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Author Maria Elena Meza-de-Luna; Juan Ramon Terven Salinas; Bogdan Raducanu; Joaquin Salas edit   pdf
doi  openurl
  Title Assessing the Influence of Mirroring on the Perception of Professional Competence using Wearable Technology Type Journal Article
  Year 2016 Publication IEEE Transactions on Affective Computing Abbreviated Journal TAC  
  Volume 9 Issue 2 Pages 161-175  
  Keywords (down) Mirroring; Nodding; Competence; Perception; Wearable Technology  
  Abstract Nonverbal communication is an intrinsic part in daily face-to-face meetings. A frequently observed behavior during social interactions is mirroring, in which one person tends to mimic the attitude of the counterpart. This paper shows that a computer vision system could be used to predict the perception of competence in dyadic interactions through the automatic detection of mirroring
events. To prove our hypothesis, we developed: (1) A social assistant for mirroring detection, using a wearable device which includes a video camera and (2) an automatic classifier for the perception of competence, using the number of nodding gestures and mirroring events as predictors. For our study, we used a mixed-method approach in an experimental design where 48 participants acting as customers interacted with a confederated psychologist. We found that the number of nods or mirroring events has a significant influence on the perception of competence. Our results suggest that: (1) Customer mirroring is a better predictor than psychologist mirroring; (2) the number of psychologist’s nods is a better predictor than the number of customer’s nods; (3) except for the psychologist mirroring, the computer vision algorithm we used worked about equally well whether it was acquiring images from wearable smartglasses or fixed cameras.
 
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  Notes LAMP; 600.072; Approved no  
  Call Number Admin @ si @ MTR2016 Serial 2826  
Permanent link to this record
 

 
Author Wenwen Fu; Zhihong An; Wendong Huang; Haoran Sun; Wenjuan Gong; Jordi Gonzalez edit  url
openurl 
  Title A Spatio-Temporal Spotting Network with Sliding Windows for Micro-Expression Detection Type Journal Article
  Year 2023 Publication Electronics Abbreviated Journal ELEC  
  Volume 12 Issue 18 Pages 3947  
  Keywords (down) micro-expression spotting; sliding window; key frame extraction  
  Abstract Micro-expressions reveal underlying emotions and are widely applied in political psychology, lie detection, law enforcement and medical care. Micro-expression spotting aims to detect the temporal locations of facial expressions from video sequences and is a crucial task in micro-expression recognition. In this study, the problem of micro-expression spotting is formulated as micro-expression classification per frame. We propose an effective spotting model with sliding windows called the spatio-temporal spotting network. The method involves a sliding window detection mechanism, combines the spatial features from the local key frames and the global temporal features and performs micro-expression spotting. The experiments are conducted on the CAS(ME)2 database and the SAMM Long Videos database, and the results demonstrate that the proposed method outperforms the state-of-the-art method by 30.58% for the CAS(ME)2 and 23.98% for the SAMM Long Videos according to overall F-scores.  
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  ISSN ISBN Medium  
  Area Expedition Conference  
  Notes ISE Approved no  
  Call Number Admin @ si @ FAH2023 Serial 3864  
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Author Arash Akbarinia; Karl R. Gegenfurtner edit  doi
openurl 
  Title Metameric Mismatching in Natural and Artificial Reflectances Type Journal Article
  Year 2017 Publication Journal of Vision Abbreviated Journal JV  
  Volume 17 Issue 10 Pages 390-390  
  Keywords (down) Metamer; colour perception; spectral discrimination; photoreceptors  
  Abstract The human visual system and most digital cameras sample the continuous spectral power distribution through three classes of receptors. This implies that two distinct spectral reflectances can result in identical tristimulus values under one illuminant and differ under another – the problem of metamer mismatching. It is still debated how frequent this issue arises in the real world, using naturally occurring reflectance functions and common illuminants.

We gathered more than ten thousand spectral reflectance samples from various sources, covering a wide range of environments (e.g., flowers, plants, Munsell chips) and evaluated their responses under a number of natural and artificial source of lights. For each pair of reflectance functions, we estimated the perceived difference using the CIE-defined distance ΔE2000 metric in Lab color space.

The degree of metamer mismatching depended on the lower threshold value l when two samples would be considered to lead to equal sensor excitations (ΔE < l), and on the higher threshold value h when they would be considered different. For example, for l=h=1, we found that 43.129 comparisons out of a total of 6×107 pairs would be considered metameric (1 in 104). For l=1 and h=5, this number reduced to 705 metameric pairs (2 in 106). Extreme metamers, for instance l=1 and h=10, were rare (22 pairs or 6 in 108), as were instances where the two members of a metameric pair would be assigned to different color categories. Not unexpectedly, we observed variations among different reflectance databases and illuminant spectra with more frequency under artificial illuminants than natural ones.

Overall, our numbers are not very different from those obtained earlier (Foster et al, JOSA A, 2006). However, our results also show that the degree of metamerism is typically not very strong and that category switches hardly ever occur.
 
  Address Florida, USA; May 2017  
  Corporate Author Thesis  
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  Area Expedition Conference  
  Notes NEUROBIT; no menciona Approved no  
  Call Number Admin @ si @ AkG2017 Serial 2899  
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Author G.Blasco; Simone Balocco; J.Puig; J.Sanchez-Gonzalez; W.Ricart; J.Daunis-I-Estadella; X.Molina; S.Pedraza; J.M.Fernandez-Real edit  doi
openurl 
  Title Carotid pulse wave velocity by magnetic resonance imaging is increased in middle-aged subjects with the metabolic syndrome Type Journal Article
  Year 2015 Publication International Journal of Cardiovascular Imaging Abbreviated Journal ICJI  
  Volume 31 Issue 3 Pages 603-612  
  Keywords (down) Metabolic syndrome; Arterial stiffness; Pulse wave velocity; Carotid artery; Magnetic resonance  
  Abstract Arterial pulse wave velocity (PWV), an independent predictor of cardiovascular disease, physiologically increases with age; however, growing evidence suggests metabolic syndrome (MetS) accelerates this increase. Magnetic resonance imaging (MRI) enables reliable noninvasive assessment of arterial stiffness by measuring arterial PWV in specific vascular segments. We investigated the association between the presence of MetS and its components with carotid PWV (cPWV) in asymptomatic subjects without diabetes. We assessed cPWV by MRI in 61 individuals (mean age, 55.3 ± 14.1 years; median age, 55 years): 30 with MetS and 31 controls with similar age, sex, body mass index, and LDL-cholesterol levels. The study population was dichotomized by the median age. To remove the physiological association between PWV and age, unpaired t tests and multiple regression analyses were performed using the residuals of the regression between PWV and age. cPWV was higher in middle-aged subjects with MetS than in those without (p = 0.001), but no differences were found in elder subjects (p = 0.313). cPWV was associated with diastolic blood pressure (r = 0.276, p = 0.033) and waist circumference (r = 0.268, p = 0.038). The presence of MetS was associated with increased cPWV regardless of age, sex, blood pressure, and waist (p = 0.007). The MetS components contributing independently to an increased cPWV were hypertension (p = 0.018) and hypertriglyceridemia (p = 0.002). The presence of MetS is associated with an increased cPWV in middle-aged subjects. In particular, hypertension and hypertriglyceridemia may contribute to early progression of carotid stiffness.  
  Address  
  Corporate Author Thesis  
  Publisher Springer Netherlands Place of Publication Editor  
  Language Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1569-5794 ISBN Medium  
  Area Expedition Conference  
  Notes MILAB Approved no  
  Call Number Admin @ si @ BBP2015 Serial 2670  
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Author Miquel Ferrer; Ernest Valveny; F. Serratosa edit  doi
openurl 
  Title Median Graphs: A Genetic Approach based on New Theoretical Properties Type Journal Article
  Year 2009 Publication Pattern Recognition Abbreviated Journal PR  
  Volume 42 Issue 9 Pages 2003–2012  
  Keywords (down) Median graph; Genetic search; Maximum common subgraph; Graph matching; Structural pattern recognition  
  Abstract Given a set of graphs, the median graph has been theoretically presented as a useful concept to infer a representative of the set. However, the computation of the median graph is a highly complex task and its practical application has been very limited up to now. In this work we present two major contributions. On one side, and from a theoretical point of view, we show new theoretical properties of the median graph. On the other side, using these new properties, we present a new approximate algorithm based on the genetic search, that improves the computation of the median graph. Finally, we perform a set of experiments on real data, where none of the existing algorithms for the median graph computation could be applied up to now due to their computational complexity. With these results, we show how the concept of the median graph can be used in real applications and leaves the box of the only-theoretical concepts, demonstrating, from a practical point of view, that can be a useful tool to represent a set of graphs.  
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  Area Expedition Conference  
  Notes DAG Approved no  
  Call Number DAG @ dag @ FVS2009b Serial 1167  
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Author Miquel Ferrer; Dimosthenis Karatzas; Ernest Valveny; I. Bardaji; Horst Bunke edit  doi
openurl 
  Title A Generic Framework for Median Graph Computation based on a Recursive Embedding Approach Type Journal Article
  Year 2011 Publication Computer Vision and Image Understanding Abbreviated Journal CVIU  
  Volume 115 Issue 7 Pages 919-928  
  Keywords (down) Median Graph, Graph Embedding, Graph Matching, Structural Pattern Recognition  
  Abstract The median graph has been shown to be a good choice to obtain a represen- tative of a set of graphs. However, its computation is a complex problem. Recently, graph embedding into vector spaces has been proposed to obtain approximations of the median graph. The problem with such an approach is how to go from a point in the vector space back to a graph in the graph space. The main contribution of this paper is the generalization of this previ- ous method, proposing a generic recursive procedure that permits to recover the graph corresponding to a point in the vector space, introducing only the amount of approximation inherent to the use of graph matching algorithms. In order to evaluate the proposed method, we compare it with the set me- dian and with the other state-of-the-art embedding-based methods for the median graph computation. The experiments are carried out using four dif- ferent databases (one semi-artificial and three containing real-world data). Results show that with the proposed approach we can obtain better medi- ans, in terms of the sum of distances to the training graphs, than with the previous existing methods.  
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  Notes DAG Approved no  
  Call Number IAM @ iam @ FKV2011 Serial 1831  
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Author Debora Gil; Sergio Vera; Agnes Borras; Albert Andaluz; Miguel Angel Gonzalez Ballester edit   pdf
doi  openurl
  Title Anatomical Medial Surfaces with Efficient Resolution of Branches Singularities Type Journal Article
  Year 2017 Publication Medical Image Analysis Abbreviated Journal MIA  
  Volume 35 Issue Pages 390-402  
  Keywords (down) Medial Representations; Shape Recognition; Medial Branching Stability ; Singular Points  
  Abstract Medial surfaces are powerful tools for shape description, but their use has been limited due to the sensibility existing methods to branching artifacts. Medial branching artifacts are associated to perturbations of the object boundary rather than to geometric features. Such instability is a main obstacle for a con dent application in shape recognition and description. Medial branches correspond to singularities of the medial surface and, thus, they are problematic for existing morphological and energy-based algorithms. In this paper, we use algebraic geometry concepts in an energy-based approach to compute a medial surface presenting a stable branching topology. We also present an ecient GPU-CPU implementation using standard image processing tools. We show the method computational eciency and quality on a custom made synthetic database. Finally, we present some results on a medical imaging application for localization of abdominal pathologies.  
  Address  
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  Publisher Elsevier B.V. Place of Publication Editor  
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  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN ISBN Medium  
  Area Expedition Conference  
  Notes IAM; 600.060; 600.096; 600.075; 600.145 Approved no  
  Call Number Admin @ si @ GVB2017 Serial 2775  
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Author Sergio Vera; Debora Gil; Agnes Borras; Marius George Linguraru; Miguel Angel Gonzalez Ballester edit   pdf
url  doi
openurl 
  Title Geometric Steerable Medial Maps Type Journal Article
  Year 2013 Publication Machine Vision and Applications Abbreviated Journal MVA  
  Volume 24 Issue 6 Pages 1255-1266  
  Keywords (down) Medial Representations ,Medial Manifolds Comparation , Surface , Reconstruction  
  Abstract In order to provide more intuitive and easily interpretable representations of complex shapes/organs, medial manifolds should reach a compromise between simplicity in geometry and capability for restoring the anatomy/shape of the organ/volume. Existing morphological methods show excellent results when applied to 2D objects, but their quality drops across dimensions.
This paper contributes to the computation of medial manifolds in two aspects. First, we provide a standard scheme for the computation of medial manifolds that avoids degenerated medial axis segments. Second, we introduce a continuous operator for accurate and efficient computation of medial structures of arbitrary dimension. We evaluate quantitatively the performance of our method with respect to existing approaches, by applying them to syn- thetic shapes of known medial geometry. We also show its higher performance for medical imaging applications in terms of simplicity of medial structures and capability for reconstructing the anatomical volume.
 
  Address  
  Corporate Author Thesis  
  Publisher Springer Berlin Heidelberg Place of Publication Editor Mubarak Shah  
  Language Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0932-8092 ISBN Medium  
  Area Expedition Conference  
  Notes IAM; 605.203; 600.060; 600.044 Approved no  
  Call Number IAM @ iam @ VGB2013 Serial 2192  
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Author Francesco Ciompi; Oriol Pujol; Carlo Gatta; Marina Alberti; Simone Balocco; Xavier Carrillo; J. Mauri; Petia Radeva edit  url
doi  openurl
  Title HoliMab: A Holistic Approach for Media-Adventitia Border Detection in Intravascular Ultrasound Type Journal Article
  Year 2012 Publication Medical Image Analysis Abbreviated Journal MIA  
  Volume 16 Issue 6 Pages 1085-1100  
  Keywords (down) Media–Adventitia border detection; Intravascular ultrasound; Multi-Scale Stacked Sequential Learning; Error-correcting output codes; Holistic segmentation  
  Abstract We present a fully automatic methodology for the detection of the Media-Adventitia border (MAb) in human coronary artery in Intravascular Ultrasound (IVUS) images. A robust border detection is achieved by means of a holistic interpretation of the detection problem where the target object, i.e. the media layer, is considered as part of the whole vessel in the image and all the relationships between tissues are learnt. A fairly general framework exploiting multi-class tissue characterization as well as contextual information on the morphology and the appearance of the tissues is presented. The methodology is (i) validated through an exhaustive comparison with both Inter-observer variability on two challenging databases and (ii) compared with state-of-the-art methods for the detection of the MAb in IVUS. The obtained averaged values for the mean radial distance and the percentage of area difference are 0.211 mm and 10.1%, respectively. The applicability of the proposed methodology to clinical practice is also discussed.  
  Address  
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  Series Editor Series Title Abbreviated Series Title  
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  Area Expedition Conference  
  Notes MILAB;HuPBA Approved no  
  Call Number Admin @ si @ CPG2012 Serial 1995  
Permanent link to this record
 

 
Author Yasuko Sugito; Javier Vazquez; Trevor Canham; Marcelo Bertalmio edit  doi
openurl 
  Title Image quality evaluation in professional HDR/WCG production questions the need for HDR metrics Type Journal Article
  Year 2022 Publication IEEE Transactions on Image Processing Abbreviated Journal TIP  
  Volume 31 Issue Pages 5163 - 5177  
  Keywords (down) Measurement; Image color analysis; Image coding; Production; Dynamic range; Brightness; Extraterrestrial measurements  
  Abstract In the quality evaluation of high dynamic range and wide color gamut (HDR/WCG) images, a number of works have concluded that native HDR metrics, such as HDR visual difference predictor (HDR-VDP), HDR video quality metric (HDR-VQM), or convolutional neural network (CNN)-based visibility metrics for HDR content, provide the best results. These metrics consider only the luminance component, but several color difference metrics have been specifically developed for, and validated with, HDR/WCG images. In this paper, we perform subjective evaluation experiments in a professional HDR/WCG production setting, under a real use case scenario. The results are quite relevant in that they show, firstly, that the performance of HDR metrics is worse than that of a classic, simple standard dynamic range (SDR) metric applied directly to the HDR content; and secondly, that the chrominance metrics specifically developed for HDR/WCG imaging have poor correlation with observer scores and are also outperformed by an SDR metric. Based on these findings, we show how a very simple framework for creating color HDR metrics, that uses only luminance SDR metrics, transfer functions, and classic color spaces, is able to consistently outperform, by a considerable margin, state-of-the-art HDR metrics on a varied set of HDR content, for both perceptual quantization (PQ) and Hybrid Log-Gamma (HLG) encoding, luminance and chroma distortions, and on different color spaces of common use.  
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  ISSN ISBN Medium  
  Area Expedition Conference  
  Notes 600.161; 611.007 Approved no  
  Call Number Admin @ si @ SVG2022 Serial 3683  
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Author Francesc Carreras; Jaume Garcia; Debora Gil; Sandra Pujadas; Chi ho Lion; R.Suarez-Arias; R.Leta; Xavier Alomar; Manuel Ballester; Guillem Pons-Llados edit  url
doi  openurl
  Title Left ventricular torsion and longitudinal shortening: two fundamental components of myocardial mechanics assessed by tagged cine-MRI in normal subjects Type Journal Article
  Year 2012 Publication International Journal of Cardiovascular Imaging Abbreviated Journal IJCI  
  Volume 28 Issue 2 Pages 273-284  
  Keywords (down) Magnetic resonance imaging (MRI); Tagging MRI; Cardiac mechanics; Ventricular torsion  
  Abstract Cardiac magnetic resonance imaging (Cardiac MRI) has become a gold standard diagnostic technique for the assessment of cardiac mechanics, allowing the non-invasive calculation of left ventric- ular long axis longitudinal shortening (LVLS) and absolute myocardial torsion (AMT) between basal and apical left ventricular slices, a movement directly related to the helicoidal anatomic disposition of the myocardial fibers. The aim of this study is to determine AMT and LVLS behaviour and normal values from a group of healthy subjects. A group of 21 healthy volunteers (15 males) (age: 23–55 y.o., mean:30.7 ± 7.5) were prospectively included in an obser- vational study by Cardiac MRI. Left ventricular rotation (degrees) was calculated by custom-made software (Harmonic Phase Flow) in consecutive LV short axis planes tagged cine-MRI sequences. AMT was determined from the difference between basal and apical planes LV rotations. LVLS (%) was determined from the LV longitudinal and horizontal axis cine-MRI images. All the 21 cases studied were interpretable, although in three cases the value of the LV apical rotation could not be determined. The mean rotation of the basal and apical planes at end-systole were -3.71° ± 0.84° and 6.73° ± 1.69° (n:18) respectively, resulting in a LV mean AMT of 10.48° ± 1.63° (n:18). End-systolic mean LVLS was 19.07 ± 2.71%. Cardiac MRI allows for the calculation of AMT and LVLS, fundamental functional components of the ventricular twist mechanics conditioned, in turn, by the anatomical helical layout of the myocardial fibers. These values provide complementary information about systolic ventricular function in relation to the traditional parameters used in daily practice.  
  Address  
  Corporate Author Thesis  
  Publisher Springer Netherlands Place of Publication Editor  
  Language Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1569-5794 ISBN Medium  
  Area Expedition Conference  
  Notes IAM; Approved no  
  Call Number IAM @ iam @ CGG2012 Serial 1496  
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Author Frederic Sampedro; Sergio Escalera; Anna Puig edit  doi
openurl 
  Title Iterative Multiclass Multiscale Stacked Sequential Learning: definition and application to medical volume segmentation Type Journal Article
  Year 2014 Publication Pattern Recognition Letters Abbreviated Journal PRL  
  Volume 46 Issue Pages 1-10  
  Keywords (down) Machine learning; Sequential learning; Multi-class problems; Contextual learning; Medical volume segmentation  
  Abstract In this work we present the iterative multi-class multi-scale stacked sequential learning framework (IMMSSL), a novel learning scheme that is particularly suited for medical volume segmentation applications. This model exploits the inherent voxel contextual information of the structures of interest in order to improve its segmentation performance results. Without any feature set or learning algorithm prior assumption, the proposed scheme directly seeks to learn the contextual properties of a region from the predicted classifications of previous classifiers within an iterative scheme. Performance results regarding segmentation accuracy in three two-class and multi-class medical volume datasets show a significant improvement with respect to state of the art alternatives. Due to its easiness of implementation and its independence of feature space and learning algorithm, the presented machine learning framework could be taken into consideration as a first choice in complex volume segmentation scenarios.  
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  Area Expedition Conference  
  Notes HuPBA;MILAB Approved no  
  Call Number Admin @ si @ SEP2014 Serial 2550  
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Author Zhen Xu; Sergio Escalera; Adrien Pavao; Magali Richard; Wei-Wei Tu; Quanming Yao; Huan Zhao; Isabelle Guyon edit  doi
openurl 
  Title Codabench: Flexible, easy-to-use, and reproducible meta-benchmark platform Type Journal Article
  Year 2022 Publication Patterns Abbreviated Journal PATTERNS  
  Volume 3 Issue 7 Pages 100543  
  Keywords (down) Machine learning; data science; benchmark platform; reproducibility; competitions  
  Abstract Obtaining a standardized benchmark of computational methods is a major issue in data-science communities. Dedicated frameworks enabling fair benchmarking in a unified environment are yet to be developed. Here, we introduce Codabench, a meta-benchmark platform that is open sourced and community driven for benchmarking algorithms or software agents versus datasets or tasks. A public instance of Codabench is open to everyone free of charge and allows benchmark organizers to fairly compare submissions under the same setting (software, hardware, data, algorithms), with custom protocols and data formats. Codabench has unique features facilitating easy organization of flexible and reproducible benchmarks, such as the possibility of reusing templates of benchmarks and supplying compute resources on demand. Codabench has been used internally and externally on various applications, receiving more than 130 users and 2,500 submissions. As illustrative use cases, we introduce four diverse benchmarks covering graph machine learning, cancer heterogeneity, clinical diagnosis, and reinforcement learning.  
  Address June 24, 2022  
  Corporate Author Thesis  
  Publisher Science Direct Place of Publication Editor  
  Language Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN ISBN Medium  
  Area Expedition Conference  
  Notes HuPBA Approved no  
  Call Number Admin @ si @ XEP2022 Serial 3764  
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Author Mingyi Yang; Fei Yang; Luka Murn; Marc Gorriz Blanch; Juil Sock; Shuai Wan; Fuzheng Yang; Luis Herranz edit  url
doi  openurl
  Title Task-Switchable Pre-Processor for Image Compression for Multiple Machine Vision Tasks Type Journal Article
  Year 2024 Publication IEEE Transactions on Circuits and Systems for Video Technology Abbreviated Journal  
  Volume Issue Pages  
  Keywords (down) M Yang, F Yang, L Murn, MG Blanch, J Sock, S Wan, F Yang, L Herranz  
  Abstract Visual content is increasingly being processed by machines for various automated content analysis tasks instead of being consumed by humans. Despite the existence of several compression methods tailored for machine tasks, few consider real-world scenarios with multiple tasks. In this paper, we aim to address this gap by proposing a task-switchable pre-processor that optimizes input images specifically for machine consumption prior to encoding by an off-the-shelf codec designed for human consumption. The proposed task-switchable pre-processor adeptly maintains relevant semantic information based on the specific characteristics of different downstream tasks, while effectively suppressing irrelevant information to reduce bitrate. To enhance the processing of semantic information for diverse tasks, we leverage pre-extracted semantic features to modulate the pixel-to-pixel mapping within the pre-processor. By switching between different modulations, multiple tasks can be seamlessly incorporated into the system. Extensive experiments demonstrate the practicality and simplicity of our approach. It significantly reduces the number of parameters required for handling multiple tasks while still delivering impressive performance. Our method showcases the potential to achieve efficient and effective compression for machine vision tasks, supporting the evolving demands of real-world applications.  
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  Notes xxx Approved no  
  Call Number Admin @ si @ YYM2024 Serial 4007  
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Author Marta Diez-Ferrer; Arturo Morales; Rosa Lopez Lisbona; Noelia Cubero; Cristian Tebe; Susana Padrones; Samantha Aso; Jordi Dorca; Debora Gil; Antoni Rosell edit  url
openurl 
  Title Ultrathin Bronchoscopy with and without Virtual Bronchoscopic Navigation: Influence of Segmentation on Diagnostic Yield Type Journal Article
  Year 2019 Publication Respiration Abbreviated Journal RES  
  Volume 97 Issue 3 Pages 252-258  
  Keywords (down) Lung cancer; Peripheral lung lesion; Diagnosis; Bronchoscopy; Ultrathin bronchoscopy; Virtual bronchoscopic navigation  
  Abstract Background: Bronchoscopy is a safe technique for diagnosing peripheral pulmonary lesions (PPLs), and virtual bronchoscopic navigation (VBN) helps guide the bronchoscope to PPLs. Objectives: We aimed to compare the diagnostic yield of VBN-guided and unguided ultrathin bronchoscopy (UTB) and explore clinical and technical factors associated with better results. We developed a diagnostic algorithm for deciding whether to use VBN to reach PPLs or choose an alternative diagnostic approach. Methods: We compared diagnostic yield between VBN-UTB (prospective cases) and unguided UTB (historical controls) and analyzed the VBN-UTB subgroup to identify clinical and technical variables that could predict the success of VBN-UTB. Results: Fifty-five cases and 110 controls were included. The overall diagnostic yield did not differ between the VBN-guided and unguided arms (47 and 40%, respectively; p = 0.354). Although the yield was slightly higher for PPLs ≤20 mm in the VBN-UTB arm, the difference was not significant (p = 0.069). No other clinical characteristics were associated with a higher yield in a subgroup analysis, but an 85% diagnostic yield was observed when segmentation was optimal and the PPL was endobronchial (vs. 30% when segmentation was suboptimal and 20% when segmentation was optimal but the PPL was extrabronchial). Conclusions: VBN-guided UTB is not superior to unguided UTB. A greater impact of VBN-guided over unguided UTB is highly dependent on both segmentation quality and an endobronchial location of the PPL. Segmentation quality should be considered before starting a procedure, when an alternative technique that may improve yield can be chosen, saving time and resources.  
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  Area Expedition Conference  
  Notes IAM; 600.145; 600.139 Approved no  
  Call Number Admin @ si @ DML2019 Serial 3134  
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