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Researcher profile

Enzo Ferrante

Enzo Ferrante contributes to research discovery and scholarly infrastructure.

ResearcherAffiliation not importedOpen to collaborate
Computer Visioneess.IVMachine LearningComputation and LanguageGenomicsQuantitative Methods

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Published work

9 published item(s)

preprint2026arXiv

ChronoRoot 2.0: An Open AI-Powered Platform for 2D Temporal Plant Phenotyping

Plant developmental plasticity, particularly in root system architecture, is fundamental to understanding adaptability and agricultural sustainability. ChronoRoot 2.0 builds upon established low-cost hardware while significantly enhancing software capabilities and usability. The system employs nnUNet architecture for multi-class segmentation, demonstrating significant accuracy improvements while simultaneously tracking six distinct plant structures encompassing root, shoot, and seed components: main root, lateral roots, seed, hypocotyl, leaves, and petiole. This architecture enables easy retraining and incorporation of additional training data without requiring machine learning expertise. The platform introduces dual specialized graphical interfaces: a Standard Interface for detailed architectural analysis with novel gravitropic response parameters, and a Screening Interface enabling high-throughput analysis of multiple plants through automated tracking. Functional Principal Component Analysis integration enables discovery of novel phenotypic parameters through temporal pattern comparison. We demonstrate multi-species analysis, with Arabidopsis thaliana and Solanum lycopersicum, both morphologically distinct plant species. Three use cases in Arabidopsis thaliana and validation with tomato seedlings demonstrate enhanced capabilities: circadian growth pattern characterization, gravitropic response analysis in transgenic plants, and high-throughput etiolation screening across multiple genotypes.ChronoRoot 2.0 maintains the low-cost, modular hardware advantages of its predecessor while dramatically improving accessibility through intuitive graphical interfaces and expanded analytical capabilities. The open-source platform makes sophisticated temporal plant phenotyping more accessible to researchers without computational expertise.

0 citations0 reviewsNo code linkedOpen access
preprint2026arXiv

Medical Context Distorts Decisions in Clinical Vision Language Models

Vision-language models (VLMs) are increasingly proposed for clinical decision support, yet their reliability in real-world scenarios that require integrating both visual and textual context from medical records remains poorly characterized. This paper identifies three failure modes: (1) modality over-reliance on text over images, (2) spurious reliance on irrelevant clinical history, and (3) prompt sensitivity across semantically equivalent inputs. We evaluate a diverse set of general-domain and medically-tuned open and closed VLMs on chest x-ray tasks using MIMIC-CXR. By systematically manipulating image-text alignment, clinical history, and prompt formulations, we found that VLM decisions are dominated by the text modality, even when visual evidence is available. Moreover, we observed that VLMs are heavily influenced by irrelevant reports, while minor prompt changes can reverse correct image-based predictions. Our findings underscore the need for explicit safeguards and stress-testing before considering the use of these models in clinical practice.

0 citations0 reviewsNo code linkedOpen access
preprint2024arXiv

Supervision by Denoising for Medical Image Segmentation

Learning-based image reconstruction models, such as those based on the U-Net, require a large set of labeled images if good generalization is to be guaranteed. In some imaging domains, however, labeled data with pixel- or voxel-level label accuracy are scarce due to the cost of acquiring them. This problem is exacerbated further in domains like medical imaging, where there is no single ground truth label, resulting in large amounts of repeat variability in the labels. Therefore, training reconstruction networks to generalize better by learning from both labeled and unlabeled examples (called semi-supervised learning) is problem of practical and theoretical interest. However, traditional semi-supervised learning methods for image reconstruction often necessitate handcrafting a differentiable regularizer specific to some given imaging problem, which can be extremely time-consuming. In this work, we propose "supervision by denoising" (SUD), a framework that enables us to supervise reconstruction models using their own denoised output as soft labels. SUD unifies stochastic averaging and spatial denoising techniques under a spatio-temporal denoising framework and alternates denoising and model weight update steps in an optimization framework for semi-supervision. As example applications, we apply SUD to two problems arising from biomedical imaging -- anatomical brain reconstruction (3D) and cortical parcellation (2D) -- to demonstrate a significant improvement in the image reconstructions over supervised-only and stochastic averaging baselines.

0 citations0 reviewsNo code linkedOpen access
preprint2023arXiv

Unsupervised ensemble-based phenotyping helps enhance the discoverability of genes related to heart morphology

Recent genome-wide association studies (GWAS) have been successful in identifying associations between genetic variants and simple cardiac parameters derived from cardiac magnetic resonance (CMR) images. However, the emergence of big databases including genetic data linked to CMR, facilitates investigation of more nuanced patterns of shape variability. Here, we propose a new framework for gene discovery entitled Unsupervised Phenotype Ensembles (UPE). UPE builds a redundant yet highly expressive representation by pooling a set of phenotypes learned in an unsupervised manner, using deep learning models trained with different hyperparameters. These phenotypes are then analyzed via (GWAS), retaining only highly confident and stable associations across the ensemble. We apply our approach to the UK Biobank database to extract left-ventricular (LV) geometric features from image-derived three-dimensional meshes. We demonstrate that our approach greatly improves the discoverability of genes influencing LV shape, identifying 11 loci with study-wide significance and 8 with suggestive significance. We argue that our approach would enable more extensive discovery of gene associations with image-derived phenotypes for other organs or image modalities.

0 citations0 reviewsNo code linkedOpen access
preprint2022arXiv

Impact of class imbalance on chest x-ray classifiers: towards better evaluation practices for discrimination and calibration performance

This work aims to analyze standard evaluation practices adopted by the research community when assessing chest x-ray classifiers, particularly focusing on the impact of class imbalance in such appraisals. Our analysis considers a comprehensive definition of model performance, covering not only discriminative performance but also model calibration, a topic of research that has received increasing attention during the last years within the machine learning community. Firstly, we conducted a literature study to analyze common scientific practices and confirmed that: (1) even when dealing with highly imbalanced datasets, the community tends to use metrics that are dominated by the majority class; and (2) it is still uncommon to include calibration studies for chest x-ray classifiers, albeit its importance in the context of healthcare. Secondly, we perform a systematic experiment on two major chest x-ray datasets to explore the behavior of several performance metrics under different class ratios and show that widely adopted metrics can conceal the performance in the minority class. Finally, we recommend the inclusion of complementary metrics to better reflect the system's performance in such scenarios. Our study indicates that current evaluation practices adopted by the research community for chest x-ray computer-aided diagnosis systems may not reflect their performance in real clinical scenarios, and suggest alternatives to improve this situation.

0 citations0 reviewsNo code linkedOpen access
preprint2020arXiv

Learning Deformable Registration of Medical Images with Anatomical Constraints

Deformable image registration is a fundamental problem in the field of medical image analysis. During the last years, we have witnessed the advent of deep learning-based image registration methods which achieve state-of-the-art performance, and drastically reduce the required computational time. However, little work has been done regarding how can we encourage our models to produce not only accurate, but also anatomically plausible results, which is still an open question in the field. In this work, we argue that incorporating anatomical priors in the form of global constraints into the learning process of these models, will further improve their performance and boost the realism of the warped images after registration. We learn global non-linear representations of image anatomy using segmentation masks, and employ them to constraint the registration process. The proposed AC-RegNet architecture is evaluated in the context of chest X-ray image registration using three different datasets, where the high anatomical variability makes the task extremely challenging. Our experiments show that the proposed anatomically constrained registration model produces more realistic and accurate results than state-of-the-art methods, demonstrating the potential of this approach.

0 citations0 reviewsNo code linkedOpen access
preprint2020arXiv

Post-DAE: Anatomically Plausible Segmentation via Post-Processing with Denoising Autoencoders

We introduce Post-DAE, a post-processing method based on denoising autoencoders (DAE) to improve the anatomical plausibility of arbitrary biomedical image segmentation algorithms. Some of the most popular segmentation methods (e.g. based on convolutional neural networks or random forest classifiers) incorporate additional post-processing steps to ensure that the resulting masks fulfill expected connectivity constraints. These methods operate under the hypothesis that contiguous pixels with similar aspect should belong to the same class. Even if valid in general, this assumption does not consider more complex priors like topological restrictions or convexity, which cannot be easily incorporated into these methods. Post-DAE leverages the latest developments in manifold learning via denoising autoencoders. First, we learn a compact and non-linear embedding that represents the space of anatomically plausible segmentations. Then, given a segmentation mask obtained with an arbitrary method, we reconstruct its anatomically plausible version by projecting it onto the learnt manifold. The proposed method is trained using unpaired segmentation mask, what makes it independent of intensity information and image modality. We performed experiments in binary and multi-label segmentation of chest X-ray and cardiac magnetic resonance images. We show how erroneous and noisy segmentation masks can be improved using Post-DAE. With almost no additional computation cost, our method brings erroneous segmentations back to a feasible space.

0 citations0 reviewsNo code linkedOpen access
preprint2020arXiv

Self-supervised Skull Reconstruction in Brain CT Images with Decompressive Craniectomy

Decompressive craniectomy (DC) is a common surgical procedure consisting of the removal of a portion of the skull that is performed after incidents such as stroke, traumatic brain injury (TBI) or other events that could result in acute subdural hemorrhage and/or increasing intracranial pressure. In these cases, CT scans are obtained to diagnose and assess injuries, or guide a certain therapy and intervention. We propose a deep learning based method to reconstruct the skull defect removed during DC performed after TBI from post-operative CT images. This reconstruction is useful in multiple scenarios, e.g. to support the creation of cranioplasty plates, accurate measurements of bone flap volume and total intracranial volume, important for studies that aim to relate later atrophy to patient outcome. We propose and compare alternative self-supervised methods where an encoder-decoder convolutional neural network (CNN) estimates the missing bone flap on post-operative CTs. The self-supervised learning strategy only requires images with complete skulls and avoids the need for annotated DC images. For evaluation, we employ real and simulated images with DC, comparing the results with other state-of-the-art approaches. The experiments show that the proposed model outperforms current manual methods, enabling reconstruction even in highly challenging cases where big skull defects have been removed during surgery.

0 citations0 reviewsNo code linkedOpen access
preprint2020arXiv

Unsupervised Domain Adaptation via CycleGAN for White Matter Hyperintensity Segmentation in Multicenter MR Images

Automatic segmentation of white matter hyperintensities in magnetic resonance images is of paramount clinical and research importance. Quantification of these lesions serve as a predictor for risk of stroke, dementia and mortality. During the last years, convolutional neural networks (CNN) specifically tailored for biomedical image segmentation have outperformed all previous techniques in this task. However, they are extremely data-dependent, and maintain a good performance only when data distribution between training and test datasets remains unchanged. When such distribution changes but we still aim at performing the same task, we incur in a domain adaptation problem (e.g. using a different MR machine or different acquisition parameters for training and test data). In this work, we explore the use of cycle-consistent adversarial networks (CycleGAN) to perform unsupervised domain adaptation on multicenter MR images with brain lesions. We aim at learning a mapping function to transform volumetric MR images between domains, which are characterized by different medical centers and MR machines with varying brand, model and configuration parameters. Our experiments show that CycleGAN allows us to reduce the Jensen-Shannon divergence between MR domains, enabling automatic segmentation with CNN models on domains where no labeled data was available.

0 citations0 reviewsNo code linkedOpen access