AI | VALIANT /valiant Vanderbilt Advanced Lab for Immersive AI Translation (VALIANT) Wed, 28 Oct 2026 17:01:10 +0000 en-US hourly 1 Generalizable Multi-Pass Training of Ads Recommendation Models with Foundation Model Guidance /valiant/2026/10/28/generalizable-multi-pass-training-of-ads-recommendation-models-with-foundation-model-guidance/ Wed, 28 Oct 2026 17:01:10 +0000 /valiant/?p=7696

Qi, Yunzhe; Zhou, Qinghai; Liu, Boyang; Cui, Can; Zheng, Hua; Suo, Qiuling; Liang, Mingfu; Lov, Kenny; Liu, Xi; Jiang, Shali; Chen, Laming; Chen, Wen-Yen; Jin, Rong; Chang, Shuo; He, Jingrui; Li, Huayu. (2026).Ìý.ÌýProceedings of the ACM SIGKDD International Conference on Knowledge Discovery and Data Mining, 2-B, 4000–4011.Ìý

Artificial intelligence models used to predict whether people will click on online ads often perform best after one round of training, with additional training causing them to memorize noisy click data and perform worse on new examples. We developed TeMPO, a training framework that uses guidance from a recommendation foundation model to reduce this problem. Instead of learning only from click data, TeMPO also learns from the richer patterns captured by the foundation model, helping the model generalize better during repeated training. Theoretical analysis and experiments on public datasets and Meta’s large-scale advertising system showed that TeMPO allows additional rounds of training to improve rather than reduce performance. This approach could enable more effective multi-pass training of high-capacity recommendation models while maintaining their ability to generalize to new data.

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MSRepaint: Multiple Sclerosis Repaint with conditional denoising diffusion implicit model for bidirectional lesion filling and synthesis /valiant/2026/10/28/msrepaint-multiple-sclerosis-repaint-with-conditional-denoising-diffusion-implicit-model-for-bidirectional-lesion-filling-and-synthesis/ Wed, 28 Oct 2026 16:56:45 +0000 /valiant/?p=7690 Zhang, Jinwei; Zuo, Lianrui; Liu, Yihao; Zhang, Hang; Remedios, Samuel W.; Landman, Bennett A.; Calabresi, Peter A.; Saidha, Shiv; Newsome, Scott D.; Pham, Dzung L.; Prince, Jerry L.; Mowry, Ellen M.; Carass, Aaron. (2027).Ìý.ÌýMedical Image Analysis, 115, 104338.Ìý

Multiple sclerosis (MS) lesions can interfere with automated MRI analysis, while limited labeled data make it difficult to train models that accurately detect these lesions. We developed MSRepaint, an AI-based imaging method that can both fill lesion-affected areas with realistic healthy-appearing tissue and generate synthetic lesions for training purposes. The method preserves surrounding brain anatomy and can work when some MRI inputs are unavailable. In testing, MSRepaint outperformed established lesion-filling methods and achieved accuracy comparable to a recent AI-based approach while processing images more than 20 times faster. Models trained using its synthetic lesions also performed better across multiple lesion-detection datasets than models trained with other synthetic or real training data. MSRepaint therefore provides a fast, flexible approach for improving MRI analysis and generating realistic training data for MS lesion detection.

Fig. 1.ÌýOverview of MSRepaint training and inference. (a) Training data: A 2D multicontrast imageÌýð�‘¥0Ìýundergoes forward diffusion, generating noisy imagesÌýð�‘¥ð�‘¡âˆ’1,Ìýð�‘¥ð�‘¡, and the final degraded imageÌýð�‘¥ð�‘‡, paired with its lesion maskÌýð�‘€. (b) Training: The denoiserÌýð�œ™ð�‘¤Ìýis trained to estimateÌýˆð�‘¥ð�‘¡âˆ’1ÌýfromÌýð�‘¥ð�‘¡Ìýwith guidance from maskÌýð�‘€. (c) Inference: The trained denoiserÌýð�œ™ð�‘¤âˆ—Ìýgenerates outputs guided byÌýð�‘€target, while the repaint maskÌýð�‘€repaintÌýrestricts updates to its region, preserving surrounding tissue. A repainting mechanism iteratively refines update boundaries to ensure seamless integration with the surrounding tissue. (d) Example tasks: Lesion filling setsÌýð�‘€target=0Ìýto replace lesions with healthy tissue, while lesion synthesis setsÌýð�‘€target=ð�‘€repaintÌýto generate new lesion patterns.

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Patients’ perceptions of ethical issues in semi-autonomous robot-assisted surgery /valiant/2026/08/24/patients-perceptions-of-ethical-issues-in-semi-autonomous-robot-assisted-surgery/ Mon, 24 Aug 2026 18:56:41 +0000 /valiant/?p=7355 Wu, Jie Ying; Varnado, Sydney; Leon, Ashley; Carlson, Camella J.; Langerman, Alexander J.; Novak, Laurie L.; Houston, Michelle L.; Feurer, Irene D.; Gordon, Elisa J. (2026). . Surgical Endoscopy.

Artificial intelligence is allowing surgical robots to perform some tasks with limited direct control from surgeons. However, patients’ willingness to undergo surgery involving semi-autonomous robots may influence how widely these technologies are adopted. This study explored patients’ views about the ethical concerns surrounding semi-autonomous robot-assisted surgery and how these concerns affect their willingness to undergo such procedures. Researchers interviewed 50 adults who had undergone surgery within the previous three years, either without a robot or with a robot that was not autonomous. Overall, 56% said they would be willing to undergo semi-autonomous robot-assisted surgery, although willingness depended on which parts of the procedure the robot controlled. Four main factors shaped participants’ views: having enough information to make an informed decision, concerns about new risks introduced by robotic autonomy, trust and the relationship between patients and surgeons, and the potential benefits of robotic technology. Patients also considered the balance of control between the surgeon and robot important. These findings suggest that many patients may be open to semi-autonomous robot-assisted surgery, but acceptance depends on clear informed consent, confidence in safety, trust in surgeons, and understanding the technology’s potential benefits.

Fig 2 . Percent of participants by their willingness to undergo semi-autonomous robot-assisted surgery and by the type of control the robot would have over the different types of surgical processes

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Privacy and Security Throughout the Health Data Life Cycle: From Primary Care to Research Networks /valiant/2026/08/24/privacy-and-security-throughout-the-health-data-life-cycle-from-primary-care-to-research-networks/ Mon, 24 Aug 2026 18:49:08 +0000 /valiant/?p=7345 Malin, Bradley A.; Yan, Chao; Bonomi, Luca. (2026). . Annual Review of Biomedical Data Science, 9(1), 47–67.

Health data are increasingly collected and shared across healthcare, research, and artificial intelligence (AI) applications, creating new opportunities for medical discovery and clinical decision-making. At the same time, these uses raise growing concerns about privacy, security, and trust. This review examines risks and protections throughout the health data life cycle, from their initial collection and use in healthcare to their later use in research and AI development. We discuss how regulations, organizational practices, and technology influence data protection, as well as emerging risks such as unintended disclosure of sensitive information through AI tools. We review methods for protecting health data, including controlling and monitoring access, assessing the risk that individuals could be re-identified, using statistical privacy techniques such as differential privacy, and generating synthetic data that resemble real data without directly representing individual patients. We also discuss approaches that allow organizations to collaborate without directly sharing sensitive data, including federated learning and secure cryptographic methods. These approaches involve important trade-offs between protecting privacy and preserving the usefulness of data. Overall, greater standardization, transparency, and practical guidance are needed to strengthen privacy and trust while supporting responsible use of health data in healthcare, research, and AI.

Figure 1 Simplified representation of different stages in the health data flow with potential risks and mitigation strategies. In the data-generation stage, health data are generated by individuals (e.g., patients). In the primary use stage (pink), data are collected for care by healthcare organizations or third-party systems. In the secondary use stage (yellow), data are shared and analyzed to accelerate knowledge discovery.

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Retaining Emotions, Removing Identity: Valence-Arousal Guided De-Identification for Educational Applications /valiant/2026/07/28/retaining-emotions-removing-identity-valence-arousal-guided-de-identification-for-educational-applications/ Tue, 28 Jul 2026 20:58:05 +0000 /valiant/?p=7240

Ashwin, T. S.; Sanda, Nihar; Coursey, Austin; Gupta, Vaibhav; Biswas, Gautam. (2026).Ìý.ÌýProceedings of the ACM Symposium on Applied Computing, 87–94.Ìý

Artificial intelligence (AI) systems are increasingly being used to analyze students’ facial expressions to better understand engagement and emotions in classroom settings. However, using images of children raises important privacy and ethical concerns, making it essential to protect students’ identities without losing the emotional information needed for analysis. This study presents a new faceÌýde-identificationÌýmethod that replaces a person’s face with a realistic synthetic face while preserving the original facial expressions. The approach usesÌýStyleGAN, an AI model for generating realistic images, to select synthetic faces that match the emotional characteristics of the original face while removing identifying features. The method was evaluated using a real-world dataset of 40 middle school students and the publicly availableÌýDAiSEEdataset. Compared with conventional anonymization techniques, it achieved nearly 90% accuracy in protecting identity while maintaining high fidelity of facial expressions, with more than 92% agreement in manual evaluations and minimal loss of facial movement information. These findings suggest that the approach can better balance privacy protection with emotion recognition, supporting the development of privacy-preserving AI tools for classroom analytics and educational research.

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An evaluation of ambient artificial intelligence scribes at two academic medical centers /valiant/2026/07/28/an-evaluation-of-ambient-artificial-intelligence-scribes-at-two-academic-medical-centers/ Tue, 28 Jul 2026 18:30:53 +0000 /valiant/?p=7170

Franklin, Jacob; Chu, Ling; McDonald, Samuel A.; Turer, Robert W.; Webb, Janet; Steitz, Bryan D.; Yi, Haoyang; Chen, Qingxia; McCoy, Allison B.; Nall, Carolynn; Chen, Catherine; Rousseau, Justin F.; Lehmann, Christoph U.; Willett, Duwayne L.; Kumah-Crystal, Yaa A.; Mize, Dara E. (2026).Ìý.ÌýDiscover Artificial Intelligence, 6(1), 550.Ìý

Ambient AI scribesÌýare designed to reduce the time clinicians spend documenting patient visits by automatically generating clinical notes during appointments. To better understand how these tools perform in real-world practice, this study evaluatedÌýDragon CopilotÌýacross two academic medical centers. A total of 120 physicians and advanced practice providers completed surveys assessing the system’s usability, documentation quality, and overall satisfaction. Overall, clinicians rated Dragon Copilot as highly usable and reported that it fit well into their clinical workflows. Many participants said the tool reduced the time spent on documentation, improved their ability to focus on patients during visits, and enhanced the overall patient encounter. However, the AI scribe did not eliminate broader challenges such as burnout, frustration with electronic health records, work-life balance, or cognitive workload. Overall satisfaction with the tool was positive but mixed, indicating that experiences varied among users. As one of the first multi-site evaluations of an ambient AI scribe, the findings suggest that Dragon Copilot can improve documentation workflows and support clinician well-being, while also highlighting that it is not a complete solution to the broader challenges clinicians face in everyday practice.

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HAT-SAM3: endoscopy-aware adaptation of a foundation segmentation model for generalizable polyp segmentation /valiant/2026/07/28/hat-sam3-endoscopy-aware-adaptation-of-a-foundation-segmentation-model-for-generalizable-polyp-segmentation/ Tue, 28 Jul 2026 15:56:26 +0000 /valiant/?p=7153 Li, Hao; Masood, Anum. (2026).Ìý.ÌýThe Visual Computer, 42(9), 371.Ìý

This study addresses the challenge ofÌýautomatic polyp segmentation, the process of identifying and outlining polyps in colonoscopy images. While many artificial intelligence (AI) models perform well on the data they were trained on, they often struggle when tested on images from different hospitals or datasets because polyps can vary widely in size, shape, color, and appearance. Differences in image quality, such as glare from reflected light, blur, fluid, and changes in lighting during colonoscopy, add to this challenge. To improve performance across different datasets, the researchers developedÌýHAT-SAM3, an adaptation of theÌýSegment Anything Model 3 (SAM 3), a large pre-trained AI model originally designed for image segmentation. HAT-SAM3 uses a training technique calledÌýhighlight-aware training (HAT), which helps the model better handle bright reflections commonly seen in endoscopy images without changing how the model operates during testing. When evaluated on five publicly available datasets, HAT-SAM3 achieved an averageÌýDice score(a measure of how closely the model’s predicted outlines match the true polyp boundaries) of 0.884 and produced the best reported results on four of the five datasets. In additional testing, where the model was trained on one dataset and evaluated on three completely separate datasets without further training, HAT-SAM3 consistently outperformed the strongest previously reported method. These results suggest that adapting a pre-trained foundation model with endoscopy-specific training techniques can improve the accuracy and reliability of automated polyp segmentation across a wide range of clinical datasets. The researchers have also made their code publicly available to support future research.

 

Fig 1: Motivation of HAT-SAM3. A task-specific polyp segmenter can perform well when training and test images come from the same visual distribution, but degrade under cross-domain changes in illumination, blur, specular reflection, and polyp appearance. HAT-SAM3 uses a broad segmentation prior with endoscopy-aware adaptation to improve cross-domain polyp segmentation

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Factors influencing the effectiveness of artificial intelligence-assisted decision-making in medicine: a scoping review /valiant/2026/05/26/factors-influencing-the-effectiveness-of-artificial-intelligence-assisted-decision-making-in-medicine-a-scoping-review/ Tue, 26 May 2026 21:23:41 +0000 /valiant/?p=6794 Jackson, Nicholas J.; Brown, Katherine E.; Miller, Rachael.; Murrow, Matthew.; Cauley, Michael R.; Collins, Benjamin X.; Novak, Laurie L.; Benda, Natalie C.; Ancker, Jessica S. (2026).Ìý.ÌýJournal of the American Medical Informatics Association, 33(5), 1054–1064.Ìý

Research on artificial intelligence tools that help clinicians make decisions has had mixed results: sometimes these tools improve decision-making, and sometimes they do not, and it is not always clear why. This review looked at what factors affect how well AI-based clinical decision-support systems, or AI-CDS, work in medicine. The authors searched three medical databases and found 45 relevant studies out of 5,850 screened articles. They focused on how both clinician factors and technology design features influenced three things: how clinicians feel about AI, whether they accept AI recommendations, and how well they perform when using AI. The review found that experienced clinicians may gain less from AI support than less experienced clinicians, although the results were not consistent across studies. It also found that explainable AI, meaning AI that gives reasons for its suggestions, can increase trust, but it may also lead clinicians to trust incorrect recommendations too much, which can hurt performance when humans and AI work together. Clinicians’ existing attitudes toward AI also influenced whether they accepted its advice. Overall, the review suggests that future research should focus on “appropriate trust,� meaning clinicians should rely on AI only when the advice is actually trustworthy, rather than simply trying to increase trust in AI overall.

Figure 1.

PRISMA diagram for study inclusion.

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Policy Search, Retrieval, and Composition via Task Similarity in Collaborative Agentic Systems /valiant/2026/04/29/policy-search-retrieval-and-composition-via-task-similarity-in-collaborative-agentic-systems/ Wed, 29 Apr 2026 03:52:07 +0000 /valiant/?p=6564 Nath, Saptarshi; Peridis, Christos; Benjamin, Eseoghene; Liu, Xinran; Kolouri, Soheil; Kinnell, Peter; Li, Zexin; Liu, Cong; Dora, Shirin; Soltoggio, Andrea (2026).Ìý.ÌýProceedings of the AAAI Conference on Artificial Intelligence, 40(29), 24504–24512.Ìý

Agentic AIÌýrefers to systems that can set their own goals, adapt to new situations, and improve over time through experience. This study explores how such systems can learn more efficiently by sharing knowledge with one another, instead of learning everything from scratch. In particular, it looks at how an AI agent can decideÌýwhat knowledge to reuse, which other agents to learn from, and how to incorporate that knowledgeÌýinto its own decision-making process (often called aÌýpolicy, or strategy for choosing actions).

The researchers introduce a new method calledÌýMOSAIC (Modular Sharing and Composition in Collective Learning). This approach allows agents to compare tasks using mathematical representations, select useful knowledge from others based on performance and similarity, and integrate it using flexible, modular neural network components. In simple terms, agents can “borrowâ€� and adapt pieces of what others have already learned.

The results show that agents using MOSAIC learn faster and perform better than those learning alone or sharing information indiscriminately. In some cases, they can even solve problems that individual agents cannot. The study also finds that targeted, selective sharing reduces confusion between tasks and leads to a kind ofÌýself-organization, where agents working on easier problems help others tackle more complex ones. Overall, this work highlights the potential of collaborative learning strategies to make AI systems more efficient and adaptable.

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ComCat: Expertise-Guided Context Generation to Enhance Code Comprehension /valiant/2026/03/26/comcat-expertise-guided-context-generation-to-enhance-code-comprehension/ Thu, 26 Mar 2026 19:50:56 +0000 /valiant/?p=6346

Skyler Grandel; Scott Thomas Andersen; Yu Huang; Kevin Leach (2026).Ìý.ÌýACM Transactions on Software Engineering and Methodology, 35(3), Article 82.Ìý

Software maintenance makes up a large share of the total cost of software over its lifetime, and a big part of that cost comes from understanding existing code. One way to make code easier to understand is through documentation, especially comments that summarize what the code does or explain why it does it. In this work, we introduce ComCat, a system that uses large language models (LLMs, which are AI models trained on very large amounts of text) together with expert guidance to automatically generate useful comments for source code. ComCat is designed to choose the most relevant and informative comment for a specific piece of code. For C/C++ files, the system works in three steps: it first finds places where comments would be most helpful, then decides what kind of comment is needed, and finally writes the comment. In a study with human participants, ComCat’s comments improved code understanding on three software engineering tasks by up to 13% for most participants. The generated comments were also judged to be at least as accurate and readable as human-written comments, and they were preferred over standard ChatGPT-generated comments for up to 92% of code snippets. We also released a dataset containing code snippets, human-written comments, and human-labeled comment categories. Overall, ComCat shows that LLMs can be used to meaningfully improve how well people understand code.

Fig. 1.

ComCatÌýpipeline and study procedure. We use three instances of HSR to informÌýComCat’s design (1) and evaluate developer performance (2) and preference (3) with our tool.ÌýComCatÌýtakes C/C++ code as input, using a Code Parser to identify code Snippets to be commented. These Snippets are classified, and the class of each Snippet is used in combination with our Template Catalog to create a prompt for each Snippet. These prompt ChatGPT, which outputs the commented code. This pipeline is informed by developer expertise, but it is fully automated and requires no human intervention.

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