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Researcher profile

Taylan Cemgil

Taylan Cemgil contributes to research discovery and scholarly infrastructure.

ResearcherAffiliation not importedOpen to collaborate
Computer VisionMachine LearningArtificial IntelligenceComputation and LanguageCryptography and SecurityHuman-Computer Interaction

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Published work

6 published item(s)

preprint2026arXiv

Towards Conversational Medical AI with Eyes, Ears and a Voice

The practice of medicine relies not only upon skillful dialogue but also on the nuanced exchange and interpretation of rich auditory and visual cues between doctors and patients. Building on the low-latency voice and video processing capabilities of Gemini, we introduce AI co-clinician, a first-of-its-kind conversational AI system utilizing continuous streams of audio-visual data from live patient conversations to inform real-time clinical decisions. Its dual-agent architecture balances deep clinical reasoning with the low latency required for natural dialogue. To assess this system, we implemented a video-based interface emulating telemedicine consultations. We crafted 20 standardized outpatient scenarios requiring proactive real-time auditory and visual reasoning and designed "TelePACES" evaluation criteria alongside case-specific rubrics. In a randomized, interface-blinded, crossover simulation study (n = 120 encounters) with 10 internal medicine residents as patient actors, we compared AI co-clinician with primary care physicians (PCPs), GPT-Realtime, and a baseline agent. AI co-clinician approached PCPs in key TelePACES dimensions, including management plans and differential diagnosis, while significantly outperforming GPT-Realtime across all general criteria. While our agent demonstrated parity with PCPs in case-specific triage measures, physicians maintained superior overall performance in case-specific assessments. Although AI co-clinician marks a significant advance in real-time telemedical AI, gaps remain in physical examination and disease-specific reasoning. Our work shows that text-only approaches fail to capture the true challenges of medical consultation and suggests that high-stakes real-time diagnostic AI is most safely advanced in collaborative, triadic models where AI can be a supportive co-clinician for doctors and patients.

0 citations0 reviewsNo code linkedOpen access
preprint2022arXiv

Evaluating the Adversarial Robustness of Adaptive Test-time Defenses

Adaptive defenses, which optimize at test time, promise to improve adversarial robustness. We categorize such adaptive test-time defenses, explain their potential benefits and drawbacks, and evaluate a representative variety of the latest adaptive defenses for image classification. Unfortunately, none significantly improve upon static defenses when subjected to our careful case study evaluation. Some even weaken the underlying static model while simultaneously increasing inference computation. While these results are disappointing, we still believe that adaptive test-time defenses are a promising avenue of research and, as such, we provide recommendations for their thorough evaluation. We extend the checklist of Carlini et al. (2019) by providing concrete steps specific to adaptive defenses.

0 citations0 reviewsNo code linkedOpen access
preprint2022arXiv

Role of Human-AI Interaction in Selective Prediction

Recent work has shown the potential benefit of selective prediction systems that can learn to defer to a human when the predictions of the AI are unreliable, particularly to improve the reliability of AI systems in high-stakes applications like healthcare or conservation. However, most prior work assumes that human behavior remains unchanged when they solve a prediction task as part of a human-AI team as opposed to by themselves. We show that this is not the case by performing experiments to quantify human-AI interaction in the context of selective prediction. In particular, we study the impact of communicating different types of information to humans about the AI system's decision to defer. Using real-world conservation data and a selective prediction system that improves expected accuracy over that of the human or AI system working individually, we show that this messaging has a significant impact on the accuracy of human judgements. Our results study two components of the messaging strategy: 1) Whether humans are informed about the prediction of the AI system and 2) Whether they are informed about the decision of the selective prediction system to defer. By manipulating these messaging components, we show that it is possible to significantly boost human performance by informing the human of the decision to defer, but not revealing the prediction of the AI. We therefore show that it is vital to consider how the decision to defer is communicated to a human when designing selective prediction systems, and that the composite accuracy of a human-AI team must be carefully evaluated using a human-in-the-loop framework.

0 citations0 reviewsNo code linkedOpen access
preprint2021arXiv

Does Your Dermatology Classifier Know What It Doesn't Know? Detecting the Long-Tail of Unseen Conditions

We develop and rigorously evaluate a deep learning based system that can accurately classify skin conditions while detecting rare conditions for which there is not enough data available for training a confident classifier. We frame this task as an out-of-distribution (OOD) detection problem. Our novel approach, hierarchical outlier detection (HOD) assigns multiple abstention classes for each training outlier class and jointly performs a coarse classification of inliers vs. outliers, along with fine-grained classification of the individual classes. We demonstrate the effectiveness of the HOD loss in conjunction with modern representation learning approaches (BiT, SimCLR, MICLe) and explore different ensembling strategies for further improving the results. We perform an extensive subgroup analysis over conditions of varying risk levels and different skin types to investigate how the OOD detection performance changes over each subgroup and demonstrate the gains of our framework in comparison to baselines. Finally, we introduce a cost metric to approximate downstream clinical impact. We use this cost metric to compare the proposed method against a baseline system, thereby making a stronger case for the overall system effectiveness in a real-world deployment scenario.

0 citations0 reviewsNo code linkedOpen access
preprint2020arXiv

Achieving Robustness in the Wild via Adversarial Mixing with Disentangled Representations

Recent research has made the surprising finding that state-of-the-art deep learning models sometimes fail to generalize to small variations of the input. Adversarial training has been shown to be an effective approach to overcome this problem. However, its application has been limited to enforcing invariance to analytically defined transformations like $\ell_p$-norm bounded perturbations. Such perturbations do not necessarily cover plausible real-world variations that preserve the semantics of the input (such as a change in lighting conditions). In this paper, we propose a novel approach to express and formalize robustness to these kinds of real-world transformations of the input. The two key ideas underlying our formulation are (1) leveraging disentangled representations of the input to define different factors of variations, and (2) generating new input images by adversarially composing the representations of different images. We use a StyleGAN model to demonstrate the efficacy of this framework. Specifically, we leverage the disentangled latent representations computed by a StyleGAN model to generate perturbations of an image that are similar to real-world variations (like adding make-up, or changing the skin-tone of a person) and train models to be invariant to these perturbations. Extensive experiments show that our method improves generalization and reduces the effect of spurious correlations (reducing the error rate of a "smile" detector by 21% for example).

0 citations0 reviewsNo code linkedOpen access
preprint2020arXiv

Contrastive Training for Improved Out-of-Distribution Detection

Reliable detection of out-of-distribution (OOD) inputs is increasingly understood to be a precondition for deployment of machine learning systems. This paper proposes and investigates the use of contrastive training to boost OOD detection performance. Unlike leading methods for OOD detection, our approach does not require access to examples labeled explicitly as OOD, which can be difficult to collect in practice. We show in extensive experiments that contrastive training significantly helps OOD detection performance on a number of common benchmarks. By introducing and employing the Confusion Log Probability (CLP) score, which quantifies the difficulty of the OOD detection task by capturing the similarity of inlier and outlier datasets, we show that our method especially improves performance in the `near OOD' classes -- a particularly challenging setting for previous methods.

0 citations0 reviewsNo code linkedOpen access