In response to the pressing need for advanced clinical problem-solving tools in healthcare, we introduce BooksMed, a novel framework based on a Large Language Model (LLM). BooksMed uniquely emulates human cognitive processes to deliver evidence-based and reliable responses, utilizing the GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) framework to effectively quantify evidence strength. For clinical decision-making to be appropriately assessed, an evaluation metric that is clinically aligned and validated is required. As a solution, we present ExpertMedQA, a multispecialty clinical benchmark comprised of open-ended, expert-level clinical questions, and validated by a diverse group of medical professionals. By demanding an in-depth understanding and critical appraisal of up-to-date clinical literature, ExpertMedQA rigorously evaluates LLM performance. BooksMed outperforms existing state-of-the-art models Med-PaLM 2, Almanac, and ChatGPT in a variety of medical scenarios. Therefore, a framework that mimics human cognitive stages could be a useful tool for providing reliable and evidence-based responses to clinical inquiries.
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This work introduces BRILLsson, a novel binary neural network-based representation learning model for a broad range of non-semantic speech tasks. We train the model with knowledge distillation from a large and real-valued TRILLsson model with only a fraction of the dataset used to train TRILLsson. The resulting BRILLsson models are only 2MB in size with a latency less than 8ms, making them suitable for deployment in low-resource devices such as wearables. We evaluate BRILLsson on eight benchmark tasks (including but not limited to spoken language identification, emotion recognition, health condition diagnosis, and keyword spotting), and demonstrate that our proposed ultra-light and low-latency models perform as well as large-scale models.
Numerous studies use regression discontinuity design (RDD) for panel data by assuming that the treatment effects are homogeneous across all individuals/groups and pooling the data together. It is unclear how to test for the significance of treatment effects when the treatments vary across individuals/groups and the error terms may exhibit complicated dependence structures. This paper examines the estimation and inference of multiple treatment effects when the errors are not independent and identically distributed, and the treatment effects vary across individuals/groups. We derive a simple analytical expression for approximating the variance-covariance structure of the treatment effect estimators under general dependence conditions and propose two test statistics, one is to test for the overall significance of the treatment effect and the other for the homogeneity of the treatment effects. We find that in the Gaussian approximations to the test statistics, the dependence structures in the data can be safely ignored due to the localized nature of the statistics. This has the important implication that the simulated critical values can be easily obtained. Simulations demonstrate our tests have superb size control and reasonable power performance in finite samples regardless of the presence of strong cross-section dependence or/and weak serial dependence in the data. We apply our tests to two datasets and find significant overall treatment effects in each case.
Individualized treatment rules (ITRs) have been widely applied in many fields such as precision medicine and personalized marketing. Beyond the extensive studies on ITR for binary or multiple treatments, there is considerable interest in applying combination treatments. This paper introduces a novel ITR estimation method for combination treatments incorporating interaction effects among treatments. Specifically, we propose the generalized $\psi$-loss as a non-convex surrogate in the residual weighted learning framework, offering desirable statistical and computational properties. Statistically, the minimizer of the proposed surrogate loss is Fisher-consistent with the optimal decision rules, incorporating interaction effects at any intensity level - a significant improvement over existing methods. Computationally, the proposed method applies the difference-of-convex algorithm for efficient computation. Through simulation studies and real-world data applications, we demonstrate the superior performance of the proposed method in recommending combination treatments.
Medical image segmentation plays a crucial role in various healthcare applications, enabling accurate diagnosis, treatment planning, and disease monitoring. In recent years, Vision Transformers (ViTs) have emerged as a promising technique for addressing the challenges in medical image segmentation. In medical images, structures are usually highly interconnected and globally distributed. ViTs utilize their multi-scale attention mechanism to model the long-range relationships in the images. However, they do lack image-related inductive bias and translational invariance, potentially impacting their performance. Recently, researchers have come up with various ViT-based approaches that incorporate CNNs in their architectures, known as Hybrid Vision Transformers (HVTs) to capture local correlation in addition to the global information in the images. This survey paper provides a detailed review of the recent advancements in ViTs and HVTs for medical image segmentation. Along with the categorization of ViT and HVT-based medical image segmentation approaches we also present a detailed overview of their real-time applications in several medical image modalities. This survey may serve as a valuable resource for researchers, healthcare practitioners, and students in understanding the state-of-the-art approaches for ViT-based medical image segmentation.
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.
In search of the simplest baseline capable of competing with Deep Reinforcement Learning on locomotion tasks, we propose a biologically inspired model-free open-loop strategy. Drawing upon prior knowledge and harnessing the elegance of simple oscillators to generate periodic joint motions, it achieves respectable performance in five different locomotion environments, with a number of tunable parameters that is a tiny fraction of the thousands typically required by RL algorithms. Unlike RL methods, which are prone to performance degradation when exposed to sensor noise or failure, our open-loop oscillators exhibit remarkable robustness due to their lack of reliance on sensors. Furthermore, we showcase a successful transfer from simulation to reality using an elastic quadruped, all without the need for randomization or reward engineering. Overall, the proposed baseline and associated experiments highlight the existing limitations of DRL for robotic applications, provide insights on how to address them, and encourage reflection on the costs of complexity and generality.
We study the problem of learning good heuristic functions for classical planning tasks with neural networks based on samples represented by states with their cost-to-goal estimates. The heuristic function is learned for a state space and goal condition with the number of samples limited to a fraction of the size of the state space, and must generalize well for all states of the state space with the same goal condition. Our main goal is to better understand the influence of sample generation strategies on the performance of a greedy best-first heuristic search (GBFS) guided by a learned heuristic function. In a set of controlled experiments, we find that two main factors determine the quality of the learned heuristic: which states are included in the sample set and the quality of the cost-to-goal estimates. These two factors are dependent: having perfect cost-to-goal estimates is insufficient if the samples are not well distributed across the state space. We also study other effects, such as adding samples with high-value estimates. Based on our findings, we propose practical strategies to improve the quality of learned heuristics: three strategies that aim to generate more representative states and two strategies that improve the cost-to-goal estimates. Our practical strategies almost double the mean coverage of a GBFS algorithm guided by a learned heuristic.
Aiming at expanding few-shot relations' coverage in knowledge graphs (KGs), few-shot knowledge graph completion (FKGC) has recently gained more research interests. Some existing models employ a few-shot relation's multi-hop neighbor information to enhance its semantic representation. However, noise neighbor information might be amplified when the neighborhood is excessively sparse and no neighbor is available to represent the few-shot relation. Moreover, modeling and inferring complex relations of one-to-many (1-N), many-to-one (N-1), and many-to-many (N-N) by previous knowledge graph completion approaches requires high model complexity and a large amount of training instances. Thus, inferring complex relations in the few-shot scenario is difficult for FKGC models due to limited training instances. In this paper, we propose a few-shot relational learning with global-local framework to address the above issues. At the global stage, a novel gated and attentive neighbor aggregator is built for accurately integrating the semantics of a few-shot relation's neighborhood, which helps filtering the noise neighbors even if a KG contains extremely sparse neighborhoods. For the local stage, a meta-learning based TransH (MTransH) method is designed to model complex relations and train our model in a few-shot learning fashion. Extensive experiments show that our model outperforms the state-of-the-art FKGC approaches on the frequently-used benchmark datasets NELL-One and Wiki-One. Compared with the strong baseline model MetaR, our model achieves 5-shot FKGC performance improvements of 8.0% on NELL-One and 2.8% on Wiki-One by the metric Hits@10.
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.
In this paper, we propose the joint learning attention and recurrent neural network (RNN) models for multi-label classification. While approaches based on the use of either model exist (e.g., for the task of image captioning), training such existing network architectures typically require pre-defined label sequences. For multi-label classification, it would be desirable to have a robust inference process, so that the prediction error would not propagate and thus affect the performance. Our proposed model uniquely integrates attention and Long Short Term Memory (LSTM) models, which not only addresses the above problem but also allows one to identify visual objects of interests with varying sizes without the prior knowledge of particular label ordering. More importantly, label co-occurrence information can be jointly exploited by our LSTM model. Finally, by advancing the technique of beam search, prediction of multiple labels can be efficiently achieved by our proposed network model.
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