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Cataract surgery is the most common surgical procedure globally, with a disproportionately higher burden in developing countries. While automated surgical video analysis has been explored in general surgery, its application to ophthalmic procedures remains limited. Existing works primarily focus on Phaco cataract surgery, an expensive technique not accessible in regions where cataract treatment is most needed. In contrast, Manual Small-Incision Cataract Surgery (MSICS) is the preferred low-cost, faster alternative in high-volume settings and for challenging cases. However, no dataset exists for MSICS. To address this gap, we introduce Cataract-MSICS, the first comprehensive dataset containing 53 surgical videos annotated for 18 surgical phases and 3,527 frames with 13 surgical tools at the pixel level. We benchmark this dataset on state-of-the-art models and present ToolSeg, a novel framework that enhances tool segmentation by introducing a phase-conditional decoder and a simple yet effective semi-supervised setup leveraging pseudo-labels from foundation models. Our approach significantly improves segmentation performance, achieving a $23.77\%$ to $38.10\%$ increase in mean Dice scores, with a notable boost for tools that are less prevalent and small. Furthermore, we demonstrate that ToolSeg generalizes to other surgical settings, showcasing its effectiveness on the CaDIS dataset.

Assessing the capabilities and limitations of large language models (LLMs) has garnered significant interest, yet the evaluation of multiple models in real-world scenarios remains rare. Multilingual evaluation often relies on translated benchmarks, which typically do not capture linguistic and cultural nuances present in the source language. This study provides an extensive assessment of 24 LLMs on real world data collected from Indian patients interacting with a medical chatbot in Indian English and 4 other Indic languages. We employ a uniform Retrieval Augmented Generation framework to generate responses, which are evaluated using both automated techniques and human evaluators on four specific metrics relevant to our application. We find that models vary significantly in their performance and that instruction tuned Indic models do not always perform well on Indic language queries. Further, we empirically show that factual correctness is generally lower for responses to Indic queries compared to English queries. Finally, our qualitative work shows that code-mixed and culturally relevant queries in our dataset pose challenges to evaluated models., Comment: Under Review

Community health workers (CHWs) provide last-mile healthcare services but face challenges due to limited medical knowledge and training. This paper describes the design, deployment, and evaluation of ASHABot, an LLM-powered, experts-in-the-loop, WhatsApp-based chatbot to address the information needs of CHWs in India. Through interviews with CHWs and their supervisors and log analysis, we examine factors affecting their engagement with ASHABot, and ASHABot's role in addressing CHWs' informational needs. We found that ASHABot provided a private channel for CHWs to ask rudimentary and sensitive questions they hesitated to ask supervisors. CHWs trusted the information they received on ASHABot and treated it as an authoritative resource. CHWs' supervisors expanded their knowledge by contributing answers to questions ASHABot failed to answer, but were concerned about demands on their workload and increased accountability. We emphasize positioning LLMs as supplemental fallible resources within the community healthcare ecosystem, instead of as replacements for supervisor support.

Large Language Models (LLMs) are widely used in healthcare, but limitations like hallucinations, incomplete information, and bias hinder their reliability. To address these, researchers released the Build Your Own expert Bot (BYOeB) platform, enabling developers to create LLM-powered chatbots with integrated expert verification. CataractBot, its first implementation, provides expert-verified responses to cataract surgery questions. A pilot evaluation showed its potential; however the study had a small sample size and was primarily qualitative. In this work, we conducted a large-scale 24-week deployment of CataractBot involving 318 patients and attendants who sent 1,992 messages, with 91.71% of responses verified by seven experts. Analysis of interaction logs revealed that medical questions significantly outnumbered logistical ones, hallucinations were negligible, and experts rated 84.52% of medical answers as accurate. As the knowledge base expanded with expert corrections, system performance improved by 19.02%, reducing expert workload. These insights guide the design of future LLM-powered chatbots., Comment: The first two authors contributed equally to this research

A key strategy for making production in factories more efficient is to collect data about the functioning of machines, and dynamically adapt their working. Such smart factories have data packets with a mix of stringent and non-stringent deadlines with varying levels of importance that need to be delivered via a wireless network. However, the scheduling of packets in the wireless network is crucial to satisfy the deadlines. In this work, we propose a technique of utilizing IEEE 802.11ax, popularly known as WiFi 6, for such applications. IEEE 802.11ax has a few unique characteristics, such as specific configurations of dividing the channels into resource units (RU) for packet transmission and synchronized parallel transmissions. We model the problem of scheduling packets by assigning profit to each packet and then maximizing the sum of profits. We first show that this problem is strongly NP-Hard, and then propose an approximation algorithm with a 12-approximate algorithm. Our approximation algorithm uses a variant of local search to associate the right RU configuration to each packet and identify the duration of each parallel transmission. Finally, we extensively simulate different scenarios to show that our algorithm works better than other benchmarks.

The healthcare landscape is evolving, with patients seeking reliable information about their health conditions and available treatment options. Despite the abundance of information sources, the digital age overwhelms individuals with excess, often inaccurate information. Patients primarily trust medical professionals, highlighting the need for expert-endorsed health information. However, increased patient loads on experts has led to reduced communication time, impacting information sharing. To address this gap, we developed CataractBot, an experts-in-the-loop chatbot powered by LLMs, in collaboration with an eye hospital in India. CataractBot answers cataract surgery related questions instantly by querying a curated knowledge base and provides expert-verified responses asynchronously. It has multimodal and multilingual capabilities. In an in-the-wild deployment study with 55 participants, CataractBot proved valuable, providing anytime accessibility, saving time, accommodating diverse literacy levels, alleviating power differences, and adding a privacy layer between patients and doctors. Users reported that their trust in the system was established through expert verification. Broadly, our results could inform future work on designing expert-mediated LLM bots.

Large Language Models (LLMs) have revolutionized programming and software engineering. AI programming assistants such as GitHub Copilot X enable conversational programming, narrowing the gap between human intent and code generation. However, prior literature has identified a key challenge--there is a gap between user's mental model of the system's understanding after a sequence of natural language utterances, and the AI system's actual understanding. To address this, we introduce Programming with Representations (PwR), an approach that uses representations to convey the system's understanding back to the user in natural language. We conducted an in-lab task-centered study with 14 users of varying programming proficiency and found that representations significantly improve understandability, and instilled a sense of agency among our participants. Expert programmers use them for verification, while intermediate programmers benefit from confirmation. Natural language-based development with LLMs, coupled with representations, promises to transform software development, making it more accessible and efficient., Comment: 23 pages, 3 figures, 2 tables, under submission for ACM CHI 2024

Hate speech detection is a challenging natural language processing task that requires capturing linguistic and contextual nuances. Pre-trained language models (PLMs) offer rich semantic representations of text that can improve this task. However there is still limited knowledge about ways to effectively combine representations across PLMs and leverage their complementary strengths. In this work, we shed light on various combination techniques for several PLMs and comprehensively analyze their effectiveness. Our findings show that combining embeddings leads to slight improvements but at a high computational cost and the choice of combination has marginal effect on the final outcome. We also make our codebase public at https://github.com/aflah02/The-Art-of-Embedding-Fusion-Optimizing-Hate-Speech-Detection ., Comment: Published as a Tiny Paper at ICLR 2023, 12 Pages

The use of observed wearable sensor data (e.g., photoplethysmograms [PPG]) to infer health measures (e.g., glucose level or blood pressure) is a very active area of research. Such technology can have a significant impact on health screening, chronic disease management and remote monitoring. A common approach is to collect sensor data and corresponding labels from a clinical grade device (e.g., blood pressure cuff), and train deep learning models to map one to the other. Although well intentioned, this approach often ignores a principled analysis of whether the input sensor data has enough information to predict the desired metric. We analyze the task of predicting blood pressure from PPG pulse wave analysis. Our review of the prior work reveals that many papers fall prey data leakage, and unrealistic constraints on the task and the preprocessing steps. We propose a set of tools to help determine if the input signal in question (e.g., PPG) is indeed a good predictor of the desired label (e.g., blood pressure). Using our proposed tools, we have found that blood pressure prediction using PPG has a high multi-valued mapping factor of 33.2% and low mutual information of 9.8%. In comparison, heart rate prediction using PPG, a well-established task, has a very low multi-valued mapping factor of 0.75% and high mutual information of 87.7%. We argue that these results provide a more realistic representation of the current progress towards to goal of wearable blood pressure measurement via PPG pulse wave analysis.

With the increasing dominance of the internet as a source of news consumption, there has been a rise in the production and popularity of email newsletters compiled by individual journalists. However, there is little research on the processes of aggregation, and how these differ between expert journalists and trained machines. In this paper, we interviewed journalists who curate newsletters from around the world. Through an in-depth understanding of journalists' workflows, our findings lay out the role of their prior experience in the value they bring into the curation process, their use of algorithms in finding stories for their newsletter, and their internalization of their readers' interests and the context they are curating for. While identifying the role of human expertise, we highlight the importance of hybrid curation and provide design insights on how technology can support the work of these experts., Comment: accepted at CHI'23

A prominent approach to visual Reinforcement Learning (RL) is to learn an internal state representation using self-supervised methods, which has the potential benefit of improved sample-efficiency and generalization through additional learning signal and inductive biases. However, while the real world is inherently 3D, prior efforts have largely been focused on leveraging 2D computer vision techniques as auxiliary self-supervision. In this work, we present a unified framework for self-supervised learning of 3D representations for motor control. Our proposed framework consists of two phases: a pretraining phase where a deep voxel-based 3D autoencoder is pretrained on a large object-centric dataset, and a finetuning phase where the representation is jointly finetuned together with RL on in-domain data. We empirically show that our method enjoys improved sample efficiency in simulated manipulation tasks compared to 2D representation learning methods. Additionally, our learned policies transfer zero-shot to a real robot setup with only approximate geometric correspondence, and successfully solve motor control tasks that involve grasping and lifting from a single, uncalibrated RGB camera. Code and videos are available at https://yanjieze.com/3d4rl/ ., Comment: Accepted in RA-L 2023 and IROS 2023. Project page: https://yanjieze.com/3d4rl/

Refractive error is the most common eye disorder and is the key cause behind correctable visual impairment, responsible for nearly 80% of the visual impairment in the US. Refractive error can be diagnosed using multiple methods, including subjective refraction, retinoscopy, and autorefractors. Although subjective refraction is the gold standard, it requires cooperation from the patient and hence is not suitable for infants, young children, and developmentally delayed adults. Retinoscopy is an objective refraction method that does not require any input from the patient. However, retinoscopy requires a lens kit and a trained examiner, which limits its use for mass screening. In this work, we automate retinoscopy by attaching a smartphone to a retinoscope and recording retinoscopic videos with the patient wearing a custom pair of paper frames. We develop a video processing pipeline that takes retinoscopic videos as input and estimates the net refractive error based on our proposed extension of the retinoscopy mathematical model. Our system alleviates the need for a lens kit and can be performed by an untrained examiner. In a clinical trial with 185 eyes, we achieved a sensitivity of 91.0% and specificity of 74.0% on refractive error diagnosis. Moreover, the mean absolute error of our approach was 0.75$\pm$0.67D on net refractive error estimation compared to subjective refraction measurements. Our results indicate that our approach has the potential to be used as a retinoscopy-based refractive error screening tool in real-world medical settings., Comment: This paper is accepted for publication in IMWUT 2022

Keratoconus is a severe eye disease that leads to deformation of the cornea. It impacts people aged 10-25 years and is the leading cause of blindness in that demography. Corneal topography is the gold standard for keratoconus diagnosis. It is a non-invasive process performed using expensive and bulky medical devices called corneal topographers. This makes it inaccessible to large populations, especially in the Global South. Low-cost smartphone-based corneal topographers, such as SmartKC, have been proposed to make keratoconus diagnosis accessible. Similar to medical-grade topographers, SmartKC outputs curvature heatmaps and quantitative metrics that need to be evaluated by doctors for keratoconus diagnosis. An automatic scheme for evaluation of these heatmaps and quantitative values can play a crucial role in screening keratoconus in areas where doctors are not available. In this work, we propose a dual-head convolutional neural network (CNN) for classifying keratoconus on the heatmaps generated by SmartKC. Since SmartKC is a new device and only had a small dataset (114 samples), we developed a 2-stage transfer learning strategy -- using historical data collected from a medical-grade topographer and a subset of SmartKC data -- to satisfactorily train our network. This, combined with our domain-specific data augmentations, achieved a sensitivity of 91.3% and a specificity of 94.2%., Comment: 4 pages

The COVID-19 pandemic has brought out both the best and worst of language technology (LT). On one hand, conversational agents for information dissemination and basic diagnosis have seen widespread use, and arguably, had an important role in combating the pandemic. On the other hand, it has also become clear that such technologies are readily available for a handful of languages, and the vast majority of the global south is completely bereft of these benefits. What is the state of LT, especially conversational agents, for healthcare across the world's languages? And, what would it take to ensure global readiness of LT before the next pandemic? In this paper, we try to answer these questions through survey of existing literature and resources, as well as through a rapid chatbot building exercise for 15 Asian and African languages with varying amount of resource-availability. The study confirms the pitiful state of LT even for languages with large speaker bases, such as Sinhala and Hausa, and identifies the gaps that could help us prioritize research and investment strategies in LT for healthcare., Comment: Under Revision

Learning to solve precision-based manipulation tasks from visual feedback using Reinforcement Learning (RL) could drastically reduce the engineering efforts required by traditional robot systems. However, performing fine-grained motor control from visual inputs alone is challenging, especially with a static third-person camera as often used in previous work. We propose a setting for robotic manipulation in which the agent receives visual feedback from both a third-person camera and an egocentric camera mounted on the robot's wrist. While the third-person camera is static, the egocentric camera enables the robot to actively control its vision to aid in precise manipulation. To fuse visual information from both cameras effectively, we additionally propose to use Transformers with a cross-view attention mechanism that models spatial attention from one view to another (and vice-versa), and use the learned features as input to an RL policy. Our method improves learning over strong single-view and multi-view baselines, and successfully transfers to a set of challenging manipulation tasks on a real robot with uncalibrated cameras, no access to state information, and a high degree of task variability. In a hammer manipulation task, our method succeeds in 75% of trials versus 38% and 13% for multi-view and single-view baselines, respectively., Comment: Accepted in Robotics and Automation Letters Journal (RA-L 2022). Website at https://jangirrishabh.github.io/lookcloser .8 Pages

Keratoconus is a severe eye disease affecting the cornea (the clear, dome-shaped outer surface of the eye), causing it to become thin and develop a conical bulge. The diagnosis of keratoconus requires sophisticated ophthalmic devices which are non-portable and very expensive. This makes early detection of keratoconus inaccessible to large populations in low- and middle-income countries, making it a leading cause for partial/complete blindness among such populations. We propose SmartKC, a low-cost, smartphone-based keratoconus diagnosis system comprising of a 3D-printed placido's disc attachment, an LED light strip, and an intelligent smartphone app to capture the reflection of the placido rings on the cornea. An image processing pipeline analyzes the corneal image and uses the smartphone's camera parameters, the placido rings' 3D location, the pixel location of the reflected placido rings and the setup's working distance to construct the corneal surface, via the Arc-Step method and Zernike polynomials based surface fitting. In a clinical study with 101 distinct eyes, we found that SmartKC achieves a sensitivity of 94.1% and a specificity of 100.0%. Moreover, the quantitative curvature estimates (sim-K) strongly correlate with a gold-standard medical device (Pearson correlation coefficient =0.78). Our results indicate that SmartKC has the potential to be used as a keratoconus screening tool under real-world medical settings., Comment: Change Log: + Fixed sim-K computation (updated Section 5.5.3); re-ran our pipeline with the updated sim-K values (updated Figure 7); + Conducted the comparative evaluation with doctors again (total 4 doctors), and got improved results (updated Section 7.2 and Table 2); [Note: This is an updated version of the paper that was accepted for publication in IMWUT 2021.]

Malnutrition is a global health crisis and is the leading cause of death among children under five. Detecting malnutrition requires anthropometric measurements of weight, height, and middle-upper arm circumference. However, measuring them accurately is a challenge, especially in the global south, due to limited resources. In this work, we propose a CNN-based approach to estimate the height of standing children under five years from depth images collected using a smart-phone. According to the SMART Methodology Manual [5], the acceptable accuracy for height is less than 1.4 cm. On training our deep learning model on 87131 depth images, our model achieved an average mean absolute error of 1.64% on 57064 test images. For 70.3% test images, we estimated height accurately within the acceptable 1.4 cm range. Thus, our proposed solution can accurately detect stunting (low height-for-age) in standing children below five years of age.

Inspired by the success of Deep Learning based approaches to English scene text recognition, we pose and benchmark scene text recognition for three Indic scripts - Devanagari, Telugu and Malayalam. Synthetic word images rendered from Unicode fonts are used for training the recognition system. And the performance is bench-marked on a new IIIT-ILST dataset comprising of hundreds of real scene images containing text in the above mentioned scripts. We use a segmentation free, hybrid but end-to-end trainable CNN-RNN deep neural network for transcribing the word images to the corresponding texts. The cropped word images need not be segmented into the sub-word units and the error is calculated and backpropagated for the the given word image at once. The network is trained using CTC loss, which is proven quite effective for sequence-to-sequence transcription tasks. The CNN layers in the network learn to extract robust feature representations from word images. The sequence of features learnt by the convolutional block is transcribed to a sequence of labels by the RNN+CTC block. The transcription is not bound by word length or a lexicon and is ideal for Indian languages which are highly inflectional. IIIT-ILST dataset, synthetic word images dataset and the script used to render synthetic images are available at http://cvit.iiit.ac.in/research/projects/cvit-projects/iiit-ilst, Comment: This work was accepted at MOCR Workshop, ICDAR 2017 Uploading updated draft which includes links to download datasets and rendering script

Auscultation of respiratory sounds is the primary tool for screening and diagnosing lung diseases. Automated analysis, coupled with digital stethoscopes, can play a crucial role in enabling tele-screening of fatal lung diseases. Deep neural networks (DNNs) have shown a lot of promise for such problems, and are an obvious choice. However, DNNs are extremely data hungry, and the largest respiratory dataset ICBHI has only 6898 breathing cycles, which is still small for training a satisfactory DNN model. In this work, RespireNet, we propose a simple CNN-based model, along with a suite of novel techniques -- device specific fine-tuning, concatenation-based augmentation, blank region clipping, and smart padding -- enabling us to efficiently use the small-sized dataset. We perform extensive evaluation on the ICBHI dataset, and improve upon the state-of-the-art results for 4-class classification by 2.2%, Comment: Code visible at https://github.com/microsoft/RespireNet

Autism often remains undiagnosed in adolescents and adults. Prior research has indicated that an autistic individual often shows atypical fixation and gaze patterns. In this short paper, we demonstrate that by monitoring a user's gaze as they watch commonplace (i.e., not specialized, structured or coded) video, we can identify individuals with autism spectrum disorder. We recruited 35 autistic and 25 non-autistic individuals, and captured their gaze using an off-the-shelf eye tracker connected to a laptop. Within 15 seconds, our approach was 92.5% accurate at identifying individuals with an autism diagnosis. We envision such automatic detection being applied during e.g., the consumption of web media, which could allow for passive screening and adaptation of user interfaces.