Customized medical prompts enable Large Language Models (LLM) to effectively address medical dialogue summarization. The process of medical reporting is often time-consuming for healthcare professionals. Implementing medical dialogue summarization techniques presents a viable solution to alleviate this time constraint by generating automated medical reports. The effectiveness of LLMs in this process is significantly influenced by the formulation of the prompt, which plays a crucial role in determining the quality and relevance of the generated reports. In this research, we used a combination of two distinct prompting strategies, known as shot prompting and pattern prompting to enhance the performance of automated medical reporting. The evaluation of the automated medical reports is carried out using the ROUGE score and a human evaluation with the help of an expert panel. The two-shot prompting approach in combination with scope and domain context outperforms other methods and achieves the highest score when compared to the human reference set by a general practitioner. However, the automated reports are approximately twice as long as the human references, due to the addition of both redundant and relevant statements that are added to the report.
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Tactics, Techniques, and Procedures (TTPs) outline the methods attackers use to exploit vulnerabilities. The interpretation of TTPs in the MITRE ATT&CK framework can be challenging for cybersecurity practitioners due to presumed expertise, complex dependencies, and inherent ambiguity. Meanwhile, advancements with Large Language Models (LLMs) have led to recent surge in studies exploring its uses in cybersecurity operations. This leads us to question how well encoder-only (e.g., RoBERTa) and decoder-only (e.g., GPT-3.5) LLMs can comprehend and summarize TTPs to inform analysts of the intended purposes (i.e., tactics) of a cyberattack procedure. The state-of-the-art LLMs have shown to be prone to hallucination by providing inaccurate information, which is problematic in critical domains like cybersecurity. Therefore, we propose the use of Retrieval Augmented Generation (RAG) techniques to extract relevant contexts for each cyberattack procedure for decoder-only LLMs (without fine-tuning). We further contrast such approach against supervised fine-tuning (SFT) of encoder-only LLMs. Our results reveal that both the direct-use of decoder-only LLMs (i.e., its pre-trained knowledge) and the SFT of encoder-only LLMs offer inaccurate interpretation of cyberattack procedures. Significant improvements are shown when RAG is used for decoder-only LLMs, particularly when directly relevant context is found. This study further sheds insights on the limitations and capabilities of using RAG for LLMs in interpreting TTPs.
Medical dialogue systems have attracted growing research attention as they have the potential to provide rapid diagnoses, treatment plans, and health consultations. In medical dialogues, a proper diagnosis is crucial as it establishes the foundation for future consultations. Clinicians typically employ both intuitive and analytic reasoning to formulate a differential diagnosis. This reasoning process hypothesizes and verifies a variety of possible diseases and strives to generate a comprehensive and rigorous diagnosis. However, recent studies on medical dialogue generation have overlooked the significance of modeling a differential diagnosis, which hinders the practical application of these systems. To address the above issue, we propose a medical dialogue generation framework with the Intuitive-then-Analytic Differential Diagnosis (IADDx). Our method starts with a differential diagnosis via retrieval-based intuitive association and subsequently refines it through a graph-enhanced analytic procedure. The resulting differential diagnosis is then used to retrieve medical knowledge and guide response generation. Experimental results on two datasets validate the efficacy of our method. Besides, we demonstrate how our framework assists both clinicians and patients in understanding the diagnostic process, for instance, by producing intermediate results and graph-based diagnosis paths.
Solutions to vision tasks in gastrointestinal endoscopy (GIE) conventionally use image encoders pretrained in a supervised manner with ImageNet-1k as backbones. However, the use of modern self-supervised pretraining algorithms and a recent dataset of 100k unlabelled GIE images (Hyperkvasir-unlabelled) may allow for improvements. In this work, we study the fine-tuned performance of models with ResNet50 and ViT-B backbones pretrained in self-supervised and supervised manners with ImageNet-1k and Hyperkvasir-unlabelled (self-supervised only) in a range of GIE vision tasks. In addition to identifying the most suitable pretraining pipeline and backbone architecture for each task, out of those considered, our results suggest: that self-supervised pretraining generally produces more suitable backbones for GIE vision tasks than supervised pretraining; that self-supervised pretraining with ImageNet-1k is typically more suitable than pretraining with Hyperkvasir-unlabelled, with the notable exception of monocular depth estimation in colonoscopy; and that ViT-Bs are more suitable in polyp segmentation and monocular depth estimation in colonoscopy, ResNet50s are more suitable in polyp detection, and both architectures perform similarly in anatomical landmark recognition and pathological finding characterisation. We hope this work draws attention to the complexity of pretraining for GIE vision tasks, informs this development of more suitable approaches than the convention, and inspires further research on this topic to help advance this development. Code available: \underline{github.com/ESandML/SSL4GIE}
The use of large language models in medical dialogue generation has garnered significant attention, with a focus on improving response quality and fluency. While previous studies have made progress in optimizing model performance for single-round medical Q&A tasks, there is a need to enhance the model's capability for multi-round conversations to avoid logical inconsistencies. To address this, we propose an approach called preference learning from process feedback~(PLPF), which integrates the doctor's diagnostic logic into LLMs. PLPF involves rule modeling, preference data generation, and preference alignment to train the model to adhere to the diagnostic process. Experimental results using Standardized Patient Testing show that PLPF enhances the diagnostic accuracy of the baseline model in medical conversations by 17.6%, outperforming traditional reinforcement learning from human feedback. Additionally, PLPF demonstrates effectiveness in both multi-round and single-round dialogue tasks, showcasing its potential for improving medical dialogue generation.
The ability of graph neural networks (GNNs) to count certain graph substructures, especially cycles, is important for the success of GNNs on a wide range of tasks. It has been recently used as a popular metric for evaluating the expressive power of GNNs. Many of the proposed GNN models with provable cycle counting power are based on subgraph GNNs, i.e., extracting a bag of subgraphs from the input graph, generating representations for each subgraph, and using them to augment the representation of the input graph. However, those methods require heavy preprocessing, and suffer from high time and memory costs. In this paper, we overcome the aforementioned limitations of subgraph GNNs by proposing a novel class of GNNs -- $d$-Distance-Restricted FWL(2) GNNs, or $d$-DRFWL(2) GNNs. $d$-DRFWL(2) GNNs use node pairs whose mutual distances are at most $d$ as the units for message passing to balance the expressive power and complexity. By performing message passing among distance-restricted node pairs in the original graph, $d$-DRFWL(2) GNNs avoid the expensive subgraph extraction operations in subgraph GNNs, making both the time and space complexity lower. We theoretically show that the discriminative power of $d$-DRFWL(2) GNNs strictly increases as $d$ increases. More importantly, $d$-DRFWL(2) GNNs have provably strong cycle counting power even with $d=2$: they can count all 3, 4, 5, 6-cycles. Since 6-cycles (e.g., benzene rings) are ubiquitous in organic molecules, being able to detect and count them is crucial for achieving robust and generalizable performance on molecular tasks. Experiments on both synthetic datasets and molecular datasets verify our theory. To the best of our knowledge, our model is the most efficient GNN model to date (both theoretically and empirically) that can count up to 6-cycles.
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.
Graph neural networks (GNNs) have been proven to be effective in various network-related tasks. Most existing GNNs usually exploit the low-frequency signals of node features, which gives rise to one fundamental question: is the low-frequency information all we need in the real world applications? In this paper, we first present an experimental investigation assessing the roles of low-frequency and high-frequency signals, where the results clearly show that exploring low-frequency signal only is distant from learning an effective node representation in different scenarios. How can we adaptively learn more information beyond low-frequency information in GNNs? A well-informed answer can help GNNs enhance the adaptability. We tackle this challenge and propose a novel Frequency Adaptation Graph Convolutional Networks (FAGCN) with a self-gating mechanism, which can adaptively integrate different signals in the process of message passing. For a deeper understanding, we theoretically analyze the roles of low-frequency signals and high-frequency signals on learning node representations, which further explains why FAGCN can perform well on different types of networks. Extensive experiments on six real-world networks validate that FAGCN not only alleviates the over-smoothing problem, but also has advantages over the state-of-the-arts.
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.
Applying artificial intelligence techniques in medical imaging is one of the most promising areas in medicine. However, most of the recent success in this area highly relies on large amounts of carefully annotated data, whereas annotating medical images is a costly process. In this paper, we propose a novel method, called FocalMix, which, to the best of our knowledge, is the first to leverage recent advances in semi-supervised learning (SSL) for 3D medical image detection. We conducted extensive experiments on two widely used datasets for lung nodule detection, LUNA16 and NLST. Results show that our proposed SSL methods can achieve a substantial improvement of up to 17.3% over state-of-the-art supervised learning approaches with 400 unlabeled CT scans.
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