arXiv subjects

Kenneth MC Cheung

Publications and source records attributed to Kenneth MC Cheung.

3 recordsLinked to original sources

arXiv2026

Benchmarking Open-Source Speech Emotion Recognition in Naturalistic Mandarin Spine Clinic Consultations: A Pilot Validation Study

Speech emotion recognition (SER) may enable passive affect monitoring in clinical encounters, but most systems are validated on acted laboratory speech rather than naturalistic Mandarin outpatient consultations. We benchmarked three open-source SER models (emotion2vec+, SenseVoice, FunASR) against a researcher-consensus reference in naturalistic spine-clinic speech, assessing minority-state detection under class imbalance. In a retrospective analysis of prospectively collected single-center recordings, audio was loudness-normalized and only conversations among patients, family members, and clinicians were retained. Sixty-five utterances (5-50 s; one per participant; 31 patients, 34 family members) were labeled by six calibrated annotators into six categories (Happy, Sad, Fear, Anger, Neutral, Surprised). Consensus used majority vote with Fleiss kappa filtering and clinician adjudication for low-agreement segments. Metrics included unweighted accuracy (UA), macro-average per-class accuracy, class- and sample-level weighted accuracy (WA), and F1 with bootstrap 95% CIs. Labels were imbalanced (Neutral 58.5%); median Fleiss kappa was 0.230 (IQR 0.134-0.519). SenseVoice and FunASR achieved UA 61.5% (95% CI 49.2-73.8%), macro-average per-class accuracy 87.2%, class-level WA 92.5%, and sample-level WA 24.6%. emotion2vec+ yielded UA 55.4% (95% CI 42.5-67.7%) and macro-average per-class accuracy 85.1%, with class-level WA 90.6% and sample-level WA 24.2%. Despite high inter-model agreement (90.8%), all models had near-zero recall for Sad, Fear, Anger, and Surprised. In this pilot, majority-class accuracy was misleading: SER poorly detected minority emotions against a noisy naturalistic reference. Clinical deployment readiness cannot be inferred from acted-corpus benchmarks without domain adaptation, multimodal modeling, stronger reference standards, and outcome validation.

cs.SD↗

arXiv2026

Clinical-Prior Guided Multi-Modal Learning with Latent Attention Pooling for Gait-Based Scoliosis Screening

Adolescent Idiopathic Scoliosis (AIS) is a prevalent spinal deformity whose progression can be mitigated through early detection. Conventional screening methods are often subjective, difficult to scale, and reliant on specialized clinical expertise. Video-based gait analysis offers a promising alternative, but current datasets and methods frequently suffer from data leakage, where performance is inflated by repeated clips from the same individual, or employ oversimplified models that lack clinical interpretability. To address these limitations, we introduce ScoliGait, a new benchmark dataset comprising 1,572 gait video clips for training and 300 fully independent clips for testing. Each clip is annotated with radiographic Cobb angles and descriptive text based on clinical kinematic priors. We propose a multi-modal framework that integrates a clinical-prior-guided kinematic knowledge map for interpretable feature representation, alongside a latent attention pooling mechanism to fuse video, text, and knowledge map modalities. Our method establishes a new state-of-the-art, demonstrating a significant performance gap on a realistic, non-repeating subject benchmark. Our approach establishes a new state of the art, showing a significant performance gain on a realistic, subject-independent benchmark. This work provides a robust, interpretable, and clinically grounded foundation for scalable, non-invasive AIS assessment.

cs.CV↗

arXiv2025

Diagnosing Hallucination Risk in AI Surgical Decision-Support: A Sequential Framework for Sequential Validation

Large language models (LLMs) offer transformative potential for clinical decision support in spine surgery but pose significant risks through hallucinations, which are factually inconsistent or contextually misaligned outputs that may compromise patient safety. This study introduces a clinician-centered framework to quantify hallucination risks by evaluating diagnostic precision, recommendation quality, reasoning robustness, output coherence, and knowledge alignment. We assessed six leading LLMs across 30 expert-validated spinal cases. DeepSeek-R1 demonstrated superior overall performance (total score: 86.03 $\pm$ 2.08), particularly in high-stakes domains such as trauma and infection. A critical finding reveals that reasoning-enhanced model variants did not uniformly outperform standard counterparts: Claude-3.7-Sonnet's extended thinking mode underperformed relative to its standard version (80.79 $\pm$ 1.83 vs. 81.56 $\pm$ 1.92), indicating extended chain-of-thought reasoning alone is insufficient for clinical reliability. Multidimensional stress-testing exposed model-specific vulnerabilities, with recommendation quality degrading by 7.4% under amplified complexity. This decline contrasted with marginal improvements in rationality (+2.0%), readability (+1.7%) and diagnosis (+4.7%), highlighting a concerning divergence between perceived coherence and actionable guidance. Our findings advocate integrating interpretability mechanisms (e.g., reasoning chain visualization) into clinical workflows and establish a safety-aware validation framework for surgical LLM deployment.

cs.LG↗