arXiv subjects

Parhom Esmaeili

Publications and source records attributed to Parhom Esmaeili.

3 recordsLinked to original sources

arXiv2026

Making Cross-Continental Federated Learning Repeatable with FLIP: a Multi-Application Study

Federated learning (FL) in healthcare remains challenging, as the overhead of rebuilding governance guarantees for every collaboration stops most projects at the proof-of-concept stage. Here we present FLIP (Federated Learning Interoperability Platform), an open-source, multi-application platform that makes FL training and evaluation repeatable. FLIP implements common FL workflows as a set of composable services: cohort queries against per-site structured databases, on-demand DICOM retrieval from institutional PACS, per-site project approval, and reusable FL job types. To demonstrate FLIP, we ran two distinct use cases, federated fine-tuning and federated evaluation, on synthetic chest X-ray cohorts across two client nodes based in the United Kingdom (UK) and Thailand. In FLIP, each institution independently approves its participation in each project and operates its own node under local IT security processes. This study makes an operational rather than an algorithmic claim. It does not compare federated with centralised training; for that question, we refer the reader to existing systematic reviews and meta-analyses. The central result is evidence that such platforms enable international FL collaboration and improve repeatability, auditability, and site-specific governance. We also present a comprehensive comparison of existing platforms to help researchers and operators choose the right platform for their use case.

cs.LG↗

arXiv2026

CLoPA: Continual Low Parameter Adaptation of Interactive Segmentation for Medical Image Annotation

Interactive segmentation enables clinicians to guide annotation, but existing zero-shot models like nnInteractive fail to consistently reach expert-level performance across diverse medical imaging tasks. Because annotation campaigns produce a growing stream of task-specific labelled data, online adaptation of the segmentation model is a natural complement to zero-shot inference. We propose CLoPA, a continual adaptation strategy that tunes a small fraction of nnInteractive's parameters on the annotation cache, triggered by lightweight episode scheduling. CLoPA requires no new parameters or changes to the inference pipeline, and operates entirely within the existing annotation workflow. Across eight Medical Segmentation Decathlon tasks spanning diverse anatomical targets and imaging characteristics, CLoPA rapidly elevates performance to expert-level, even for tasks where nnInteractive previously failed, with the majority of gains realised after a single training episode. We show that the benefits of tuning different parameter groups depends on task characteristics and data regimes. Also, that for targets with complex geometries (e.g., hepatic vessels), instance normalisation and low-level feature tuning saturates, suggesting a need for deeper feature-representation alignment in the most challenging scenarios.

cs.CV↗

arXiv2025

A methodology for clinically driven interactive segmentation evaluation

Interactive segmentation is a promising strategy for building robust, generalisable algorithms for volumetric medical image segmentation. However, inconsistent and clinically unrealistic evaluation hinders fair comparison and misrepresents real-world performance. We propose a clinically grounded methodology for defining evaluation tasks and metrics, and built a software framework for constructing standardised evaluation pipelines. We evaluate state-of-the-art algorithms across heterogeneous and complex tasks and observe that (i) minimising information loss when processing user interactions is critical for model robustness, (ii) adaptive-zooming mechanisms boost robustness and speed convergence, (iii) performance drops if validation prompting behaviour/budgets differ from training, (iv) 2D methods perform well with slab-like images and coarse targets, but 3D context helps with large or irregularly shaped targets, (v) performance of non-medical-domain models (e.g. SAM2) degrades with poor contrast and complex shapes.

cs.CV↗