Predicting future disease progression risk from medical images is challenging due to patient heterogeneity, and subtle or unknown imaging biomarkers. Moreover, deep learning (DL) methods for survival analysis are susceptible to image domain shifts across scanners. We tackle these issues in the task of predicting late dry Age-related Macular Degeneration (dAMD) onset from retinal OCT scans. We propose a novel DL method for survival prediction to jointly predict from the current scan a risk score, inversely related to time-to-conversion, and the probability of conversion within a time interval $t$. It uses a family of parallel hyperplanes generated by parameterizing the bias term as a function of $t$. In addition, we develop unsupervised losses based on intra-subject image pairs to ensure that risk scores increase over time and that future conversion predictions are consistent with AMD stage prediction using actual scans of future visits. Such losses enable data-efficient fine-tuning of the trained model on new unlabeled datasets acquired with a different scanner. Extensive evaluation on two large datasets acquired with different scanners resulted in a mean AUROCs of 0.82 for Dataset-1 and 0.83 for Dataset-2, across prediction intervals of 6,12 and 24 months.
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Storytelling is a fundamental aspect of human communication, relying heavily on creativity to produce narratives that are novel, appropriate, and surprising. While large language models (LLMs) have recently demonstrated the ability to generate high-quality stories, their creative capabilities remain underexplored. Previous research has either focused on creativity tests requiring short responses or primarily compared model performance in story generation to that of professional writers. However, the question of whether LLMs exhibit creativity in writing short stories on par with the average human remains unanswered. In this work, we conduct a systematic analysis of creativity in short story generation across LLMs and everyday people. Using a five-sentence creative story task, commonly employed in psychology to assess human creativity, we automatically evaluate model- and human-generated stories across several dimensions of creativity, including novelty, surprise, and diversity. Our findings reveal that while LLMs can generate stylistically complex stories, they tend to fall short in terms of creativity when compared to average human writers.
Automatic differential diagnosis (DDx) is an essential medical task that generates a list of potential diseases as differentials based on patient symptom descriptions. In practice, interpreting these differential diagnoses yields significant value but remains under-explored. Given the powerful capabilities of large language models (LLMs), we investigated using LLMs for interpretable DDx. Specifically, we curated the first DDx dataset with expert-derived interpretation on 570 clinical notes. Besides, we proposed Dual-Inf, a novel framework that enabled LLMs to conduct bidirectional inference (i.e., from symptoms to diagnoses and vice versa) for DDx interpretation. Both human and automated evaluation validated its efficacy in predicting and elucidating differentials across four base LLMs. In addition, Dual-Inf could reduce interpretation errors and hold promise for rare disease explanations. To the best of our knowledge, it is the first work that customizes LLMs for DDx explanation and comprehensively evaluates their interpretation performance. Overall, our study bridges a critical gap in DDx interpretation and enhances clinical decision-making.
In mission-critical domains such as law enforcement and medical diagnosis, the ability to explain and interpret the outputs of deep learning models is crucial for ensuring user trust and supporting informed decision-making. Despite advancements in explainability, existing methods often fall short in providing explanations that mirror the depth and clarity of those given by human experts. Such expert-level explanations are essential for the dependable application of deep learning models in law enforcement and medical contexts. Additionally, we recognize that most explanations in real-world scenarios are communicated primarily through natural language. Addressing these needs, we propose a novel approach that utilizes characteristic descriptors to explain model decisions by identifying their presence in images, thereby generating expert-like explanations. Our method incorporates a concept bottleneck layer within the model architecture, which calculates the similarity between image and descriptor encodings to deliver inherent and faithful explanations. Through experiments in face recognition and chest X-ray diagnosis, we demonstrate that our approach offers a significant contrast over existing techniques, which are often limited to the use of saliency maps. We believe our approach represents a significant step toward making deep learning systems more accountable, transparent, and trustworthy in the critical domains of face recognition and medical diagnosis.
The healthcare sector has experienced a rapid accumulation of digital data recently, especially in the form of electronic health records (EHRs). EHRs constitute a precious resource that IS researchers could utilize for clinical applications (e.g., morbidity prediction). Deep learning seems like the obvious choice to exploit this surfeit of data. However, numerous studies have shown that deep learning does not enjoy the same kind of success on EHR data as it has in other domains; simple models like logistic regression are frequently as good as sophisticated deep learning ones. Inspired by this observation, we develop a novel model called rational logistic regression (RLR) that has standard logistic regression (LR) as its special case (and thus inherits LR's inductive bias that aligns with EHR data). RLR has rational series as its theoretical underpinnings, works on longitudinal time-series data, and learns interpretable patterns. Empirical comparisons on real-world clinical tasks demonstrate RLR's efficacy.
Causal understanding is a fundamental goal of evidence-based medicine. When randomization is impossible, causal inference methods allow the estimation of treatment effects from retrospective analysis of observational data. However, such analyses rely on a number of assumptions, often including that of no unobserved confounding. In many practical settings, this assumption is violated when important variables are not explicitly measured in the clinical record. Prior work has proposed to address unobserved confounding with machine learning by imputing unobserved variables and then correcting for the classifier's mismeasurement. When such a classifier can be trained and the necessary assumptions are met, this method can recover an unbiased estimate of a causal effect. However, such work has been limited to synthetic data, simple classifiers, and binary variables. This paper extends this methodology by using a large language model trained on clinical notes to predict patients' smoking status, which would otherwise be an unobserved confounder. We then apply a measurement error correction on the categorical predicted smoking status to estimate the causal effect of transthoracic echocardiography on mortality in the MIMIC dataset.
Diffeomorphic image registration is crucial for various medical imaging applications because it can preserve the topology of the transformation. This study introduces DCCNN-LSTM-Reg, a learning framework that evolves dynamically and learns a symmetrical registration path by satisfying a specified control increment system. This framework aims to obtain symmetric diffeomorphic deformations between moving and fixed images. To achieve this, we combine deep learning networks with diffeomorphic mathematical mechanisms to create a continuous and dynamic registration architecture, which consists of multiple Symmetric Registration (SR) modules cascaded on five different scales. Specifically, our method first uses two U-nets with shared parameters to extract multiscale feature pyramids from the images. We then develop an SR-module comprising a sequential CNN-LSTM architecture to progressively correct the forward and reverse multiscale deformation fields using control increment learning and the homotopy continuation technique. Through extensive experiments on three 3D registration tasks, we demonstrate that our method outperforms existing approaches in both quantitative and qualitative evaluations.
Pathological speech analysis has been of interest in the detection of certain diseases like depression and Alzheimer's disease and attracts much interest from researchers. However, previous pathological speech analysis models are commonly designed for a specific disease while overlooking the connection between diseases, which may constrain performance and lower training efficiency. Instead of fine-tuning deep models for different tasks, prompt tuning is a much more efficient training paradigm. We thus propose a unified pathological speech analysis system for as many as three diseases with the prompt tuning technique. This system uses prompt tuning to adjust only a small part of the parameters to detect different diseases from speeches of possible patients. Our system leverages a pre-trained spoken language model and demonstrates strong performance across multiple disorders while only fine-tuning a fraction of the parameters. This efficient training approach leads to faster convergence and improved F1 scores by allowing knowledge to be shared across tasks. Our experiments on Alzheimer's disease, Depression, and Parkinson's disease show competitive results, highlighting the effectiveness of our method in pathological speech analysis.
Photoacoustic imaging (PAI) represents an innovative biomedical imaging modality that harnesses the advantages of optical resolution and acoustic penetration depth while ensuring enhanced safety. Despite its promising potential across a diverse array of preclinical and clinical applications, the clinical implementation of PAI faces significant challenges, including the trade-off between penetration depth and spatial resolution, as well as the demand for faster imaging speeds. This paper explores the fundamental principles underlying PAI, with a particular emphasis on three primary implementations: photoacoustic computed tomography (PACT), photoacoustic microscopy (PAM), and photoacoustic endoscopy (PAE). We undertake a critical assessment of their respective strengths and practical limitations. Furthermore, recent developments in utilizing conventional or deep learning (DL) methodologies for image reconstruction and artefact mitigation across PACT, PAM, and PAE are outlined, demonstrating considerable potential to enhance image quality and accelerate imaging processes. Furthermore, this paper examines the recent developments in quantitative analysis within PAI, including the quantification of haemoglobin concentration, oxygen saturation, and other physiological parameters within tissues. Finally, our discussion encompasses current trends and future directions in PAI research while emphasizing the transformative impact of deep learning on advancing PAI.
Graph diffusion, which iteratively propagates real-valued substances among the graph, is used in numerous graph/network-involved applications. However, releasing diffusion vectors may reveal sensitive linking information in the data such as transaction information in financial network data. However, protecting the privacy of graph data is challenging due to its interconnected nature. This work proposes a novel graph diffusion framework with edge-level differential privacy guarantees by using noisy diffusion iterates. The algorithm injects Laplace noise per diffusion iteration and adopts a degree-based thresholding function to mitigate the high sensitivity induced by low-degree nodes. Our privacy loss analysis is based on Privacy Amplification by Iteration (PABI), which to our best knowledge, is the first effort that analyzes PABI with Laplace noise and provides relevant applications. We also introduce a novel Infinity-Wasserstein distance tracking method, which tightens the analysis of privacy leakage and makes PABI more applicable in practice. We evaluate this framework by applying it to Personalized Pagerank computation for ranking tasks. Experiments on real-world network data demonstrate the superiority of our method under stringent privacy conditions.
Path-based relational reasoning over knowledge graphs has become increasingly popular due to a variety of downstream applications such as question answering in dialogue systems, fact prediction, and recommender systems. In recent years, reinforcement learning (RL) has provided solutions that are more interpretable and explainable than other deep learning models. However, these solutions still face several challenges, including large action space for the RL agent and accurate representation of entity neighborhood structure. We address these problems by introducing a type-enhanced RL agent that uses the local neighborhood information for efficient path-based reasoning over knowledge graphs. Our solution uses graph neural network (GNN) for encoding the neighborhood information and utilizes entity types to prune the action space. Experiments on real-world dataset show that our method outperforms state-of-the-art RL methods and discovers more novel paths during the training procedure.
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