Medical data collected for making a diagnostic decision are typically multi-modal and provide complementary perspectives of a subject. A computer-aided diagnosis system welcomes multi-modal inputs; however, how to effectively fuse such multi-modal data is a challenging task and attracts a lot of attention in the medical research field. In this paper, we propose a transformer-based framework, called Alifuse, for aligning and fusing multi-modal medical data. Specifically, we convert images and unstructured and structured texts into vision and language tokens, and use intramodal and intermodal attention mechanisms to learn holistic representations of all imaging and non-imaging data for classification. We apply Alifuse to classify Alzheimer's disease and obtain state-of-the-art performance on five public datasets, by outperforming eight baselines. The source code will be available online later.
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Click-through rate (CTR) Prediction is a crucial task in personalized information retrievals, such as industrial recommender systems, online advertising, and web search. Most existing CTR Prediction models utilize explicit feature interactions to overcome the performance bottleneck of implicit feature interactions. Hence, deep CTR models based on parallel structures (e.g., DCN, FinalMLP, xDeepFM) have been proposed to obtain joint information from different semantic spaces. However, these parallel subcomponents lack effective supervisory signals, making it challenging to efficiently capture valuable multi-views feature interaction information in different semantic spaces. To address this issue, we propose a simple yet effective novel CTR model: Contrast-enhanced Through Network for CTR (CETN), so as to ensure the diversity and homogeneity of feature interaction information. Specifically, CETN employs product-based feature interactions and the augmentation (perturbation) concept from contrastive learning to segment different semantic spaces, each with distinct activation functions. This improves diversity in the feature interaction information captured by the model. Additionally, we introduce self-supervised signals and through connection within each semantic space to ensure the homogeneity of the captured feature interaction information. The experiments and research conducted on four real datasets demonstrate that our model consistently outperforms twenty baseline models in terms of AUC and Logloss.
The Health Index (HI) is crucial for evaluating system health, aiding tasks like anomaly detection and predicting remaining useful life for systems demanding high safety and reliability. Tight monitoring is crucial for achieving high precision at a lower cost. Obtaining HI labels in real-world applications is often cost-prohibitive, requiring continuous, precise health measurements. Therefore, it is more convenient to leverage run-to failure datasets that may provide potential indications of machine wear condition, making it necessary to apply semi-supervised tools for HI construction. In this study, we adapt the Deep Semi-supervised Anomaly Detection (DeepSAD) method for HI construction. We use the DeepSAD embedding as a condition indicators to address interpretability challenges and sensitivity to system-specific factors. Then, we introduce a diversity loss to enrich condition indicators. We employ an alternating projection algorithm with isotonic constraints to transform the DeepSAD embedding into a normalized HI with an increasing trend. Validation on the PHME 2010 milling dataset, a recognized benchmark with ground truth HIs demonstrates meaningful HIs estimations. Our contributions create opportunities for more accessible and reliable HI estimation, particularly in cases where obtaining ground truth HI labels is unfeasible.
Modeling continuous-time dynamics on irregular time series is critical to account for data evolution and correlations that occur continuously. Traditional methods including recurrent neural networks or Transformer models leverage inductive bias via powerful neural architectures to capture complex patterns. However, due to their discrete characteristic, they have limitations in generalizing to continuous-time data paradigms. Though neural ordinary differential equations (Neural ODEs) and their variants have shown promising results in dealing with irregular time series, they often fail to capture the intricate correlations within these sequences. It is challenging yet demanding to concurrently model the relationship between input data points and capture the dynamic changes of the continuous-time system. To tackle this problem, we propose ContiFormer that extends the relation modeling of vanilla Transformer to the continuous-time domain, which explicitly incorporates the modeling abilities of continuous dynamics of Neural ODEs with the attention mechanism of Transformers. We mathematically characterize the expressive power of ContiFormer and illustrate that, by curated designs of function hypothesis, many Transformer variants specialized in irregular time series modeling can be covered as a special case of ContiFormer. A wide range of experiments on both synthetic and real-world datasets have illustrated the superior modeling capacities and prediction performance of ContiFormer on irregular time series data. The project link is //seqml.github.io/contiformer/.
Most visual recognition studies rely heavily on crowd-labelled data in deep neural networks (DNNs) training, and they usually train a DNN for each single visual recognition task, leading to a laborious and time-consuming visual recognition paradigm. To address the two challenges, Vision-Language Models (VLMs) have been intensively investigated recently, which learns rich vision-language correlation from web-scale image-text pairs that are almost infinitely available on the Internet and enables zero-shot predictions on various visual recognition tasks with a single VLM. This paper provides a systematic review of visual language models for various visual recognition tasks, including: (1) the background that introduces the development of visual recognition paradigms; (2) the foundations of VLM that summarize the widely-adopted network architectures, pre-training objectives, and downstream tasks; (3) the widely-adopted datasets in VLM pre-training and evaluations; (4) the review and categorization of existing VLM pre-training methods, VLM transfer learning methods, and VLM knowledge distillation methods; (5) the benchmarking, analysis and discussion of the reviewed methods; (6) several research challenges and potential research directions that could be pursued in the future VLM studies for visual recognition. A project associated with this survey has been created at //github.com/jingyi0000/VLM_survey.
Understanding treatment heterogeneity is crucial for reliable decision-making in treatment evaluation and selection. While the conditional average treatment effect (CATE) is commonly used to capture treatment heterogeneity induced by covariates and design individualized treatment policies, it remains an averaging metric within subpopulations. This limitation prevents it from unveiling individual-level risks, potentially leading to misleading results. This article addresses this gap by examining individual risk for binary outcomes, specifically focusing on the fraction negatively affected (FNA) conditional on covariates -- a metric assessing the percentage of individuals experiencing worse outcomes with treatment compared to control. Under the strong ignorability assumption, FNA is unidentifiable, and we find that previous bounds are wide and practically unattainable except in certain degenerate cases. By introducing a plausible positive correlation assumption for the potential outcomes, we obtain significantly improved bounds compared to previous studies. We show that even with a positive and statistically significant CATE, the lower bound on FNA can be positive, i.e., in the best-case scenario many units will be harmed if receiving treatment. We establish a nonparametric sensitivity analysis framework for FNA using the Pearson correlation coefficient as the sensitivity parameter, thereby exploring the relationships among the correlation coefficient, FNA, and CATE. We also present a practical and tractable method for selecting the range of correlation coefficients. Furthermore, we propose flexible estimators for refined FNA bounds and prove their consistency and asymptotic normality.
Malaria is a major health issue worldwide, and its diagnosis requires scalable solutions that can work effectively with low-cost microscopes (LCM). Deep learning-based methods have shown success in computer-aided diagnosis from microscopic images. However, these methods need annotated images that show cells affected by malaria parasites and their life stages. Annotating images from LCM significantly increases the burden on medical experts compared to annotating images from high-cost microscopes (HCM). For this reason, a practical solution would be trained on HCM images which should generalize well on LCM images during testing. While earlier methods adopted a multi-stage learning process, they did not offer an end-to-end approach. In this work, we present an end-to-end learning framework, named CodaMal (Contrastive Domain Adpation for Malaria). In order to bridge the gap between HCM (training) and LCM (testing), we propose a domain adaptive contrastive loss. It reduces the domain shift by promoting similarity between the representations of HCM and its corresponding LCM image, without imposing an additional annotation burden. In addition, the training objective includes object detection objectives with carefully designed augmentations, ensuring the accurate detection of malaria parasites. On the publicly available large-scale M5-dataset, our proposed method shows a significant improvement of 16% over the state-of-the-art methods in terms of the mean average precision metric (mAP), provides 21x speed up during inference, and requires only half learnable parameters than the prior methods. Our code is publicly available.
Digital pathology has gained significant traction in modern healthcare systems. This shift from optical microscopes to digital imagery brings with it the potential for improved diagnosis, efficiency, and the integration of AI tools into the pathologists workflow. A critical aspect of this is visualization. Throughout the development of a machine learning (ML) model in digital pathology, it is crucial to have flexible, openly available tools to visualize models, from their outputs and predictions to the underlying annotations and images used to train or test a model. We introduce TIAViz, a Python-based visualization tool built into TIAToolbox which allows flexible, interactive, fully zoomable overlay of a wide variety of information onto whole slide images, including graphs, heatmaps, segmentations, annotations and other WSIs. The UI is browser-based, allowing use either locally, on a remote machine, or on a server to provide publicly available demos. This tool is open source and is made available at: //github.com/TissueImageAnalytics/tiatoolbox and via pip installation (pip install tiatoolbox) and conda as part of TIAToolbox.
This paper introduces the DeepATLAS foundational model for localization tasks in the domain of high-dimensional biomedical data. Upon convergence of the proposed self-supervised objective, a pretrained model maps an input to an anatomically-consistent embedding from which any point or set of points (e.g., boxes or segmentations) may be identified in a one-shot or few-shot approach. As a representative benchmark, a DeepATLAS model pretrained on a comprehensive cohort of 51,000+ unlabeled 3D computed tomography exams yields high one-shot segmentation performance on over 50 anatomic structures across four different external test sets, either matching or exceeding the performance of a standard supervised learning model. Further improvements in accuracy can be achieved by adding a small amount of labeled data using either a semisupervised or more conventional fine-tuning strategy.
Medical imaging is nowadays a pillar in diagnostics and therapeutic follow-up. Current research tries to integrate established - but ionizing - tomographic techniques with technologies offering reduced radiation exposure. Diffuse Optical Tomography (DOT) uses non-ionizing light in the Near-Infrared (NIR) window to reconstruct optical coefficients in living beings, providing functional indications about the composition of the investigated organ/tissue. Due to predominant light scattering at NIR wavelengths, DOT reconstruction is, however, a severely ill-conditioned inverse problem. Conventional reconstruction approaches show severe weaknesses when dealing also with mildly complex cases and/or are computationally very intensive. In this work we explore deep learning techniques for DOT inversion. Namely, we propose a fully data-driven approach based on a modularity concept: first data and originating signal are separately processed via autoencoders, then the corresponding low-dimensional latent spaces are connected via a bridging network which acts at the same time as a learned regularizer.
We propose a novel attention gate (AG) model for medical imaging that automatically learns to focus on target structures of varying shapes and sizes. Models trained with AGs implicitly learn to suppress irrelevant regions in an input image while highlighting salient features useful for a specific task. This enables us to eliminate the necessity of using explicit external tissue/organ localisation modules of cascaded convolutional neural networks (CNNs). AGs can be easily integrated into standard CNN architectures such as the U-Net model with minimal computational overhead while increasing the model sensitivity and prediction accuracy. The proposed Attention U-Net architecture is evaluated on two large CT abdominal datasets for multi-class image segmentation. Experimental results show that AGs consistently improve the prediction performance of U-Net across different datasets and training sizes while preserving computational efficiency. The code for the proposed architecture is publicly available.
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