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Researcher profile

Madhumita Sushil

Madhumita Sushil contributes to research discovery and scholarly infrastructure.

ResearcherAffiliation not importedOpen to collaborate
Computation and LanguageArtificial IntelligenceComputer VisionMachine LearningMethodology

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Published work

3 published item(s)

preprint2026arXiv

UCSF-PDGM-VQA: Visual Question Answering dataset for brain tumor MRI interpretation

Brain tumor diagnosis is largely dependent on Magnetic Resonance Imaging (MRI) evaluation, which requires radiologists to synthesize thousands of images across multiple 3D sequences and longitudinal studies. This process requires advanced neuro-radiology training, poses substantial cognitive load, and is highly time-consuming. Despite increasing demands in radiology, this expertise is difficult to scale, straining the current health systems. Vision-Language Models (VLMs) provide an opportunity to reduce this burden through a semi-automated, interactive interpretation of complex brain MRIs. However, they are currently underutilized in neuro-oncology due to a lack of specialized benchmarks for evaluating them. We introduce a clinically relevant visual question answering (VQA) benchmark -- the UCSF-PDGM-VQA dataset -- consisting of 2,387 QA pairs from 473 glioma-related MRI studies in the public UCSF-PDGM dataset. We further establish a performance baseline for six state-of-the-art vision-language models (VLMs) and one large language model on this dataset. We find that current models are incapable of effectively processing multi-sequence, 3-dimensional MRI scans, thus resulting in a suppression of visual features and over-reliance on language priors, causing modality collapse. These findings underscore a critical deficiency in current model reliability and safety within clinical settings, necessitating the development of robust, domain-specific VLMs.

0 citations0 reviewsNo code linkedOpen access
preprint2023arXiv

Cross-institution text mining to uncover clinical associations: a case study relating social factors and code status in intensive care medicine

Objective: Text mining of clinical notes embedded in electronic medical records is increasingly used to extract patient characteristics otherwise not or only partly available, to assess their association with relevant health outcomes. As manual data labeling needed to develop text mining models is resource intensive, we investigated whether off-the-shelf text mining models developed at external institutions, together with limited within-institution labeled data, could be used to reliably extract study variables to conduct association studies. Materials and Methods: We developed multiple text mining models on different combinations of within-institution and external-institution data to extract social factors from discharge reports of intensive care patients. Subsequently, we assessed the associations between social factors and having a do-not-resuscitate/intubate code. Results: Important differences were found between associations based on manually labeled data compared to text-mined social factors in three out of five cases. Adopting external-institution text mining models using manually labeled within-institution data resulted in models with higher F1-scores, but not in meaningfully different associations. Discussion: While text mining facilitated scaling analyses to larger samples leading to discovering a larger number of associations, the estimates may be unreliable. Confirmation is needed with better text mining models, ideally on a larger manually labeled dataset. Conclusion: The currently used text mining models were not sufficiently accurate to be used reliably in an association study. Model adaptation using within-institution data did not improve the estimates. Further research is needed to set conditions for reliable use of text mining in medical research.

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preprint2020arXiv

Distilling neural networks into skipgram-level decision lists

Several previous studies on explanation for recurrent neural networks focus on approaches that find the most important input segments for a network as its explanations. In that case, the manner in which these input segments combine with each other to form an explanatory pattern remains unknown. To overcome this, some previous work tries to find patterns (called rules) in the data that explain neural outputs. However, their explanations are often insensitive to model parameters, which limits the scalability of text explanations. To overcome these limitations, we propose a pipeline to explain RNNs by means of decision lists (also called rules) over skipgrams. For evaluation of explanations, we create a synthetic sepsis-identification dataset, as well as apply our technique on additional clinical and sentiment analysis datasets. We find that our technique persistently achieves high explanation fidelity and qualitatively interpretable rules.

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