Automatic text summarization (ATS) is an emerging technology to assist clinicians in providing continuous and coordinated care. This study presents an approach to summarize doctor-patient dialogues using generative large language models (LLMs). We developed prompt-tuning algorithms to instruct generative LLMs to summarize clinical text. We examined the prompt-tuning strategies, the size of soft prompts, and the few-short learning ability of GatorTronGPT, a generative clinical LLM developed using 277 billion clinical and general English words with up to 20 billion parameters. We compared GatorTronGPT with a previous solution based on fine-tuning of a widely used T5 model, using a clinical benchmark dataset MTS-DIALOG. The experimental results show that the GatorTronGPT- 20B model achieved the best performance on all evaluation metrics. The proposed solution has a low computing cost as the LLM parameters are not updated during prompt-tuning. This study demonstrates the efficiency of generative clinical LLMs for clinical ATS through prompt tuning.
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大語言模型是基于海量文本數據訓練的深度學習模型。它不僅能夠生成自然語言文本，還能夠深入理解文本含義，處理各種自然語言任務，如文本摘要、問答、翻譯等。2023年，大語言模型及其在人工智能領域的應用已成為全球科技研究的熱點，其在規模上的增長尤為引人注目，參數量已從最初的十幾億躍升到如今的一萬億。參數量的提升使得模型能夠更加精細地捕捉人類語言微妙之處，更加深入地理解人類語言的復雜性。在過去的一年里，大語言模型在吸納新知識、分解復雜任務以及圖文對齊等多方面都有顯著提升。隨著技術的不斷成熟，它將不斷拓展其應用范圍，為人類提供更加智能化和個性化的服務，進一步改善人們的生活和生產方式。
Because of their excellent asymptotic and finite-length performance, spatially-coupled (SC) codes are a class of low-density parity-check codes that is gaining increasing attention. Multi-dimensional (MD) SC codes are constructed by connecting copies of an SC code via relocations in order to mitigate various sources of non-uniformity and improve performance in many data storage and data transmission systems. As the number of degrees of freedom in the MD-SC code design increases, appropriately exploiting them becomes more difficult because of the complexity growth of the design process. In this paper, we propose a probabilistic framework for the MD-SC code design, which is based on the gradient-descent (GD) algorithm, to design better MD codes and address this challenge. In particular, we express the expected number of short cycles, which we seek to minimize, in the graph representation of the code in terms of entries of a probability-distribution matrix that characterizes the MD-SC code design. We then find a locally-optimal probability distribution, which serves as the starting point of a finite-length algorithmic optimizer that produces the final MD-SC code. We offer the theoretical analysis as well as the algorithms, and we present experimental results demonstrating that our MD codes, conveniently called GD-MD codes, have notably lower short cycle numbers compared with the available state-of-the-art. Moreover, our algorithms converge on solutions in few iterations, which confirms the complexity reduction as a result of limiting the search space via the locally-optimal GD-MD distributions.
The success of machine learning (ML) has been intimately linked with the availability of large amounts of data, typically collected from heterogeneous sources and processed on vast networks of computing devices (also called {\em workers}). Beyond accuracy, the use of ML in critical domains such as healthcare and autonomous driving calls for robustness against {\em data poisoning}and some {\em faulty workers}. The problem of {\em Byzantine ML} formalizes these robustness issues by considering a distributed ML environment in which workers (storing a portion of the global dataset) can deviate arbitrarily from the prescribed algorithm. Although the problem has attracted a lot of attention from a theoretical point of view, its practical importance for addressing realistic faults (where the behavior of any worker is locally constrained) remains unclear. It has been argued that the seemingly weaker threat model where only workers' local datasets get poisoned is more reasonable. We prove that, while tolerating a wider range of faulty behaviors, Byzantine ML yields solutions that are, in a precise sense, optimal even under the weaker data poisoning threat model. Then, we study a generic data poisoning model wherein some workers have {\em fully-poisonous local data}, i.e., their datasets are entirely corruptible, and the remainders have {\em partially-poisonous local data}, i.e., only a fraction of their local datasets is corruptible. We prove that Byzantine-robust schemes yield optimal solutions against both these forms of data poisoning, and that the former is more harmful when workers have {\em heterogeneous} local data.
Consistency learning is a central strategy to tackle unlabeled data in semi-supervised medical image segmentation (SSMIS), which enforces the model to produce consistent predictions under the perturbation. However, most current approaches solely focus on utilizing a specific single perturbation, which can only cope with limited cases, while employing multiple perturbations simultaneously is hard to guarantee the quality of consistency learning. In this paper, we propose an Adaptive Bidirectional Displacement (ABD) approach to solve the above challenge. Specifically, we first design a bidirectional patch displacement based on reliable prediction confidence for unlabeled data to generate new samples, which can effectively suppress uncontrollable regions and still retain the influence of input perturbations. Meanwhile, to enforce the model to learn the potentially uncontrollable content, a bidirectional displacement operation with inverse confidence is proposed for the labeled images, which generates samples with more unreliable information to facilitate model learning. Extensive experiments show that ABD achieves new state-of-the-art performances for SSMIS, significantly improving different baselines. Source code is available at //github.com/chy-upc/ABD.
Analyses of heterogeneous treatment effects (HTE) are common in applied causal inference research. However, when outcomes are latent variables assessed via psychometric instruments such as educational tests, standard methods ignore the potential HTE that may exist among the individual items of the outcome measure. Failing to account for "item-level" HTE (IL-HTE) can lead to both estimated standard errors that are too small and identification challenges in the estimation of treatment-by-covariate interaction effects. We demonstrate how Item Response Theory (IRT) models that estimate a treatment effect for each assessment item can both address these challenges and provide new insights into HTE generally. This study articulates the theoretical rationale for the IL-HTE model and demonstrates its practical value using data from 20 randomized controlled trials in economics, education, and health. Our results show that the IL-HTE model reveals item-level variation masked by average treatment effects, provides more accurate statistical inference, allows for estimates of the generalizability of causal effects, resolves identification problems in the estimation of interaction effects, and provides estimates of standardized treatment effect sizes corrected for attenuation due to measurement error.
In the era of digital medicine, medical imaging serves as a widespread technique for early disease detection, with a substantial volume of images being generated and stored daily in electronic patient records. X-ray angiography imaging is a standard and one of the most common methods for rapidly diagnosing coronary artery diseases. The notable achievements of recent deep learning algorithms align with the increased use of electronic health records and diagnostic imaging. Deep neural networks, leveraging abundant data, advanced algorithms, and powerful computational capabilities, prove highly effective in the analysis and interpretation of images. In this context, Object detection methods have become a promising approach, particularly through convolutional neural networks (CNN), streamlining medical image analysis by eliminating manual feature extraction. This allows for direct feature extraction from images, ensuring high accuracy in results. Therefore, in our paper, we utilized the object detection method on X-ray angiography images to precisely identify the location of coronary artery stenosis. As a result, this model enables automatic and real-time detection of stenosis locations, assisting in the crucial and sensitive decision-making process for healthcare professionals.
Deep neural networks are an attractive alternative for simulating complex dynamical systems, as in comparison to traditional scientific computing methods, they offer reduced computational costs during inference and can be trained directly from observational data. Existing methods, however, cannot extrapolate accurately and are prone to error accumulation in long-time integration. Herein, we address this issue by combining neural operators with recurrent neural networks, learning the operator mapping, while offering a recurrent structure to capture temporal dependencies. The integrated framework is shown to stabilize the solution and reduce error accumulation for both interpolation and extrapolation of the Korteweg-de Vries equation.
The specification of a covariance function is of paramount importance when employing Gaussian process models, but the requirement of positive definiteness severely limits those used in practice. Designing flexible stationary covariance functions is, however, straightforward in the spectral domain, where one needs only to supply a positive and symmetric spectral density. In this work, we introduce an adaptive integration framework for efficiently and accurately evaluating covariance functions and their derivatives at irregular locations directly from \textit{any} continuous, integrable spectral density. In order to make this approach computationally tractable, we employ high-order panel quadrature, the nonuniform fast Fourier transform, and a Nyquist-informed panel selection heuristic, and derive novel algebraic truncation error bounds which are used to monitor convergence. As a result, we demonstrate several orders of magnitude speedup compared to naive uniform quadrature approaches, allowing us to evaluate covariance functions from slowly decaying, singular spectral densities at millions of locations to a user-specified tolerance in seconds on a laptop. We then apply our methodology to perform gradient-based maximum likelihood estimation using a previously numerically infeasible long-memory spectral model for wind velocities below the atmospheric boundary layer.
In pace with developments in the research field of artificial intelligence, knowledge graphs (KGs) have attracted a surge of interest from both academia and industry. As a representation of semantic relations between entities, KGs have proven to be particularly relevant for natural language processing (NLP), experiencing a rapid spread and wide adoption within recent years. Given the increasing amount of research work in this area, several KG-related approaches have been surveyed in the NLP research community. However, a comprehensive study that categorizes established topics and reviews the maturity of individual research streams remains absent to this day. Contributing to closing this gap, we systematically analyzed 507 papers from the literature on KGs in NLP. Our survey encompasses a multifaceted review of tasks, research types, and contributions. As a result, we present a structured overview of the research landscape, provide a taxonomy of tasks, summarize our findings, and highlight directions for future work.
Understanding causality helps to structure interventions to achieve specific goals and enables predictions under interventions. With the growing importance of learning causal relationships, causal discovery tasks have transitioned from using traditional methods to infer potential causal structures from observational data to the field of pattern recognition involved in deep learning. The rapid accumulation of massive data promotes the emergence of causal search methods with brilliant scalability. Existing summaries of causal discovery methods mainly focus on traditional methods based on constraints, scores and FCMs, there is a lack of perfect sorting and elaboration for deep learning-based methods, also lacking some considers and exploration of causal discovery methods from the perspective of variable paradigms. Therefore, we divide the possible causal discovery tasks into three types according to the variable paradigm and give the definitions of the three tasks respectively, define and instantiate the relevant datasets for each task and the final causal model constructed at the same time, then reviews the main existing causal discovery methods for different tasks. Finally, we propose some roadmaps from different perspectives for the current research gaps in the field of causal discovery and point out future research directions.
We address the task of automatically scoring the competency of candidates based on textual features, from the automatic speech recognition (ASR) transcriptions in the asynchronous video job interview (AVI). The key challenge is how to construct the dependency relation between questions and answers, and conduct the semantic level interaction for each question-answer (QA) pair. However, most of the recent studies in AVI focus on how to represent questions and answers better, but ignore the dependency information and interaction between them, which is critical for QA evaluation. In this work, we propose a Hierarchical Reasoning Graph Neural Network (HRGNN) for the automatic assessment of question-answer pairs. Specifically, we construct a sentence-level relational graph neural network to capture the dependency information of sentences in or between the question and the answer. Based on these graphs, we employ a semantic-level reasoning graph attention network to model the interaction states of the current QA session. Finally, we propose a gated recurrent unit encoder to represent the temporal question-answer pairs for the final prediction. Empirical results conducted on CHNAT (a real-world dataset) validate that our proposed model significantly outperforms text-matching based benchmark models. Ablation studies and experimental results with 10 random seeds also show the effectiveness and stability of our models.
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