Predicting next visit diagnosis using Electronic Health Records (EHR) is an essential task in healthcare, critical for devising proactive future plans for both healthcare providers and patients. Nonetheless, many preceding studies have not sufficiently addressed the heterogeneous and hierarchical characteristics inherent in EHR data, inevitably leading to sub-optimal performance. To this end, we propose NECHO, a novel medical code-centric multimodal contrastive EHR learning framework with hierarchical regularisation. First, we integrate multifaceted information encompassing medical codes, demographics, and clinical notes using a tailored network design and a pair of bimodal contrastive losses, all of which pivot around a medical code representation. We also regularise modality-specific encoders using a parental level information in medical ontology to learn hierarchical structure of EHR data. A series of experiments on MIMIC-III data demonstrates effectiveness of our approach.
Musculoskeletal diseases and cognitive impairments in patients lead to difficulties in movement as well as negative effects on their psychological health. Clinical gait analysis, a vital tool for early diagnosis and treatment, traditionally relies on expensive optical motion capture systems. Recent advances in computer vision and deep learning have opened the door to more accessible and cost-effective alternatives. This paper introduces a novel spatio-temporal Transformer network to estimate critical gait parameters from RGB videos captured by a single-view camera. Empirical evaluations on a public dataset of cerebral palsy patients indicate that the proposed framework surpasses current state-of-the-art approaches and show significant improvements in predicting general gait parameters (including Walking Speed, Gait Deviation Index - GDI, and Knee Flexion Angle at Maximum Extension), while utilizing fewer parameters and alleviating the need for manual feature extraction.
Digital health tools have the potential to significantly improve the delivery of healthcare services. However, their adoption remains comparatively limited due, in part, to challenges surrounding usability and trust. Large Language Models (LLMs) have emerged as general-purpose models with the ability to process complex information and produce human-quality text, presenting a wealth of potential applications in healthcare. Directly applying LLMs in clinical settings is not straightforward, however, with LLMs susceptible to providing inconsistent or nonsensical answers. We demonstrate how LLM-based systems can utilize external tools and provide a novel interface between clinicians and digital technologies. This enhances the utility and practical impact of digital healthcare tools and AI models while addressing current issues with using LLMs in clinical settings such as hallucinations. We illustrate LLM-based interfaces with the example of cardiovascular disease risk prediction. We develop a new prognostic tool using automated machine learning and demonstrate how LLMs can provide a unique interface to both our model and existing risk scores, highlighting the benefit compared to traditional interfaces for digital tools.
Deep neural networks have been shown to provide accurate function approximations in high dimensions. However, fitting network parameters requires informative training data that are often challenging to collect in science and engineering applications. This work proposes Neural Galerkin schemes based on deep learning that generate training data with active learning for numerically solving high-dimensional partial differential equations. Neural Galerkin schemes build on the Dirac-Frenkel variational principle to train networks by minimizing the residual sequentially over time, which enables adaptively collecting new training data in a self-informed manner that is guided by the dynamics described by the partial differential equations. This is in contrast to other machine learning methods that aim to fit network parameters globally in time without taking into account training data acquisition. Our finding is that the active form of gathering training data of the proposed Neural Galerkin schemes is key for numerically realizing the expressive power of networks in high dimensions. Numerical experiments demonstrate that Neural Galerkin schemes have the potential to enable simulating phenomena and processes with many variables for which traditional and other deep-learning-based solvers fail, especially when features of the solutions evolve locally such as in high-dimensional wave propagation problems and interacting particle systems described by Fokker-Planck and kinetic equations.
Functional Magnetic Resonance Imaging (fMRI) data is a widely used kind of four-dimensional biomedical data, which requires effective compression. However, fMRI compressing poses unique challenges due to its intricate temporal dynamics, low signal-to-noise ratio, and complicated underlying redundancies. This paper reports a novel compression paradigm specifically tailored for fMRI data based on Implicit Neural Representation (INR). The proposed approach focuses on removing the various redundancies among the time series by employing several methods, including (i) conducting spatial correlation modeling for intra-region dynamics, (ii) decomposing reusable neuronal activation patterns, and (iii) using proper initialization together with nonlinear fusion to describe the inter-region similarity. This scheme appropriately incorporates the unique features of fMRI data, and experimental results on publicly available datasets demonstrate the effectiveness of the proposed method, surpassing state-of-the-art algorithms in both conventional image quality evaluation metrics and fMRI downstream tasks. This work in this paper paves the way for sharing massive fMRI data at low bandwidth and high fidelity.
Spiking Neural Networks (SNNs) have emerged as a promising third generation of neural networks, offering unique characteristics such as binary outputs, high sparsity, and biological plausibility. However, the lack of effective learning algorithms remains a challenge for SNNs. For instance, while converting artificial neural networks (ANNs) to SNNs circumvents the need for direct training of SNNs, it encounters issues related to conversion errors and high inference time delays. In order to reduce or even eliminate conversion errors while decreasing inference time-steps, we have introduced a novel type of neuron called Group Neurons (GNs). One GN is composed of multiple Integrate-and-Fire (IF) neurons as members, and its neural dynamics are meticulously designed. Based on GNs, we have optimized the traditional ANN-SNN conversion framework. Specifically, we replace the IF neurons in the SNNs obtained by the traditional conversion framework with GNs. The resulting SNNs, which utilize GNs, are capable of achieving accuracy levels comparable to ANNs even within extremely short inference time-steps. The experiments on CIFAR10, CIFAR100, and ImageNet datasets demonstrate the superiority of the proposed methods in terms of both inference accuracy and latency. Code is available at //github.com/Lyu6PosHao/ANN2SNN_GN.
One principal approach for illuminating a black-box neural network is feature attribution, i.e. identifying the importance of input features for the network's prediction. The predictive information of features is recently proposed as a proxy for the measure of their importance. So far, the predictive information is only identified for latent features by placing an information bottleneck within the network. We propose a method to identify features with predictive information in the input domain. The method results in fine-grained identification of input features' information and is agnostic to network architecture. The core idea of our method is leveraging a bottleneck on the input that only lets input features associated with predictive latent features pass through. We compare our method with several feature attribution methods using mainstream feature attribution evaluation experiments. The code is publicly available.
It has been shown that deep neural networks are prone to overfitting on biased training data. Towards addressing this issue, meta-learning employs a meta model for correcting the training bias. Despite the promising performances, super slow training is currently the bottleneck in the meta learning approaches. In this paper, we introduce a novel Faster Meta Update Strategy (FaMUS) to replace the most expensive step in the meta gradient computation with a faster layer-wise approximation. We empirically find that FaMUS yields not only a reasonably accurate but also a low-variance approximation of the meta gradient. We conduct extensive experiments to verify the proposed method on two tasks. We show our method is able to save two-thirds of the training time while still maintaining the comparable or achieving even better generalization performance. In particular, our method achieves the state-of-the-art performance on both synthetic and realistic noisy labels, and obtains promising performance on long-tailed recognition on standard benchmarks.
Drug-drug interaction(DDI) prediction is an important task in the medical health machine learning community. This study presents a new method, multi-view graph contrastive representation learning for drug-drug interaction prediction, MIRACLE for brevity, to capture inter-view molecule structure and intra-view interactions between molecules simultaneously. MIRACLE treats a DDI network as a multi-view graph where each node in the interaction graph itself is a drug molecular graph instance. We use GCNs and bond-aware attentive message passing networks to encode DDI relationships and drug molecular graphs in the MIRACLE learning stage, respectively. Also, we propose a novel unsupervised contrastive learning component to balance and integrate the multi-view information. Comprehensive experiments on multiple real datasets show that MIRACLE outperforms the state-of-the-art DDI prediction models consistently.
Human doctors with well-structured medical knowledge can diagnose a disease merely via a few conversations with patients about symptoms. In contrast, existing knowledge-grounded dialogue systems often require a large number of dialogue instances to learn as they fail to capture the correlations between different diseases and neglect the diagnostic experience shared among them. To address this issue, we propose a more natural and practical paradigm, i.e., low-resource medical dialogue generation, which can transfer the diagnostic experience from source diseases to target ones with a handful of data for adaptation. It is capitalized on a commonsense knowledge graph to characterize the prior disease-symptom relations. Besides, we develop a Graph-Evolving Meta-Learning (GEML) framework that learns to evolve the commonsense graph for reasoning disease-symptom correlations in a new disease, which effectively alleviates the needs of a large number of dialogues. More importantly, by dynamically evolving disease-symptom graphs, GEML also well addresses the real-world challenges that the disease-symptom correlations of each disease may vary or evolve along with more diagnostic cases. Extensive experiment results on the CMDD dataset and our newly-collected Chunyu dataset testify the superiority of our approach over state-of-the-art approaches. Besides, our GEML can generate an enriched dialogue-sensitive knowledge graph in an online manner, which could benefit other tasks grounded on knowledge graph.
Few-shot Knowledge Graph (KG) completion is a focus of current research, where each task aims at querying unseen facts of a relation given its few-shot reference entity pairs. Recent attempts solve this problem by learning static representations of entities and references, ignoring their dynamic properties, i.e., entities may exhibit diverse roles within task relations, and references may make different contributions to queries. This work proposes an adaptive attentional network for few-shot KG completion by learning adaptive entity and reference representations. Specifically, entities are modeled by an adaptive neighbor encoder to discern their task-oriented roles, while references are modeled by an adaptive query-aware aggregator to differentiate their contributions. Through the attention mechanism, both entities and references can capture their fine-grained semantic meanings, and thus render more expressive representations. This will be more predictive for knowledge acquisition in the few-shot scenario. Evaluation in link prediction on two public datasets shows that our approach achieves new state-of-the-art results with different few-shot sizes.