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Electronic health records (EHRs) are multimodal by nature, consisting of structured tabular features like lab tests and unstructured clinical notes. In real-life clinical practice, doctors use complementary multimodal EHR data sources to get a clearer picture of patients' health and support clinical decision-making. However, most EHR predictive models do not reflect these procedures, as they either focus on a single modality or overlook the inter-modality interactions/redundancy. In this work, we propose MEDFuse, a Multimodal EHR Data Fusion framework that incorporates masked lab-test modeling and large language models (LLMs) to effectively integrate structured and unstructured medical data. MEDFuse leverages multimodal embeddings extracted from two sources: LLMs fine-tuned on free clinical text and masked tabular transformers trained on structured lab test results. We design a disentangled transformer module, optimized by a mutual information loss to 1) decouple modality-specific and modality-shared information and 2) extract useful joint representation from the noise and redundancy present in clinical notes. Through comprehensive validation on the public MIMIC-III dataset and the in-house FEMH dataset, MEDFuse demonstrates great potential in advancing clinical predictions, achieving over 90% F1 score in the 10-disease multi-label classification task.

Graph neural networks (GNNs) have been shown to be astonishingly capable models for molecular property prediction, particularly as surrogates for expensive density functional theory calculations of relaxed energy for novel material discovery. However, one limitation of GNNs in this context is the lack of useful uncertainty prediction methods, as this is critical to the material discovery pipeline. In this work, we show that uncertainty quantification for relaxed energy calculations is more complex than uncertainty quantification for other kinds of molecular property prediction, due to the effect that structure optimizations have on the error distribution. We propose that distribution-free techniques are more useful tools for assessing calibration, recalibrating, and developing uncertainty prediction methods for GNNs performing relaxed energy calculations. We also develop a relaxed energy task for evaluating uncertainty methods for equivariant GNNs, based on distribution-free recalibration and using the Open Catalyst Project dataset. We benchmark a set of popular uncertainty prediction methods on this task, and show that latent distance methods, with our novel improvements, are the most well-calibrated and economical approach for relaxed energy calculations. Finally, we demonstrate that our latent space distance method produces results which align with our expectations on a clustering example, and on specific equation of state and adsorbate coverage examples from outside the training dataset.

Fairness in classification tasks has traditionally focused on bias removal from neural representations, but recent trends favor algorithmic methods that embed fairness into the training process. These methods steer models towards fair performance, preventing potential elimination of valuable information that arises from representation manipulation. Reinforcement Learning (RL), with its capacity for learning through interaction and adjusting reward functions to encourage desired behaviors, emerges as a promising tool in this domain. In this paper, we explore the usage of RL to address bias in imbalanced classification by scaling the reward function to mitigate bias. We employ the contextual multi-armed bandit framework and adapt three popular RL algorithms to suit our objectives, demonstrating a novel approach to mitigating bias.

Prognostics and health management (PHM) is essential for industrial operation and maintenance, focusing on predicting, diagnosing, and managing the health status of industrial systems. The emergence of the ChatGPT-Like large-scale language model (LLM) has begun to lead a new round of innovation in the AI field. It has extensively promoted the level of intelligence in various fields. Therefore, it is also expected further to change the application paradigm in industrial PHM and promote PHM to become intelligent. Although ChatGPT-Like LLMs have rich knowledge reserves and powerful language understanding and generation capabilities, they lack domain-specific expertise, significantly limiting their practicability in PHM applications. To this end, this study explores the ChatGPT-Like LLM empowered by the local knowledge base (LKB) in industrial PHM to solve the above limitations. In addition, we introduce the method and steps of combining the LKB with LLMs, including LKB preparation, LKB vectorization, prompt engineering, etc. Experimental analysis of real cases shows that combining the LKB with ChatGPT-Like LLM can significantly improve its performance and make ChatGPT-Like LLMs more accurate, relevant, and able to provide more insightful information. This can promote the development of ChatGPT-Like LLMs in industrial PHM and promote their efficiency and quality.

Accurate segmentation of anatomical structures and abnormalities in medical images is crucial for computer-aided diagnosis and analysis. While deep learning techniques excel at this task, their computational demands pose challenges. Additionally, some cutting-edge segmentation methods, though effective for general object segmentation, may not be optimised for medical images. To address these issues, we propose Mini-Net, a lightweight segmentation network specifically designed for medical images. With fewer than 38,000 parameters, Mini-Net efficiently captures both high- and low-frequency features, enabling real-time applications in various medical imaging scenarios. We evaluate Mini-Net on various datasets, including DRIVE, STARE, ISIC-2016, ISIC-2018, and MoNuSeg, demonstrating its robustness and good performance compared to state-of-the-art methods.

The transparent formulation of explanation methods is essential for elucidating the predictions of neural networks, which are typically black-box models. Layer-wise Relevance Propagation (LRP) is a well-established method that transparently traces the flow of a model's prediction backward through its architecture by backpropagating relevance scores. However, the conventional LRP does not fully consider the existence of skip connections, and thus its application to the widely used ResNet architecture has not been thoroughly explored. In this study, we extend LRP to ResNet models by introducing Relevance Splitting at points where the output from a skip connection converges with that from a residual block. Our formulation guarantees the conservation property throughout the process, thereby preserving the integrity of the generated explanations. To evaluate the effectiveness of our approach, we conduct experiments on ImageNet and the Caltech-UCSD Birds-200-2011 dataset. Our method achieves superior performance to that of baseline methods on standard evaluation metrics such as the Insertion-Deletion score while maintaining its conservation property. We will release our code for further research at //5ei74r0.github.io/lrp-for-resnet.page/

Accurate detection of bone fenestration and dehiscence (FD) is crucial for effective treatment planning in dentistry. While cone-beam computed tomography (CBCT) is the gold standard for evaluating FD, it comes with limitations such as radiation exposure, limited accessibility, and higher cost compared to intraoral images. In intraoral images, dentists face challenges in the differential diagnosis of FD. This paper presents a novel and clinically significant application of FD detection solely from intraoral images. To achieve this, we propose FD-SOS, a novel open-set object detector for FD detection from intraoral images. FD-SOS has two novel components: conditional contrastive denoising (CCDN) and teeth-specific matching assignment (TMA). These modules enable FD-SOS to effectively leverage external dental semantics. Experimental results showed that our method outperformed existing detection methods and surpassed dental professionals by 35% recall under the same level of precision. Code is available at: //github.com/xmed-lab/FD-SOS.

Spiking neural networks (SNNs), which mimic biological neural system to convey information via discrete spikes, are well known as brain-inspired models with excellent computing efficiency. By utilizing the surrogate gradient estimation for discrete spikes, learning-based SNN training methods that can achieve ultra-low inference latency (number of time-step) emerge recently. Nevertheless, due to the difficulty in deriving precise gradient estimation for discrete spikes using learning-based method, a distinct accuracy gap persists between SNN and its artificial neural networks (ANNs) counterpart. To address the aforementioned issue, we propose a blurred knowledge distillation (BKD) technique, which leverages random blurred SNN feature to restore and imitate the ANN feature. Note that, our BKD is applied upon the feature map right before the last layer of SNN, which can also mix with prior logits-based knowledge distillation for maximized accuracy boost. To our best knowledge, in the category of learning-based methods, our work achieves state-of-the-art performance for training SNNs on both static and neuromorphic datasets. On ImageNet dataset, BKDSNN outperforms prior best results by 4.51% and 0.93% with the network topology of CNN and Transformer respectively.

The development of a satisfying and rigorous mathematical understanding of the performance of neural networks is a major challenge in artificial intelligence. Against this background, we study the expressive power of neural networks through the example of the classical NP-hard Knapsack Problem. Our main contribution is a class of recurrent neural networks (RNNs) with rectified linear units that are iteratively applied to each item of a Knapsack instance and thereby compute optimal or provably good solution values. We show that an RNN of depth four and width depending quadratically on the profit of an optimum Knapsack solution is sufficient to find optimum Knapsack solutions. We also prove the following tradeoff between the size of an RNN and the quality of the computed Knapsack solution: for Knapsack instances consisting of $n$ items, an RNN of depth five and width $w$ computes a solution of value at least $1-\mathcal{O}(n^2/\sqrt{w})$ times the optimum solution value. Our results build upon a classical dynamic programming formulation of the Knapsack Problem as well as a careful rounding of profit values that are also at the core of the well-known fully polynomial-time approximation scheme for the Knapsack Problem. A carefully conducted computational study qualitatively supports our theoretical size bounds. Finally, we point out that our results can be generalized to many other combinatorial optimization problems that admit dynamic programming solution methods, such as various Shortest Path Problems, the Longest Common Subsequence Problem, and the Traveling Salesperson Problem.

We propose a novel attention gate (AG) model for medical imaging that automatically learns to focus on target structures of varying shapes and sizes. Models trained with AGs implicitly learn to suppress irrelevant regions in an input image while highlighting salient features useful for a specific task. This enables us to eliminate the necessity of using explicit external tissue/organ localisation modules of cascaded convolutional neural networks (CNNs). AGs can be easily integrated into standard CNN architectures such as the U-Net model with minimal computational overhead while increasing the model sensitivity and prediction accuracy. The proposed Attention U-Net architecture is evaluated on two large CT abdominal datasets for multi-class image segmentation. Experimental results show that AGs consistently improve the prediction performance of U-Net across different datasets and training sizes while preserving computational efficiency. The code for the proposed architecture is publicly available.