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Vuong Le

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7 papers
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7

JBHI Journal 2026 Journal Article

Confident and Trustworthy Model for Fidgety Movement Classification

  • Romero Morais
  • Thao Minh Le
  • Truyen Tran
  • Caroline Alexander
  • Natasha Amery
  • Catherine Morgan
  • Alicia Spittle
  • Vuong Le

General movements (GMs) are part of the spontaneous movement repertoire and are present from early fetal life onwards up to age five months. GMs are connected to infants’ neurological development and can be qualitatively assessed via the General Movement Assessment (GMA). In particular, between the age of three to five months, typically developing infants produce Fidgety Movements (FM) and their absence provides strong evidence for the presence of cerebral palsy (CP). To improve accessibility to the GMA, automated GMA solutions have been a key research area with proposed models becoming increasingly more accurate and interpretable. However, current models cannot gauge their ability to make decisions, which may lead to overconfident mistakes. To address this issue, we propose a Deep learning-based approach that not only classifies movements as fidgety or non-fidgety but also selectively abstains from classification when uncertain. Through two novel regularization losses, our model maintains a balanced coverage across the two movement types, which prevents bias toward an easy-to-classify subset of movements. We show that our proposed model learns to gauge its own confidence on movement classification, and our proposed regularization losses effectively ensure that the model maintains a similar confidence across movement types. We also show that the local movement abstentions have little impact on the video-level coverage and that relying on the most confident predictions improves the video-level performance.

JBHI Journal 2025 Journal Article

Fine-Grained Fidgety Movement Classification Using Active Learning

  • Romero Morais
  • Truyen Tran
  • Caroline Alexander
  • Natasha Amery
  • Catherine Morgan
  • Alicia Spittle
  • Vuong Le
  • Nadia Badawi

Typically developing infants, between the corrected age of 9–20 weeks, produce fidgety movements. These movements can be identified with the General Movement Assessment, but their identification requires trained professionals to conduct the assessment from video recordings. Since trained professionals are expensive and their demand may be higher than their availability, computer vision-based solutions have been developed to assist practitioners. However, most solutions to date treat the problem as a direct mapping from video to infant status, without modeling fidgety movements throughout the video. To address that, we propose to directly model infants' short movements and classify them as fidgety or non-fidgety. In this way, we model the explanatory factor behind the infant's status and improve model interpretability. The issue with our proposal is that labels for an infant's short movements are not available, which precludes us to train such a model. We overcome this issue with active learning. Active learning is a framework that minimizes the amount of labeled data required to train a model, by only labeling examples that are considered “informative” to the model. The assumption is that a model trained on informative examples reaches a higher performance level than a model trained with randomly selected examples. We validate our framework by modeling the movements of infants' hips on two representative cohorts: typically developing and at-risk infants. Our results show that active learning is suitable to our problem and that it works adequately even when the models are trained with labels provided by a novice annotator.

JBHI Journal 2023 Journal Article

Robust and Interpretable General Movement Assessment Using Fidgety Movement Detection

  • Romero Morais
  • Vuong Le
  • Catherine Morgan
  • Alicia Spittle
  • Nadia Badawi
  • Jane Valentine
  • Elizabeth M Hurrion
  • Paul A Dawson

Fidgety movements occur in infants between the age of 9 to 20 weeks post-term, and their absence are a strong indicator that an infant has cerebral palsy. Prechtl's General Movement Assessment method evaluates whether an infant has fidgety movements, but requires a trained expert to conduct it. Timely evaluation facilitates early interventions, and thus computer-based methods have been developed to aid domain experts. However, current solutions rely on complex models or high-dimensional representations of the data, which hinder their interpretability and generalization ability. To address that we propose $\text {FidgetyFind}$, a method that detects fidgety movements and uses them towards an assessment of the quality of an infant's general movements. $\text {FidgetyFind}$ is true to the domain expert process, more accurate, and highly interpretable due to its fine-grained scoring system. The main idea behind $\text {FidgetyFind}$ is to specify signal properties of fidgety movements that are measurable and quantifiable. In particular, we measure the movement direction variability of joints of interest, for movements of small amplitude in short video segments. $\text {FidgetyFind}$ also comprises a strategy to reduce those measurements to a single score that quantifies the quality of an infant's general movements; the strategy is a direct translation of the qualitative procedure domain experts use to assess infants. This brings $\text {FidgetyFind}$ closer to the process a domain expert applies to decide whether an infant produced enough fidgety movements. We evaluated $\text {FidgetyFind}$ on the largest clinical dataset reported, where it showed to be interpretable and more accurate than many methods published to date.

AIIM Journal 2022 Journal Article

The three ghosts of medical AI: Can the black-box present deliver?

  • Thomas P. Quinn
  • Stephan Jacobs
  • Manisha Senadeera
  • Vuong Le
  • Simon Coghlan

Our title alludes to the three Christmas ghosts encountered by Ebenezer Scrooge in A Christmas Carol, who guide Ebenezer through the past, present, and future of Christmas holiday events. Similarly, our article takes readers through a journey of the past, present, and future of medical AI. In doing so, we focus on the crux of modern machine learning: the reliance on powerful but intrinsically opaque models. When applied to the healthcare domain, these models fail to meet the needs for transparency that their clinician and patient end-users require. We review the implications of this failure, and argue that opaque models (1) lack quality assurance, (2) fail to elicit trust, and (3) restrict physician-patient dialogue. We then discuss how upholding transparency in all aspects of model design and model validation can help ensure the reliability and success of medical AI.

JBHI Journal 2021 Journal Article

A Spatio-Temporal Attention-Based Model for Infant Movement Assessment From Videos

  • Binh Nguyen-Thai
  • Vuong Le
  • Catherine Morgan
  • Nadia Badawi
  • Truyen Tran
  • Svetha Venkatesh

The absence or abnormality of fidgety movements of joints or limbs is strongly indicative of cerebral palsy in infants. Developing computer-based methods for assessing infant movements in videos is pivotal for improved cerebral palsy screening. Most existing methods use appearance-based features and are thus sensitive to strong but irrelevant signals caused by background clutter or a moving camera. Moreover, these features are computed over the whole frame, thus they measure gross whole body movements rather than specific joint/limb motion. Addressing these challenges, we develop and validate a new method for fidgety movement assessment from consumer-grade videos using human poses extracted from short clips. Human poses capture only relevant motion profiles of joints and limbs and are thus free from irrelevant appearance artifacts. The dynamics and coordination between joints are modeled using spatio-temporal graph convolutional networks. Frames and body parts that contain discriminative information about fidgety movements are selected through a spatio-temporal attention mechanism. We validate the proposed model on the cerebral palsy screening task using a real-life consumer-grade video dataset collected at an Australian hospital through the Cerebral Palsy Alliance, Australia. Our experiments show that the proposed method achieves the ROC-AUC score of 81. 87%, significantly outperforming existing competing methods with better interpretability.

IJCAI Conference 2021 Conference Paper

Hierarchical Object-oriented Spatio-Temporal Reasoning for Video Question Answering

  • Long Hoang Dang
  • Thao Minh Le
  • Vuong Le
  • Truyen Tran

Video Question Answering (Video QA) is a powerful testbed to develop new AI capabilities. This task necessitates learning to reason about objects, relations, and events across visual and linguistic domains in space-time. High-level reasoning demands lifting from associative visual pattern recognition to symbol like manipulation over objects, their behavior and interactions. Toward reaching this goal we propose an object-oriented reasoning approach in that video is abstracted as a dynamic stream of interacting objects. At each stage of the video event flow, these objects interact with each other, and their interactions are reasoned about with respect to the query and under the overall context of a video. This mechanism is materialized into a family of general-purpose neural units and their multi-level architecture called Hierarchical Object-oriented Spatio-Temporal Reasoning (HOSTR) networks. This neural model maintains the objects' consistent lifelines in the form of a hierarchically nested spatio-temporal graph. Within this graph, the dynamic interactive object-oriented representations are built up along the video sequence, hierarchically abstracted in a bottom-up manner, and converge toward the key information for the correct answer. The method is evaluated on multiple major Video QA datasets and establishes new state-of-the-arts in these tasks. Analysis into the model's behavior indicates that object-oriented reasoning is a reliable, interpretable and efficient approach to Video QA.

IJCAI Conference 2020 Conference Paper

Dynamic Language Binding in Relational Visual Reasoning

  • Thao Minh Le
  • Vuong Le
  • Svetha Venkatesh
  • Truyen Tran

We present Language-binding Object Graph Network, the first neural reasoning method with dynamic relational structures across both visual and textual domains with applications in visual question answering. Relaxing the common assumption made by current models that the object predicates pre-exist and stay static, passive to the reasoning process, we propose that these dynamic predicates expand across the domain borders to include pair-wise visual-linguistic object binding. In our method, these contextualized object links are actively found within each recurrent reasoning step without relying on external predicative priors. These dynamic structures reflect the conditional dual-domain object dependency given the evolving context of the reasoning through co-attention. Such discovered dynamic graphs facilitate multi-step knowledge combination and refinements that iteratively deduce the compact representation of the final answer. The effectiveness of this model is demonstrated on image question answering demonstrating favorable performance on major VQA datasets. Our method outperforms other methods in sophisticated question-answering tasks wherein multiple object relations are involved. The graph structure effectively assists the progress of training, and therefore the network learns efficiently compared to other reasoning models.

v2026.09.13