Abstract
Pulse oximeters measure peripheral arterial oxygen saturation (SpO2) noninvasively, while the gold standard (SaO2) involves arterial blood gas measurement. There are known racial and ethnic disparities in their performance. BOLD is a new comprehensive dataset that aims to underscore the importance of addressing biases in pulse oximetry accuracy, which disproportionately affect darker-skinned patients. The dataset was created by harmonizing three Electronic Health Record databases (MIMIC-III, MIMIC-IV, eICU-CRD) comprising Intensive Care Unit stays of US patients. Paired SpO2 and SaO2 measurements were time-aligned and combined with various other sociodemographic and parameters to provide a detailed representation of each patient. BOLD includes 49,099 paired measurements, within a 5-minute window and with oxygen saturation levels between 70-100%. Minority racial and ethnic groups account for ~25% of the data - a proportion seldom achieved in previous studies. The codebase is publicly available. Given the prevalent use of pulse oximeters in the hospital and at home, we hope that BOLD will be leveraged to develop debiasing algorithms that can result in more equitable healthcare solutions.

Abstract
This paper introduces an evaluation procedure to validate the efficacy of explanation methods for Convolutional Neural Network (CNN) models in ordinal regression tasks. Two ordinal methods are contrasted against a baseline using cross-entropy, across four datasets. A statistical analysis demonstrates that attribution methods, such as Grad-CAM and IBA, perform significantly better when used with ordinal regression CNN models compared to a baseline approach in most ordinal and nominal metrics. The study suggests that incorporating ordinal information into the attribution map construction process may improve the explanations further.

Abstract
The development of accurate methods for OCT image analysis is highly dependent on the availability of large annotated datasets. As such datasets are usually expensive and hard to obtain, novel approaches based on deep generative models have been proposed for data augmentation. In this work, a flow-based network (SRFlow) and a generative adversarial network (ESRGAN) are used for synthesizing high-resolution OCT B-scans from low-resolution versions of real OCT images. The quality of the images generated by the two models is assessed using two standard fidelity-oriented metrics and a learned perceptual quality metric. The performance of two classification models trained on real and synthetic images is also evaluated. The obtained results show that the images generated by SRFlow preserve higher fidelity to the ground truth, while the outputs of ESRGAN present, on average, better perceptual quality. Independently of the architecture of the network chosen to classify the OCT B-scans, the model's performance always improves when images generated by SRFlow are included in the training set.

Abstract
Pulse oximeters are medical devices used to assess peripheral arterial oxygen saturation (SpO(2)) noninvasively. In contrast, the gold standard requires arterial blood to be drawn to measure the arterial oxygen saturation (SaO(2)). Devices currently on the market measure SpO(2) with lower accuracy in populations with darker skin tones. Pulse oximetry inaccuracies can yield episodes of hidden hypoxemia (HH), with SpO(2) >= 88%, but SaO(2) < 88%. HH can result in less treatment and increased mortality. Despite being flawed, pulse oximeters remain ubiquitously used; debiasing models could alleviate the downstream repercussions of HH. To our knowledge, this is the first study to propose such models. Experiments were conducted using the MIMIC-IV dataset. The cohort includes patients admitted to the Intensive Care Unit with paired (SaO(2), SpO(2)) measurements captured within 10min of each other. We built a XGBoost regression predicting SaO(2) from SpO(2), patient demographics, physiological data, and treatment information. We used an asymmetric mean squared error as the loss function to minimize falsely elevated predicted values. The model achieved R-2 = 67.6% among Black patients; frequency of HH episodes was partially mitigated. Respiratory function was most predictive of SaO(2); race-ethnicity was not a top predictor. This singlecenter study shows that SpO(2) corrections can be achieved with Machine Learning. In future, model validation will be performed on additional patient cohorts featuring diverse settings.

Abstract
BackgroundBreast cancer therapy improved significantly, allowing for different surgical approaches for the same disease stage, therefore offering patients different aesthetic outcomes with similar locoregional control. The purpose of the CINDERELLA trial is to evaluate an artificial-intelligence (AI) cloud-based platform (CINDERELLA platform) vs the standard approach for patient education prior to therapy. MethodsA prospective randomized international multicentre trial comparing two methods for patient education prior to therapy. After institutional ethics approval and a written informed consent, patients planned for locoregional treatment will be randomized to the intervention (CINDERELLA platform) or controls. The patients in the intervention arm will use the newly designed web-application (CINDERELLA platform, CINDERELLA APProach) to access the information related to surgery and/or radiotherapy. Using an AI system, the platform will provide the patient with a picture of her own aesthetic outcome resulting from the surgical procedure she chooses, and an objective evaluation of this aesthetic outcome (e.g., good/fair). The control group will have access to the standard approach. The primary objectives of the trial will be i) to examine the differences between the treatment arms with regards to patients' pre-treatment expectations and the final aesthetic outcomes and ii) in the experimental arm only, the agreement of the pre-treatment AI-evaluation (output) and patient's post-therapy self-evaluation. DiscussionThe project aims to develop an easy-to-use cost-effective AI-powered tool that improves shared decision-making processes. We assume that the CINDERELLA APProach will lead to higher satisfaction, better psychosocial status, and wellbeing of breast cancer patients, and reduce the need for additional surgeries to improve aesthetic outcome.

Abstract
Morphing attacks keep threatening biometric systems, especially face recognition systems. Over time they have become simpler to perform and more realistic, as such, the usage of deep learning systems to detect these attacks has grown. At the same time, there is a constant concern regarding the lack of interpretability of deep learning models. Balancing performance and interpretability has been a difficult task for scientists. However, by leveraging domain information and proving some constraints, we have been able to develop IDistill, an interpretable method with state-of-the-art performance that provides information on both the identity separation on morph samples and their contribution to the final prediction. The domain information is learnt by an autoencoder and distilled to a classifier system in order to teach it to separate identity information. When compared to other methods in the literature it outperforms them in three out of five databases and is competitive in the remaining. © 2023 European Signal Processing Conference, EUSIPCO. All rights reserved.