Using administrative patient-care data such as Electronic Health Records (EHR) and medical/ pharmaceutical claims for population-based scientific research has become increasingly common. With vast sample sizes leading to very small standard errors, researchers need to pay more attention to potential biases in the estimates of association parameters of interest, specifically to biases that do not diminish with increasing sample size. Of these multiple sources of biases, in this paper, we focus on understanding selection bias. We present an analytic framework using directed acyclic graphs for guiding applied researchers to dissect how different sources of selection bias may affect estimates of the association between a binary outcome and an exposure (continuous or categorical) of interest. We consider four easy-to-implement weighting approaches to reduce selection bias with accompanying variance formulae. We demonstrate through a simulation study when they can rescue us in practice with analysis of real world data. We compare these methods using a data example where our goal is to estimate the well-known association of cancer and biological sex, using EHR from a longitudinal biorepository at the University of Michigan Healthcare system. We provide annotated R codes to implement these weighted methods with associated inference.
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Across various sectors such as healthcare, criminal justice, national security, finance, and technology, large-scale machine learning (ML) and artificial intelligence (AI) systems are being deployed to make critical data-driven decisions. Many have asked if we can and should trust these ML systems to be making these decisions. Two critical components are prerequisites for trust in ML systems: interpretability, or the ability to understand why the ML system makes the decisions it does, and fairness, which ensures that ML systems do not exhibit bias against certain individuals or groups. Both interpretability and fairness are important and have separately received abundant attention in the ML literature, but so far, there have been very few methods developed to directly interpret models with regard to their fairness. In this paper, we focus on arguably the most popular type of ML interpretation: feature importance scores. Inspired by the use of decision trees in knowledge distillation, we propose to leverage trees as interpretable surrogates for complex black-box ML models. Specifically, we develop a novel fair feature importance score for trees that can be used to interpret how each feature contributes to fairness or bias in trees, tree-based ensembles, or tree-based surrogates of any complex ML system. Like the popular mean decrease in impurity for trees, our Fair Feature Importance Score is defined based on the mean decrease (or increase) in group bias. Through simulations as well as real examples on benchmark fairness datasets, we demonstrate that our Fair Feature Importance Score offers valid interpretations for both tree-based ensembles and tree-based surrogates of other ML systems.
Breast cancer is a major concern for women's health globally, with axillary lymph node (ALN) metastasis identification being critical for prognosis evaluation and treatment guidance. This paper presents a deep learning (DL) classification pipeline for quantifying clinical information from digital core-needle biopsy (CNB) images, with one step less than existing methods. A publicly available dataset of 1058 patients was used to evaluate the performance of different baseline state-of-the-art (SOTA) DL models in classifying ALN metastatic status based on CNB images. An extensive ablation study of various data augmentation techniques was also conducted. Finally, the manual tumor segmentation and annotation step performed by the pathologists was assessed.
A pivotal aim in contemporary AI research is to develop agents proficient in multi-agent coordination, enabling effective collaboration with both humans and other systems. Large Language Models (LLMs), with their notable ability to understand, generate, and interpret language in a human-like manner, stand out as promising candidates for the development of such agents. In this study, we build and assess the effectiveness of agents crafted using LLMs in various coordination scenarios. We introduce the LLM-Coordination (LLM-Co) Framework, specifically designed to enable LLMs to play coordination games. With the LLM-Co framework, we conduct our evaluation with three game environments and organize the evaluation into five aspects: Theory of Mind, Situated Reasoning, Sustained Coordination, Robustness to Partners, and Explicit Assistance. First, the evaluation of the Theory of Mind and Situated Reasoning reveals the capabilities of LLM to infer the partner's intention and reason actions accordingly. Then, the evaluation around Sustained Coordination and Robustness to Partners further showcases the ability of LLMs to coordinate with an unknown partner in complex long-horizon tasks, outperforming Reinforcement Learning baselines. Lastly, to test Explicit Assistance, which refers to the ability of an agent to offer help proactively, we introduce two novel layouts into the Overcooked-AI benchmark, examining if agents can prioritize helping their partners, sacrificing time that could have been spent on their tasks. This research underscores the promising capabilities of LLMs in sophisticated coordination environments and reveals the potential of LLMs in building strong real-world agents for multi-agent coordination.
Large language models (LLMs), known for their capability in understanding and following instructions, are vulnerable to adversarial attacks. Researchers have found that current commercial LLMs either fail to be "harmless" by presenting unethical answers, or fail to be "helpful" by refusing to offer meaningful answers when faced with adversarial queries. To strike a balance between being helpful and harmless, we design a moving target defense (MTD) enhanced LLM system. The system aims to deliver non-toxic answers that align with outputs from multiple model candidates, making them more robust against adversarial attacks. We design a query and output analysis model to filter out unsafe or non-responsive answers. %to achieve the two objectives of randomly selecting outputs from different LLMs. We evaluate over 8 most recent chatbot models with state-of-the-art adversarial queries. Our MTD-enhanced LLM system reduces the attack success rate from 37.5\% to 0\%. Meanwhile, it decreases the response refusal rate from 50\% to 0\%.
Training unsupervised speech recognition systems presents challenges due to GAN-associated instability, misalignment between speech and text, and significant memory demands. To tackle these challenges, we introduce a novel ASR system, ESPUM. This system harnesses the power of lower-order N-skipgrams (up to N=3) combined with positional unigram statistics gathered from a small batch of samples. Evaluated on the TIMIT benchmark, our model showcases competitive performance in ASR and phoneme segmentation tasks. Access our publicly available code at //github.com/lwang114/GraphUnsupASR.
The recent advancements in artificial intelligence (AI) combined with the extensive amount of data generated by today's clinical systems, has led to the development of imaging AI solutions across the whole value chain of medical imaging, including image reconstruction, medical image segmentation, image-based diagnosis and treatment planning. Notwithstanding the successes and future potential of AI in medical imaging, many stakeholders are concerned of the potential risks and ethical implications of imaging AI solutions, which are perceived as complex, opaque, and difficult to comprehend, utilise, and trust in critical clinical applications. Despite these concerns and risks, there are currently no concrete guidelines and best practices for guiding future AI developments in medical imaging towards increased trust, safety and adoption. To bridge this gap, this paper introduces a careful selection of guiding principles drawn from the accumulated experiences, consensus, and best practices from five large European projects on AI in Health Imaging. These guiding principles are named FUTURE-AI and its building blocks consist of (i) Fairness, (ii) Universality, (iii) Traceability, (iv) Usability, (v) Robustness and (vi) Explainability. In a step-by-step approach, these guidelines are further translated into a framework of concrete recommendations for specifying, developing, evaluating, and deploying technically, clinically and ethically trustworthy AI solutions into clinical practice.
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.
Graph Neural Networks (GNNs) have recently become increasingly popular due to their ability to learn complex systems of relations or interactions arising in a broad spectrum of problems ranging from biology and particle physics to social networks and recommendation systems. Despite the plethora of different models for deep learning on graphs, few approaches have been proposed thus far for dealing with graphs that present some sort of dynamic nature (e.g. evolving features or connectivity over time). In this paper, we present Temporal Graph Networks (TGNs), a generic, efficient framework for deep learning on dynamic graphs represented as sequences of timed events. Thanks to a novel combination of memory modules and graph-based operators, TGNs are able to significantly outperform previous approaches being at the same time more computationally efficient. We furthermore show that several previous models for learning on dynamic graphs can be cast as specific instances of our framework. We perform a detailed ablation study of different components of our framework and devise the best configuration that achieves state-of-the-art performance on several transductive and inductive prediction tasks for dynamic graphs.
Multi-relation Question Answering is a challenging task, due to the requirement of elaborated analysis on questions and reasoning over multiple fact triples in knowledge base. In this paper, we present a novel model called Interpretable Reasoning Network that employs an interpretable, hop-by-hop reasoning process for question answering. The model dynamically decides which part of an input question should be analyzed at each hop; predicts a relation that corresponds to the current parsed results; utilizes the predicted relation to update the question representation and the state of the reasoning process; and then drives the next-hop reasoning. Experiments show that our model yields state-of-the-art results on two datasets. More interestingly, the model can offer traceable and observable intermediate predictions for reasoning analysis and failure diagnosis, thereby allowing manual manipulation in predicting the final answer.
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