Meta-Learned Kernel For Blind Super-Resolution Kernel Estimation

Recent image degradation estimation methods have enabled single-image super-resolution (SR) approaches to better upsample real-world images. Among these methods, explicit kernel estimation approaches have demonstrated unprecedented performance at handling unknown degradations. Nonetheless, a number of limitations constrain their efficacy when used by downstream SR models. Specifically, this family of methods yields i) excessive inference time due to long per-image adaptation times and ii) inferior image fidelity due to kernel mismatch. In this work, we introduce a learning-to-learn approach that meta-learns from the information contained in a distribution of images, thereby enabling significantly faster adaptation to new images with substantially improved performance in both kernel estimation and image fidelity. Specifically, we meta-train a kernel-generating GAN, named MetaKernelGAN, on a range of tasks, such that when a new image is presented, the generator starts from an informed kernel estimate and the discriminator starts with a strong capability to distinguish between patch distributions. Compared with state-of-the-art methods, our experiments show that MetaKernelGAN better estimates the magnitude and covariance of the kernel, leading to state-of-the-art blind SR results within a similar computational regime when combined with a non-blind SR model. Through supervised learning of an unsupervised learner, our method maintains the generalizability of the unsupervised learner, improves the optimization stability of kernel estimation, and hence image adaptation, and leads to a faster inference with a speedup between 14.24 to 102.1x over existing methods.Comment: Preprint: Accepted at the 2024 IEEE/CVF Winter Conference on Applications of Computer Vision (WACV 2024

HAPI: Hardware-Aware Progressive Inference

Convolutional neural networks (CNNs) have recently become the state-of-the-art in a diversity of AI tasks. Despite their popularity, CNN inference still comes at a high computational cost. A growing body of work aims to alleviate this by exploiting the difference in the classification difficulty among samples and early-exiting at different stages of the network. Nevertheless, existing studies on early exiting have primarily focused on the training scheme, without considering the use-case requirements or the deployment platform. This work presents HAPI, a novel methodology for generating high-performance early-exit networks by co-optimising the placement of intermediate exits together with the early-exit strategy at inference time. Furthermore, we propose an efficient design space exploration algorithm which enables the faster traversal of a large number of alternative architectures and generates the highest-performing design, tailored to the use-case requirements and target hardware. Quantitative evaluation shows that our system consistently outperforms alternative search mechanisms and state-of-the-art early-exit schemes across various latency budgets. Moreover, it pushes further the performance of highly optimised hand-crafted early-exit CNNs, delivering up to 5.11x speedup over lightweight models on imposed latency-driven SLAs for embedded devices.Comment: Accepted at the 39th International Conference on Computer-Aided Design (ICCAD), 202

SPINN: Synergistic Progressive Inference of Neural Networks over Device and Cloud

Despite the soaring use of convolutional neural networks (CNNs) in mobile applications, uniformly sustaining high-performance inference on mobile has been elusive due to the excessive computational demands of modern CNNs and the increasing diversity of deployed devices. A popular alternative comprises offloading CNN processing to powerful cloud-based servers. Nevertheless, by relying on the cloud to produce outputs, emerging mission-critical and high-mobility applications, such as drone obstacle avoidance or interactive applications, can suffer from the dynamic connectivity conditions and the uncertain availability of the cloud. In this paper, we propose SPINN, a distributed inference system that employs synergistic device-cloud computation together with a progressive inference method to deliver fast and robust CNN inference across diverse settings. The proposed system introduces a novel scheduler that co-optimises the early-exit policy and the CNN splitting at run time, in order to adapt to dynamic conditions and meet user-defined service-level requirements. Quantitative evaluation illustrates that SPINN outperforms its state-of-the-art collaborative inference counterparts by up to 2x in achieved throughput under varying network conditions, reduces the server cost by up to 6.8x and improves accuracy by 20.7% under latency constraints, while providing robust operation under uncertain connectivity conditions and significant energy savings compared to cloud-centric execution.Comment: Accepted at the 26th Annual International Conference on Mobile Computing and Networking (MobiCom), 202

Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.

BACKGROUND: Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. METHODS: This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. RESULTS: 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p < 0.001) and SSIs (OR 0.22, 95% CI 0.14-0.33, p < 0.001). In propensity-score matched groups within low-/middle-HDI countries, laparoscopy was still associated with fewer overall complications (OR 0.23 95% CI 0.11-0.44) and SSI (OR 0.21 95% CI 0.09-0.45). CONCLUSION: A laparoscopic approach is associated with better outcomes and availability appears to differ by country HDI. Despite the profound clinical, operational, and financial barriers to its widespread introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. TRIAL REGISTRATION: NCT02179112

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe