigorous privacy and ethics standards with consenting participants and robust de-identification procedures where relevant. Ego4D dramatically expands the volume of diverse egocentric video footage publicly available to the research community. Portions of the video are accompanied by audio, 3D meshes of the environment, eye gaze, stereo, and/or synchronized videos from multiple egocentric cameras at the same event. Furthermore, we present a host of new benchmark challenges centered around understanding the first-person visual experience in the past (querying an episodic memory), present (analyzing hand-object manipulation, audio-visual conversation, and social interactions), and future (forecasting activities). By publicly sharing this massive annotated dataset and benchmark suite, we aim to push the frontier of first-person perception. Project page: https://ego4d-data.org/

Neuromuscular electrical stimulation (NMES) has been effectively applied in many rehabilitation treatments of individuals with spinal cord injury (SCI). In this context, we introduce a novel, robust, and intelligent control-based methodology to closed-loop NMES systems. Our approach utilizes a robust control law to guarantee system stability and machine learning tools to optimize both the controller parameters and system identification. Regarding the latter, we introduce the use of past rehabilitation data to build more realistic data-driven identified models. Furthermore, we apply the proposed methodology for the rehabilitation of lower limbs using a control technique named the robust integral of the sign of the error (RISE), an offline improved genetic algorithm optimizer, and neural network models. Although in the literature, the RISE controller presented good results on healthy subjects, without any fine-tuning method, a trial and error approach would quickly lead to muscle fatigue for individuals with SCI. In this paper, for the first time, the RISE controller is evaluated with two paraplegic subjects in one stimulation session and with seven healthy individuals in at least two and at most five sessions. The results showed that the proposed approach provided a better control performance than empirical tuning, which can avoid premature fatigue on NMES-based clinical procedures.

De-identification of electronic health records (EHR) is a vital step towards advancing health informatics research and maximising the use of available data. It is a two-step process where step one is the identification of protected health information (PHI), and step two is replacing such PHI with surrogates. Despite the recent advances in automatic de-identification of EHR, significant obstacles remain if the abundant health data available are to be used to the full potential. Accuracy in de-identification could be considered a necessary, but not sufficient condition for the use of EHR without individual patient consent. We present here a comprehensive review of the progress to date, both the impressive successes in achieving high accuracy and the significant risks and challenges that remain. To best of our knowledge, this is the first paper to present a complete picture of end-to-end automatic de-identification. We review 18 recently published automatic de-identification systems -designed to de-identify EHR in the form of free text- to show the advancements made in improving the overall accuracy of the system, and in identifying individual PHI. We argue that despite the improvements in accuracy there remain challenges in surrogate generation and replacements of identified PHIs, and the risks posed to patient protection and privacy.

Objective: Patient notes in electronic health records (EHRs) may contain critical information for medical investigations. However, the vast majority of medical investigators can only access de-identified notes, in order to protect the confidentiality of patients. In the United States, the Health Insurance Portability and Accountability Act (HIPAA) defines 18 types of protected health information (PHI) that needs to be removed to de-identify patient notes. Manual de-identification is impractical given the size of EHR databases, the limited number of researchers with access to the non-de-identified notes, and the frequent mistakes of human annotators. A reliable automated de-identification system would consequently be of high value. Materials and Methods: We introduce the first de-identification system based on artificial neural networks (ANNs), which requires no handcrafted features or rules, unlike existing systems. We compare the performance of the system with state-of-the-art systems on two datasets: the i2b2 2014 de-identification challenge dataset, which is the largest publicly available de-identification dataset, and the MIMIC de-identification dataset, which we assembled and is twice as large as the i2b2 2014 dataset. Results: Our ANN model outperforms the state-of-the-art systems. It yields an F1-score of 97.85 on the i2b2 2014 dataset, with a recall 97.38 and a precision of 97.32, and an F1-score of 99.23 on the MIMIC de-identification dataset, with a recall 99.25 and a precision of 99.06. Conclusion: Our findings support the use of ANNs for de-identification of patient notes, as they show better performance than previously published systems while requiring no feature engineering.

To ensure a balance between open access to justice and personal data protection, the South Korean judiciary mandates the de-identification of court judgments before they can be publicly disclosed. However, the current de-identification process is inadequate for handling court judgments at scale while adhering to strict legal requirements. Additionally, the legal definitions and categorizations of personal identifiers are vague and not well-suited for technical solutions. To tackle these challenges, we propose a de-identification framework called Thunder-DeID, which aligns with relevant laws and practices. Specifically, we (i) construct and release the first Korean legal dataset containing annotated judgments along with corresponding lists of entity mentions, (ii) introduce a systematic categorization of Personally Identifiable Information (PII), and (iii) develop an end-to-end deep neural network (DNN)-based de-identification pipeline. Our experimental results demonstrate that our model achieves state-of-the-art performance in the de-identification of court judgments.

Patient notes contain a wealth of information of potentially great interest to medical investigators. However, to protect patients' privacy, Protected Health Information (PHI) must be removed from the patient notes before they can be legally released, a process known as patient note de-identification. The main objective for a de-identification system is to have the highest possible recall. Recently, the first neural-network-based de-identification system has been proposed, yielding state-of-the-art results. Unlike other systems, it does not rely on human-engineered features, which allows it to be quickly deployed, but does not leverage knowledge from human experts or from electronic health records (EHRs). In this work, we explore a method to incorporate human-engineered features as well as features derived from EHRs to a neural-network-based de-identification system. Our results show that the addition of features, especially the EHR-derived features, further improves the state-of-the-art in patient note de-identification, including for some of the most sensitive PHI types such as patient names. Since in a real-life setting patient notes typically come with EHRs, we recommend developers of de-identification systems to leverage the information EHRs contain.

The digitization of healthcare has facilitated the sharing and re-using of medical data but has also raised concerns about confidentiality and privacy. HIPAA (Health Insurance Portability and Accountability Act) mandates removing re-identifying information before the dissemination of medical records. Thus, effective and efficient solutions for de-identifying medical data, especially those in free-text forms, are highly needed. While various computer-assisted de-identification methods, including both rule-based and learning-based, have been developed and used in prior practice, such solutions still lack generalizability or need to be fine-tuned according to different scenarios, significantly imposing restrictions in wider use. The advancement of large language models (LLM), such as ChatGPT and GPT-4, have shown great potential in processing text data in the medical domain with zero-shot in-context learning, especially in the task of privacy protection, as these models can identify confidential information by their powerful named entity recognition (NER) capability. In this work, we developed a novel GPT4-enabled de-identification framework (``DeID-GPT") to automatically identify and remove the identifying information. Compared to existing commonly used medical text data de-identification methods, our developed DeID-GPT showed the highest accuracy and remarkable reliability in masking private information from the unstructured medical text while preserving the original structure and meaning of the text. This study is one of the earliest to utilize ChatGPT and GPT-4 for medical text data processing and de-identification, which provides insights for further research and solution development on the use of LLMs such as ChatGPT/GPT-4 in healthcare. Codes and benchmarking data information are available at https://github.com/yhydhx/ChatGPT-API.

Data de-identification makes it possible to glean insights from data while preserving user privacy. The use of Trusted Execution Environments (TEEs) allow for the execution of de-identification applications on the cloud without the need for a user to trust the third-party application provider. In this paper, we present SPIDEr - Secure Pipeline for Information De-Identification with End-to-End Encryption, our implementation of an end-to-end encrypted data de-identification pipeline. SPIDEr supports classical anonymisation techniques such as suppression, pseudonymisation, generalisation, and aggregation, as well as techniques that offer a formal privacy guarantee such as k-anonymisation and differential privacy. To enable scalability and improve performance on constrained TEE hardware, we enable batch processing of data for differential privacy computations. We present our design of the control flows for end-to-end secure execution of de-identification operations within a TEE. As part of the control flow for running SPIDEr within the TEE, we perform attestation, a process that verifies that the software binaries were properly instantiated on a known, trusted platform.

A face morph is created by combining the face images usually pertaining to two distinct identities. The goal is to generate an image that can be matched with two identities thereby undermining the security of a face recognition system. To deal with this problem, several morph attack detection techniques have been developed. But these methods do not extract any information about the underlying bonafides used to create them. Demorphing addresses this limitation. However, current demorphing techniques are mostly reference-based, i.e, they need an image of one of the identities to recover the other. In this work, we treat demorphing as an ill-posed decomposition problem. We propose a novel method that is reference-free and recovers the bonafides with high accuracy. Our method decomposes the morph into several identity-preserving feature components. A merger network then weighs and combines these components to recover the bonafides. Our method is observed to reconstruct high-quality bonafides in terms of definition and fidelity. Experiments on the CASIA-WebFace, SMDD and AMSL datasets demonstrate the effectiveness of our method.

Recent advancements in artificial intelligence promise ample potential in monitoring applications with surveillance cameras. However, concerns about privacy and model bias have made it challenging to utilize them in public. Although de-identification approaches have been proposed in the literature, aiming to achieve a certain level of anonymization, most of them employ deep learning models that are computationally demanding for real-time edge deployment. In this study, we revisit conventional anonymization solutions for privacy protection and real-time video anomaly detection (VAD) applications. We propose a novel lightweight adaptive anonymization for VAD (LA3D) that employs dynamic adjustment to enhance privacy protection. We evaluated the approaches on publicly available privacy and VAD data sets to examine the strengths and weaknesses of the different anonymization techniques and highlight the promising efficacy of our approach. Our experiment demonstrates that LA3D enables substantial improvement in the privacy anonymization capability without majorly degrading VAD efficacy.

Person re-identification (re-id), the process of matching pedestrian images across different camera views, is an important task in visual surveillance. Substantial development of re-id has recently been observed, and the majority of existing models are largely dependent on color appearance and assume that pedestrians do not change their clothes across camera views. This limitation, however, can be an issue for re-id when tracking a person at different places and at different time if that person (e.g., a criminal suspect) changes his/her clothes, causing most existing methods to fail, since they are heavily relying on color appearance and thus they are inclined to match a person to another person wearing similar clothes. In this work, we call the person re-id under clothing change the "cross-clothes person re-id". In particular, we consider the case when a person only changes his clothes moderately as a first attempt at solving this problem based on visible light images; that is we assume that a person wears clothes of a similar thickness, and thus the shape of a person would not change significantly when the weather does not change substantially within a short period of time. We perform cross-clothes person re-id based on a contour sketch of person image to take advantage of the shape of the human body instead of color information for extracting features that are robust to moderate clothing change. Due to the lack of a large-scale dataset for cross-clothes person re-id, we contribute a new dataset that consists of 33698 images from 221 identities. Our experiments illustrate the challenges of cross-clothes person re-id and demonstrate the effectiveness of our proposed method.

Person re-identification (Re-ID) is a key challenge in computer vision, requiring the matching of individuals across cameras, locations, and time. While most research focuses on short-term scenarios with minimal appearance changes, real-world applications demand robust systems that handle long-term variations caused by clothing and physical changes. We present CHIRLA, Comprehensive High-resolution Identification and Re-identification for Large-scale Analysis, a novel dataset designed for video-based long-term person Re-ID. CHIRLA was recorded over seven months in four connected indoor environments using seven strategically placed cameras, capturing realistic movements with substantial clothing and appearance variability. The dataset includes 22 individuals, more than five hours of video, and about 1M bounding boxes with identity annotations obtained through semi-automatic labeling. We also define benchmark protocols for person tracking and Re-ID, covering diverse and challenging scenarios such as occlusion, reappearance, and multi-camera conditions. By introducing this comprehensive benchmark, we aim to facilitate the development and evaluation of Re-ID algorithms that can reliably perform in challenging, long-term real-world scenarios. The benchmark code is publicly available at: https://github.com/bdager/CHIRLA.

Generalizable person re-identification (Re-ID) aims to recognize individuals across unseen cameras and environments. While existing methods rely heavily on limited labeled multi-camera data, we propose DynaMix, a novel method that effectively combines manually labeled multi-camera and large-scale pseudo-labeled single-camera data. Unlike prior works, DynaMix dynamically adapts to the structure and noise of the training data through three core components: (1) a Relabeling Module that refines pseudo-labels of single-camera identities on-the-fly; (2) an Efficient Centroids Module that maintains robust identity representations under a large identity space; and (3) a Data Sampling Module that carefully composes mixed data mini-batches to balance learning complexity and intra-batch diversity. All components are specifically designed to operate efficiently at scale, enabling effective training on millions of images and hundreds of thousands of identities. Extensive experiments demonstrate that DynaMix consistently outperforms state-of-the-art methods in generalizable person Re-ID.

The modern surge in camera usage alongside widespread computer vision technology applications poses significant privacy and security concerns. Current artificial intelligence (AI) technologies aid in recognizing relevant events and assisting in daily tasks in homes, offices, hospitals, etc. The need to access or process personal information for these purposes raises privacy concerns. While software-level solutions like face de-identification provide a good privacy/utility trade-off, they present vulnerabilities to sniffing attacks. In this paper, we propose a hardware-level face de-identification method to solve this vulnerability. Specifically, our approach first learns an optical encoder along with a regression model to obtain a face heatmap while hiding the face identity from the source image. We also propose an anonymization framework that generates a new face using the privacy-preserving image, face heatmap, and a reference face image from a public dataset as input. We validate our approach with extensive simulations and hardware experiments.

We consider a scenario where we have access to the target domain, but cannot afford on-the-fly training data annotation, and instead would like to construct an alternative training set from a large-scale data pool such that a competitive model can be obtained. We propose a search and pruning (SnP) solution to this training data search problem, tailored to object re-identification (re-ID), an application aiming to match the same object captured by different cameras. Specifically, the search stage identifies and merges clusters of source identities which exhibit similar distributions with the target domain. The second stage, subject to a budget, then selects identities and their images from the Stage I output, to control the size of the resulting training set for efficient training. The two steps provide us with training sets 80\% smaller than the source pool while achieving a similar or even higher re-ID accuracy. These training sets are also shown to be superior to a few existing search methods such as random sampling and greedy sampling under the same budget on training data size. If we release the budget, training sets resulting from the first stage alone allow even higher re-ID accuracy. We provide interesting discussions on the specificity of our method to the re-ID problem and particularly its role in bridging the re-ID domain gap. The code is available at https://github.com/yorkeyao/SnP.

Biometric identification is a reliable method to verify individuals based on their unique physical or behavioral traits, offering a secure alternative to traditional methods like passwords or PINs. This study focuses on ear biometric identification, exploiting its distinctive features for enhanced accuracy, reliability, and usability. While past studies typically investigate face recognition and fingerprint analysis, our research demonstrates the effectiveness of ear biometrics in overcoming limitations such as variations in facial expressions and lighting conditions. We utilized two datasets: AMI (700 images from 100 individuals) and EarNV1.0 (28,412 images from 164 individuals). To improve the accuracy and robustness of our ear biometric identification system, we applied various techniques including data preprocessing and augmentation. Our models achieved a testing accuracy of 99.35% on the AMI Dataset and 98.1% on the EarNV1.0 dataset, showcasing the effectiveness of our approach in precisely identifying individuals based on ear biometric characteristics.

Anti-forensics seeks to eliminate or conceal traces of tampering artifacts. Typically, anti-forensic methods are designed to deceive binary detectors and persuade them to misjudge the authenticity of an image. However, to the best of our knowledge, no attempts have been made to deceive forgery detectors at the pixel level and mis-locate forged regions. Traditional adversarial attack methods cannot be directly used against forgery localization due to the following defects: 1) they tend to just naively induce the target forensic models to flip their pixel-level pristine or forged decisions; 2) their anti-forensics performance tends to be severely degraded when faced with the unseen forensic models; 3) they lose validity once the target forensic models are retrained with the anti-forensics images generated by them. To tackle the three defects, we propose SEAR (Self-supErvised Anti-foRensics), a novel self-supervised and adversarial training algorithm that effectively trains deep-learning anti-forensic models against forgery localization. SEAR sets a pretext task to reconstruct perturbation for self-supervised learning. In adversarial training, SEAR employs a forgery localization model as a supervisor to explore tampering features and constructs a deep-learning concealer to erase corresponding traces. We have conducted largescale experiments across diverse datasets. The experimental results demonstrate that, through the combination of self-supervised learning and adversarial learning, SEAR successfully deceives the state-of-the-art forgery localization methods, as well as tackle the three defects regarding traditional adversarial attack methods mentioned above.

Objective: To enhance automated de-identification of radiology reports by scaling transformer-based models through extensive training datasets and benchmarking performance against commercial cloud vendor systems for protected health information (PHI) detection. Materials and Methods: In this retrospective study, we built upon a state-of-the-art, transformer-based, PHI de-identification pipeline by fine-tuning on two large annotated radiology corpora from Stanford University, encompassing chest X-ray, chest CT, abdomen/pelvis CT, and brain MR reports and introducing an additional PHI category (AGE) into the architecture. Model performance was evaluated on test sets from Stanford and the University of Pennsylvania (Penn) for token-level PHI detection. We further assessed (1) the stability of synthetic PHI generation using a "hide-in-plain-sight" method and (2) performance against commercial systems. Precision, recall, and F1 scores were computed across all PHI categories. Results: Our model achieved overall F1 scores of 0.973 on the Penn dataset and 0.996 on the Stanford dataset, outperforming or maintaining the previous state-of-the-art model performance. Synthetic PHI evaluation showed consistent detectability (overall F1: 0.959 [0.958-0.960]) across 50 independently de-identified Penn datasets. Our model outperformed all vendor systems on synthetic Penn reports (overall F1: 0.960 vs. 0.632-0.754). Discussion: Large-scale, multimodal training improved cross-institutional generalization and robustness. Synthetic PHI generation preserved data utility while ensuring privacy. Conclusion: A transformer-based de-identification model trained on diverse radiology datasets outperforms prior academic and commercial systems in PHI detection and establishes a new benchmark for secure clinical text processing.