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How can we interpret and retrieve medical evidence to support clinical decisions? Clinical trial reports (CTR) amassed over the years contain indispensable information for the development of personalized medicine. However, it is practically infeasible to manually inspect over 400,000+ clinical trial reports in order to find the best evidence for experimental treatments. Natural Language Inference (NLI) offers a potential solution to this problem, by allowing the scalable computation of textual entailment. However, existing NLI models perform poorly on biomedical corpora, and previously published datasets fail to capture the full complexity of inference over CTRs. In this work, we present a novel resource to advance research on NLI for reasoning on CTRs. The resource includes two main tasks. Firstly, to determine the inference relation between a natural language statement, and a CTR. Secondly, to retrieve supporting facts to justify the predicted relation. We provide NLI4CT, a corpus of 2400 statements and CTRs, annotated for these tasks. Baselines on this corpus expose the limitations of existing NLI models, with 6 state-of-the-art NLI models achieving a maximum F1 score of 0.627. To the best of our knowledge, we are the first to design a task that covers the interpretation of full CTRs. To encourage further work on this challenging dataset, we make the corpus, competition leaderboard, website and code to replicate the baseline experiments available at: //github.com/ai-systems/nli4ct

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Due to the omnipresence of Neural Radiance Fields (NeRFs), the interest towards editable implicit 3D representations has surged over the last years. However, editing implicit or hybrid representations as used for NeRFs is difficult due to the entanglement of appearance and geometry encoded in the model parameters. Despite these challenges, recent research has shown first promising steps towards photorealistic and non-photorealistic appearance edits. The main open issues of related work include limited interactivity, a lack of support for local edits and large memory requirements, rendering them less useful in practice. We address these limitations with LAENeRF, a unified framework for photorealistic and non-photorealistic appearance editing of NeRFs. To tackle local editing, we leverage a voxel grid as starting point for region selection. We learn a mapping from expected ray terminations to final output color, which can optionally be supervised by a style loss, resulting in a framework which can perform photorealistic and non-photorealistic appearance editing of selected regions. Relying on a single point per ray for our mapping, we limit memory requirements and enable fast optimization. To guarantee interactivity, we compose the output color using a set of learned, modifiable base colors, composed with additive layer mixing. Compared to concurrent work, LAENeRF enables recoloring and stylization while keeping processing time low. Furthermore, we demonstrate that our approach surpasses baseline methods both quantitatively and qualitatively.

Segmentation quality assessment (SQA) plays a critical role in the deployment of a medical image based AI system. Users need to be informed/alerted whenever an AI system generates unreliable/incorrect predictions. With the introduction of the Segment Anything Model (SAM), a general foundation segmentation model, new research opportunities emerged in how one can utilize SAM for medical image segmentation. In this paper, we propose a novel SQA method, called SQA-SAM, which exploits SAM to enhance the accuracy of quality assessment for medical image segmentation. When a medical image segmentation model (MedSeg) produces predictions for a test image, we generate visual prompts based on the predictions, and SAM is utilized to generate segmentation maps corresponding to the visual prompts. How well MedSeg's segmentation aligns with SAM's segmentation indicates how well MedSeg's segmentation aligns with the general perception of objectness and image region partition. We develop a score measure for such alignment. In experiments, we find that the generated scores exhibit moderate to strong positive correlation (in Pearson correlation and Spearman correlation) with Dice coefficient scores reflecting the true segmentation quality.

We introduce RJUA-QA, a novel medical dataset for question answering (QA) and reasoning with clinical evidence, contributing to bridge the gap between general large language models (LLMs) and medical-specific LLM applications. RJUA-QA is derived from realistic clinical scenarios and aims to facilitate LLMs in generating reliable diagnostic and advice. The dataset contains 2,132 curated Question-Context-Answer pairs, corresponding about 25,000 diagnostic records and clinical cases. The dataset covers 67 common urological disease categories, where the disease coverage exceeds 97.6\% of the population seeking medical services in urology. Each data instance in RJUA-QA comprises: (1) a question mirroring real patient to inquiry about clinical symptoms and medical conditions, (2) a context including comprehensive expert knowledge, serving as a reference for medical examination and diagnosis, (3) a doctor response offering the diagnostic conclusion and suggested examination guidance, (4) a diagnosed clinical disease as the recommended diagnostic outcome, and (5) clinical advice providing recommendations for medical examination. RJUA-QA is the first medical QA dataset for clinical reasoning over the patient inquiries, where expert-level knowledge and experience are required for yielding diagnostic conclusions and medical examination advice. A comprehensive evaluation is conducted to evaluate the performance of both medical-specific and general LLMs on the RJUA-QA dataset.

In the acceleration of deep neural network training, the GPU has become the mainstream platform. GPUs face substantial challenges on GNNs, such as workload imbalance and memory access irregularities, leading to underutilized hardware. Existing solutions such as PyG, DGL with cuSPARSE, and GNNAdvisor frameworks partially address these challenges but memory traffic is still significant. We argue that drastic performance improvements can only be achieved by the vertical optimization of algorithm and system innovations, rather than treating the speedup optimization as an "after-thought" (i.e., (i) given a GNN algorithm, designing an accelerator, or (ii) given hardware, mainly optimizing the GNN algorithm). In this paper, we present MaxK-GNN, an advanced high-performance GPU training system integrating algorithm and system innovation. (i) We introduce the MaxK nonlinearity and provide a theoretical analysis of MaxK nonlinearity as a universal approximator, and present the Compressed Balanced Sparse Row (CBSR) format, designed to store the data and index of the feature matrix after nonlinearity; (ii) We design a coalescing enhanced forward computation with row-wise product-based SpGEMM Kernel using CBSR for input feature matrix fetching and strategic placement of a sparse output accumulation buffer in shared memory; (iii) We develop an optimized backward computation with outer product-based and SSpMM Kernel. We conduct extensive evaluations of MaxK-GNN and report the end-to-end system run-time. Experiments show that MaxK-GNN system could approach the theoretical speedup limit according to Amdahl's law. We achieve comparable accuracy to SOTA GNNs, but at a significantly increased speed: 3.22/4.24 times speedup (vs. theoretical limits, 5.52/7.27 times) on Reddit compared to DGL and GNNAdvisor implementations.

Medical Visual Question Answering (Med-VQA) is a very important task in healthcare industry, which answers a natural language question with a medical image. Existing VQA techniques in information systems can be directly applied to solving the task. However, they often suffer from (i) the data insufficient problem, which makes it difficult to train the state of the arts (SOTAs) for the domain-specific task, and (ii) the reproducibility problem, that many existing models have not been thoroughly evaluated in a unified experimental setup. To address these issues, this paper develops a Benchmark Evaluation SysTem for Medical Visual Question Answering, denoted by BESTMVQA. Given self-collected clinical data, our system provides a useful tool for users to automatically build Med-VQA datasets, which helps overcoming the data insufficient problem. Users also can conveniently select a wide spectrum of SOTA models from our model library to perform a comprehensive empirical study. With simple configurations, our system automatically trains and evaluates the selected models over a benchmark dataset, and reports the comprehensive results for users to develop new techniques or perform medical practice. Limitations of existing work are overcome (i) by the data generation tool, which automatically constructs new datasets from unstructured clinical data, and (ii) by evaluating SOTAs on benchmark datasets in a unified experimental setup. The demonstration video of our system can be found at //youtu.be/QkEeFlu1x4A. Our code and data will be available soon.

Medication recommendation is a vital task for improving patient care and reducing adverse events. However, existing methods often fail to capture the complex and dynamic relationships among patient medical records, drug efficacy and safety, and drug-drug interactions (DDI). In this paper, we propose ALGNet, a novel model that leverages light graph convolutional networks (LGCN) and augmentation memory networks (AMN) to enhance medication recommendation. LGCN can efficiently encode the patient records and the DDI graph into low-dimensional embeddings, while AMN can augment the patient representation with external knowledge from a memory module. We evaluate our model on the MIMIC-III dataset and show that it outperforms several baselines in terms of recommendation accuracy and DDI avoidance. We also conduct an ablation study to analyze the effects of different components of our model. Our results demonstrate that ALGNet can achieve superior performance with less computation and more interpretability. The implementation of this paper can be found at: //github.com/huyquoctrinh/ALGNet.

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.

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.

We study the problem of learning to reason in large scale knowledge graphs (KGs). More specifically, we describe a novel reinforcement learning framework for learning multi-hop relational paths: we use a policy-based agent with continuous states based on knowledge graph embeddings, which reasons in a KG vector space by sampling the most promising relation to extend its path. In contrast to prior work, our approach includes a reward function that takes the accuracy, diversity, and efficiency into consideration. Experimentally, we show that our proposed method outperforms a path-ranking based algorithm and knowledge graph embedding methods on Freebase and Never-Ending Language Learning datasets.

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