The massive amount of electronic health records (EHR) has created enormous potential in improving healthcare. Clinical codes (structured data) and clinical narratives (unstructured data) are two important textual modalities in EHR. Clinical codes convey diagnostic and treatment information during the hospital, and clinical notes carry narratives of clinical providers for patient encounters. They do not exist in isolation and can complement each other in most real-life clinical scenarios. However, most existing EHR-oriented studies either focus on a particular modality or integrate data from different modalities in a straightforward manner, which ignores the intrinsic interactions between them. To address these issues, we proposed a Medical Multimodal Pre-trained Language Model, named MedM-PLM, to learn enhanced EHR representations over structured and unstructured data. In MedM-PLM, two Transformer-based neural network components are firstly adopted to learn representative characteristics from each modality. A cross-modal module is then introduced to model their interactions. We pre-trained MedM-PLM on the MIMIC-III dataset and verified the effectiveness of the model on three downstream clinical tasks, i.e., medication recommendation, 30-day readmission prediction and ICD coding. Extensive experiments demonstrate the power of MedM-PLM compared with state-of-the-art methods. Further analyses and visualizations show the robustness of our model, which could potentially provide more comprehensive interpretations for clinical decision-making.
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Assigning weights to a large pool of objects is a fundamental task in a wide variety of applications. In this article, we introduce the concept of structured high-dimensional probability simplexes, in which most components are zero or near zero and the remaining ones are close to each other. Such structure is well motivated by (i) high-dimensional weights that are common in modern applications, and (ii) ubiquitous examples in which equal weights -- despite their simplicity -- often achieve favorable or even state-of-the-art predictive performance. This particular structure, however, presents unique challenges partly because, unlike high-dimensional linear regression, the parameter space is a simplex and pattern switching between partial constancy and sparsity is unknown. To address these challenges, we propose a new class of double spike Dirichlet priors to shrink a probability simplex to one with the desired structure. When applied to ensemble learning, such priors lead to a Bayesian method for structured high-dimensional ensembles that is useful for forecast combination and improving random forests, while enabling uncertainty quantification. We design efficient Markov chain Monte Carlo algorithms for implementation. Posterior contraction rates are established to study large sample behaviors of the posterior distribution. We demonstrate the wide applicability and competitive performance of the proposed methods through simulations and two real data applications using the European Central Bank Survey of Professional Forecasters data set and a data set from the UC Irvine Machine Learning Repository (UCI).
Medical vision-and-language pre-training (Med-VLP) has received considerable attention owing to its applicability to extracting generic vision-and-language representations from medical images and texts. Most existing methods mainly contain three elements: uni-modal encoders (i.e., a vision encoder and a language encoder), a multi-modal fusion module, and pretext tasks, with few studies considering the importance of medical domain expert knowledge and explicitly exploiting such knowledge to facilitate Med-VLP. Although there exist knowledge-enhanced vision-and-language pre-training (VLP) methods in the general domain, most require off-the-shelf toolkits (e.g., object detectors and scene graph parsers), which are unavailable in the medical domain. In this paper, we propose a systematic and effective approach to enhance Med-VLP by structured medical knowledge from three perspectives. First, considering knowledge can be regarded as the intermediate medium between vision and language, we align the representations of the vision encoder and the language encoder through knowledge. Second, we inject knowledge into the multi-modal fusion model to enable the model to perform reasoning using knowledge as the supplementation of the input image and text. Third, we guide the model to put emphasis on the most critical information in images and texts by designing knowledge-induced pretext tasks. To perform a comprehensive evaluation and facilitate further research, we construct a medical vision-and-language benchmark including three tasks. Experimental results illustrate the effectiveness of our approach, where state-of-the-art performance is achieved on all downstream tasks. Further analyses explore the effects of different components of our approach and various settings of pre-training.
The key to the text classification task is language representation and important information extraction, and there are many related studies. In recent years, the research on graph neural network (GNN) in text classification has gradually emerged and shown its advantages, but the existing models mainly focus on directly inputting words as graph nodes into the GNN models ignoring the different levels of semantic structure information in the samples. To address the issue, we propose a new hierarchical graph neural network (HieGNN) which extracts corresponding information from word-level, sentence-level and document-level respectively. Experimental results on several benchmark datasets achieve better or similar results compared to several baseline methods, which demonstrate that our model is able to obtain more useful information for classification from samples.
Pre-trained Language Models (PLMs) have achieved remarkable performance gains across numerous downstream tasks in natural language understanding. Various Chinese PLMs have been successively proposed for learning better Chinese language representation. However, most current models use Chinese characters as inputs and are not able to encode semantic information contained in Chinese words. While recent pre-trained models incorporate both words and characters simultaneously, they usually suffer from deficient semantic interactions and fail to capture the semantic relation between words and characters. To address the above issues, we propose a simple yet effective PLM CLOWER, which adopts the Contrastive Learning Over Word and charactER representations. In particular, CLOWER implicitly encodes the coarse-grained information (i.e., words) into the fine-grained representations (i.e., characters) through contrastive learning on multi-grained information. CLOWER is of great value in realistic scenarios since it can be easily incorporated into any existing fine-grained based PLMs without modifying the production pipelines.Extensive experiments conducted on a range of downstream tasks demonstrate the superior performance of CLOWER over several state-of-the-art baselines.
We study the security of Probabilistic Data Structures (PDS) for handling Approximate Membership Queries (AMQ); prominent examples of AMQ-PDS are Bloom and Cuckoo filters. AMQ-PDS are increasingly being deployed in environments where adversaries can gain benefit from carefully selecting inputs, for example to increase the false positive rate of an AMQ-PDS. They are also being used in settings where the inputs are sensitive and should remain private in the face of adversaries who can access an AMQ-PDS through an API or who can learn its internal state by compromising the system running the AMQ-PDS. We develop simulation-based security definitions that speak to correctness and privacy of AMQ-PDS. Our definitions are general and apply to a broad range of adversarial settings. We use our definitions to analyse the behaviour of both Bloom filters and insertion-only Cuckoo filters. We show that these AMQ-PDS can be provably protected through replacement or composition of hash functions with keyed pseudorandom functions in their construction. We also examine the practical impact on storage size and computation of providing secure instances of Bloom and insertion-only Cuckoo filters.
Recently, Self-Supervised Representation Learning (SSRL) has attracted much attention in the field of computer vision, speech, natural language processing (NLP), and recently, with other types of modalities, including time series from sensors. The popularity of self-supervised learning is driven by the fact that traditional models typically require a huge amount of well-annotated data for training. Acquiring annotated data can be a difficult and costly process. Self-supervised methods have been introduced to improve the efficiency of training data through discriminative pre-training of models using supervisory signals that have been freely obtained from the raw data. Unlike existing reviews of SSRL that have pre-dominately focused upon methods in the fields of CV or NLP for a single modality, we aim to provide the first comprehensive review of multimodal self-supervised learning methods for temporal data. To this end, we 1) provide a comprehensive categorization of existing SSRL methods, 2) introduce a generic pipeline by defining the key components of a SSRL framework, 3) compare existing models in terms of their objective function, network architecture and potential applications, and 4) review existing multimodal techniques in each category and various modalities. Finally, we present existing weaknesses and future opportunities. We believe our work develops a perspective on the requirements of SSRL in domains that utilise multimodal and/or temporal data
Self-supervised learning has been widely used to obtain transferrable representations from unlabeled images. Especially, recent contrastive learning methods have shown impressive performances on downstream image classification tasks. While these contrastive methods mainly focus on generating invariant global representations at the image-level under semantic-preserving transformations, they are prone to overlook spatial consistency of local representations and therefore have a limitation in pretraining for localization tasks such as object detection and instance segmentation. Moreover, aggressively cropped views used in existing contrastive methods can minimize representation distances between the semantically different regions of a single image. In this paper, we propose a spatially consistent representation learning algorithm (SCRL) for multi-object and location-specific tasks. In particular, we devise a novel self-supervised objective that tries to produce coherent spatial representations of a randomly cropped local region according to geometric translations and zooming operations. On various downstream localization tasks with benchmark datasets, the proposed SCRL shows significant performance improvements over the image-level supervised pretraining as well as the state-of-the-art self-supervised learning methods.
Recently pre-trained language representation models such as BERT have shown great success when fine-tuned on downstream tasks including information retrieval (IR). However, pre-training objectives tailored for ad-hoc retrieval have not been well explored. In this paper, we propose Pre-training with Representative wOrds Prediction (PROP) for ad-hoc retrieval. PROP is inspired by the classical statistical language model for IR, specifically the query likelihood model, which assumes that the query is generated as the piece of text representative of the "ideal" document. Based on this idea, we construct the representative words prediction (ROP) task for pre-training. Given an input document, we sample a pair of word sets according to the document language model, where the set with higher likelihood is deemed as more representative of the document. We then pre-train the Transformer model to predict the pairwise preference between the two word sets, jointly with the Masked Language Model (MLM) objective. By further fine-tuning on a variety of representative downstream ad-hoc retrieval tasks, PROP achieves significant improvements over baselines without pre-training or with other pre-training methods. We also show that PROP can achieve exciting performance under both the zero- and low-resource IR settings. The code and pre-trained models are available at //github.com/Albert-Ma/PROP.
A key requirement for the success of supervised deep learning is a large labeled dataset - a condition that is difficult to meet in medical image analysis. Self-supervised learning (SSL) can help in this regard by providing a strategy to pre-train a neural network with unlabeled data, followed by fine-tuning for a downstream task with limited annotations. Contrastive learning, a particular variant of SSL, is a powerful technique for learning image-level representations. In this work, we propose strategies for extending the contrastive learning framework for segmentation of volumetric medical images in the semi-supervised setting with limited annotations, by leveraging domain-specific and problem-specific cues. Specifically, we propose (1) novel contrasting strategies that leverage structural similarity across volumetric medical images (domain-specific cue) and (2) a local version of the contrastive loss to learn distinctive representations of local regions that are useful for per-pixel segmentation (problem-specific cue). We carry out an extensive evaluation on three Magnetic Resonance Imaging (MRI) datasets. In the limited annotation setting, the proposed method yields substantial improvements compared to other self-supervision and semi-supervised learning techniques. When combined with a simple data augmentation technique, the proposed method reaches within 8% of benchmark performance using only two labeled MRI volumes for training, corresponding to only 4% (for ACDC) of the training data used to train the benchmark.
For better user experience and business effectiveness, Click-Through Rate (CTR) prediction has been one of the most important tasks in E-commerce. Although extensive CTR prediction models have been proposed, learning good representation of items from multimodal features is still less investigated, considering an item in E-commerce usually contains multiple heterogeneous modalities. Previous works either concatenate the multiple modality features, that is equivalent to giving a fixed importance weight to each modality; or learn dynamic weights of different modalities for different items through technique like attention mechanism. However, a problem is that there usually exists common redundant information across multiple modalities. The dynamic weights of different modalities computed by using the redundant information may not correctly reflect the different importance of each modality. To address this, we explore the complementarity and redundancy of modalities by considering modality-specific and modality-invariant features differently. We propose a novel Multimodal Adversarial Representation Network (MARN) for the CTR prediction task. A multimodal attention network first calculates the weights of multiple modalities for each item according to its modality-specific features. Then a multimodal adversarial network learns modality-invariant representations where a double-discriminators strategy is introduced. Finally, we achieve the multimodal item representations by combining both modality-specific and modality-invariant representations. We conduct extensive experiments on both public and industrial datasets, and the proposed method consistently achieves remarkable improvements to the state-of-the-art methods. Moreover, the approach has been deployed in an operational E-commerce system and online A/B testing further demonstrates the effectiveness.
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