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Nursing notes, an important component of Electronic Health Records (EHRs), keep track of the progression of a patient's health status during a care episode. Distilling the key information in nursing notes through text summarization techniques can improve clinicians' efficiency in understanding patients' conditions when reviewing nursing notes. However, existing abstractive summarization methods in the clinical setting have often overlooked nursing notes and require the creation of reference summaries for supervision signals, which is time-consuming. In this work, we introduce QGSumm, a query-guided self-supervised domain adaptation framework for nursing note summarization. Using patient-related clinical queries as guidance, our approach generates high-quality, patient-centered summaries without relying on reference summaries for training. Through automatic and manual evaluation by an expert clinician, we demonstrate the strengths of our approach compared to the state-of-the-art Large Language Models (LLMs) in both zero-shot and few-shot settings. Ultimately, our approach provides a new perspective on conditional text summarization, tailored to the specific interests of clinical personnel.

This work aims to improve generalization and interpretability of dynamical systems by recovering the underlying lower-dimensional latent states and their time evolutions. Previous work on disentangled representation learning within the realm of dynamical systems focused on the latent states, possibly with linear transition approximations. As such, they cannot identify nonlinear transition dynamics, and hence fail to reliably predict complex future behavior. Inspired by the advances in nonlinear ICA, we propose a state-space modeling framework in which we can identify not just the latent states but also the unknown transition function that maps the past states to the present. We introduce a practical algorithm based on variational auto-encoders and empirically demonstrate in realistic synthetic settings that we can (i) recover latent state dynamics with high accuracy, (ii) correspondingly achieve high future prediction accuracy, and (iii) adapt fast to new environments.

Uncertainty quantification in Large Language Models (LLMs) is crucial for applications where safety and reliability are important. In particular, uncertainty can be used to improve the trustworthiness of LLMs by detecting factually incorrect model responses, commonly called hallucinations. Critically, one should seek to capture the model's semantic uncertainty, i.e., the uncertainty over the meanings of LLM outputs, rather than uncertainty over lexical or syntactic variations that do not affect answer correctness. To address this problem, we propose Kernel Language Entropy (KLE), a novel method for uncertainty estimation in white- and black-box LLMs. KLE defines positive semidefinite unit trace kernels to encode the semantic similarities of LLM outputs and quantifies uncertainty using the von Neumann entropy. It considers pairwise semantic dependencies between answers (or semantic clusters), providing more fine-grained uncertainty estimates than previous methods based on hard clustering of answers. We theoretically prove that KLE generalizes the previous state-of-the-art method called semantic entropy and empirically demonstrate that it improves uncertainty quantification performance across multiple natural language generation datasets and LLM architectures.

Natural language is often the easiest and most convenient modality for humans to specify tasks for robots. However, learning to ground language to behavior typically requires impractical amounts of diverse, language-annotated demonstrations collected on each target robot. In this work, we aim to separate the problem of what to accomplish from how to accomplish it, as the former can benefit from substantial amounts of external observation-only data, and only the latter depends on a specific robot embodiment. To this end, we propose Video-Language Critic, a reward model that can be trained on readily available cross-embodiment data using contrastive learning and a temporal ranking objective, and use it to score behavior traces from a separate reinforcement learning actor. When trained on Open X-Embodiment data, our reward model enables 2x more sample-efficient policy training on Meta-World tasks than a sparse reward only, despite a significant domain gap. Using in-domain data but in a challenging task generalization setting on Meta-World, we further demonstrate more sample-efficient training than is possible with prior language-conditioned reward models that are either trained with binary classification, use static images, or do not leverage the temporal information present in video data., Comment: 10 pages in the main text, 16 pages including references and supplementary materials. 4 figures and 3 tables in the main text, 1 table in supplementary materials

In this work we consider Code World Models, world models generated by a Large Language Model (LLM) in the form of Python code for model-based Reinforcement Learning (RL). Calling code instead of LLMs for planning has the advantages of being precise, reliable, interpretable, and extremely efficient. However, writing appropriate Code World Models requires the ability to understand complex instructions, to generate exact code with non-trivial logic and to self-debug a long program with feedback from unit tests and environment trajectories. To address these challenges, we propose Generate, Improve and Fix with Monte Carlo Tree Search (GIF-MCTS), a new code generation strategy for LLMs. To test our approach, we introduce the Code World Models Benchmark (CWMB), a suite of program synthesis and planning tasks comprised of 18 diverse RL environments paired with corresponding textual descriptions and curated trajectories. GIF-MCTS surpasses all baselines on the CWMB and two other benchmarks, and we show that the Code World Models synthesized with it can be successfully used for planning, resulting in model-based RL agents with greatly improved sample efficiency and inference speed., Comment: 10 pages in main text, 24 pages including references and supplementary materials. 2 figures and 3 tables in the main text, 9 figures and 12 tables when including the supplementary materials

This paper explores the efficacy of diffusion-based generative models as neural operators for partial differential equations (PDEs). Neural operators are neural networks that learn a mapping from the parameter space to the solution space of PDEs from data, and they can also solve the inverse problem of estimating the parameter from the solution. Diffusion models excel in many domains, but their potential as neural operators has not been thoroughly explored. In this work, we show that diffusion-based generative models exhibit many properties favourable for neural operators, and they can effectively generate the solution of a PDE conditionally on the parameter or recover the unobserved parts of the system. We propose to train a single model adaptable to multiple tasks, by alternating between the tasks during training. In our experiments with multiple realistic dynamical systems, diffusion models outperform other neural operators. Furthermore, we demonstrate how the probabilistic diffusion model can elegantly deal with systems which are only partially identifiable, by producing samples corresponding to the different possible solutions., Comment: Preprint submitted to IEEE MLSP 2024

State of the art Symbolic Regression (SR) methods currently build specialized models, while the application of Large Language Models (LLMs) remains largely unexplored. In this work, we introduce the first comprehensive framework that utilizes LLMs for the task of SR. We propose In-Context Symbolic Regression (ICSR), an SR method which iteratively refines a functional form with an LLM and determines its coefficients with an external optimizer. ICSR leverages LLMs' strong mathematical prior both to propose an initial set of possible functions given the observations and to refine them based on their errors. Our findings reveal that LLMs are able to successfully find symbolic equations that fit the given data, matching or outperforming the overall performance of the best SR baselines on four popular benchmarks, while yielding simpler equations with better out of distribution generalization., Comment: 18 pages, 11 figures

We introduce eCLIP, an enhanced version of the CLIP model that integrates expert annotations in the form of radiologist eye-gaze heatmaps. It tackles key challenges in contrastive multi-modal medical imaging analysis, notably data scarcity and the "modality gap" -- a significant disparity between image and text embeddings that diminishes the quality of representations and hampers cross-modal interoperability. eCLIP integrates a heatmap processor and leverages mixup augmentation to efficiently utilize the scarce expert annotations, thus boosting the model's learning effectiveness. eCLIP is designed to be generally applicable to any variant of CLIP without requiring any modifications of the core architecture. Through detailed evaluations across several tasks, including zero-shot inference, linear probing, cross-modal retrieval, and Retrieval Augmented Generation (RAG) of radiology reports using a frozen Large Language Model, eCLIP showcases consistent improvements in embedding quality. The outcomes reveal enhanced alignment and uniformity, affirming eCLIP's capability to harness high-quality annotations for enriched multi-modal analysis in the medical imaging domain., Comment: Accepted to ECCV 2024

Analysis of multivariate healthcare time series data is inherently challenging: irregular sampling, noisy and missing values, and heterogeneous patient groups with different dynamics violating exchangeability. In addition, interpretability and quantification of uncertainty are critically important. Here, we propose a novel class of models, a mixture of coupled hidden Markov models (M-CHMM), and demonstrate how it elegantly overcomes these challenges. To make the model learning feasible, we derive two algorithms to sample the sequences of the latent variables in the CHMM: samplers based on (i) particle filtering and (ii) factorized approximation. Compared to existing inference methods, our algorithms are computationally tractable, improve mixing, and allow for likelihood estimation, which is necessary to learn the mixture model. Experiments on challenging real-world epidemiological and semi-synthetic data demonstrate the advantages of the M-CHMM: improved data fit, capacity to efficiently handle missing and noisy measurements, improved prediction accuracy, and ability to identify interpretable subsets in the data., Comment: 9 pages, 7 figures, Proceedings of Machine Learning Research, Machine Learning for Health (ML4H) 2023

In biomedical applications it is often necessary to estimate a physiological response to a treatment consisting of multiple components, and learn the separate effects of the components in addition to the joint effect. Here, we extend existing probabilistic nonparametric approaches to explicitly address this problem. We also develop a new convolution-based model for composite treatment-response curves that is more biologically interpretable. We validate our models by estimating the impact of carbohydrate and fat in meals on blood glucose. By differentiating treatment components, incorporating their dosages, and sharing statistical information across patients via a hierarchical multi-output Gaussian process, our method improves prediction accuracy over existing approaches, and allows us to interpret the different effects of carbohydrates and fat on the overall glucose response.

Gestational diabetes (GDM) poses a growing health risk to both pregnant women and their offspring. While telehealth interventions for GDM management have proven effective, they have traditionally relied on healthcare professionals for guidance and feedback. Our aim was to explore self-tracking in GDM with wearable sensors from self-discovery (i.e., learning associations between glucose levels and lifestyle) and user experience perspectives. We conducted a mixed-methods study with women diagnosed with GDM, utilizing continuous glucose monitor and three types of physical activity sensors (activity bracelet, hip-worn sensor, and electrocardiography sensor) for a week. Data from the sensors was collected, and participants were later interviewed about their experience with the wearable sensors. Additionally, we gathered maternal nutrition data through a 3-day food diary and recorded self-reported physical activity using a logbook. We discovered that continuous glucose monitors were especially valuable for self-discovery, particularly when establishing links between glucose levels and nutritional intake. Challenges associated with using wearable sensors data for self-discovery in GDM included: (1) Separation of glucose and physical activity data in different applications, (2) Missing key trackable features, such as light physical activity and non-walking activities, (3) Discrepancies in data, and (4) Differences in perceived versus measured physical activity. The placement of sensors on the body emerged as a critical factor influencing data quality and personal preferences. To conclude, an app where glucose, nutrition, and physical activity data are combined is needed to support self-discovery. This app should enable tracking of essential features for women with GDM, including light physical activity, with data originating from a single sensor to ensure consistency and eliminate redundancy.

Many computational linguistic methods have been proposed to study the information content of languages. We consider two interesting research questions: 1) how is information distributed over long documents, and 2) how does content reduction, such as token selection and text summarization, affect the information density in long documents. We present four criteria for information density estimation for long documents, including surprisal, entropy, uniform information density, and lexical density. Among those criteria, the first three adopt the measures from information theory. We propose an attention-based word selection method for clinical notes and study machine summarization for multiple-domain documents. Our findings reveal the systematic difference in information density of long text in various domains. Empirical results on automated medical coding from long clinical notes show the effectiveness of the attention-based word selection method.

In some causal inference scenarios, the treatment variable is measured inaccurately, for instance in epidemiology or econometrics. Failure to correct for the effect of this measurement error can lead to biased causal effect estimates. Previous research has not studied methods that address this issue from a causal viewpoint while allowing for complex nonlinear dependencies and without assuming access to side information. For such a scenario, this study proposes a model that assumes a continuous treatment variable that is inaccurately measured. Building on existing results for measurement error models, we prove that our model's causal effect estimates are identifiable, even without knowledge of the measurement error variance or other side information. Our method relies on a deep latent variable model in which Gaussian conditionals are parameterized by neural networks, and we develop an amortized importance-weighted variational objective for training the model. Empirical results demonstrate the method's good performance with unknown measurement error. More broadly, our work extends the range of applications in which reliable causal inference can be conducted., Comment: 18 pages, 10 figures. Changes consist of polishing the original version. The experiments and results remain the same

Deciding on an appropriate intervention requires a causal model of a treatment, the outcome, and potential mediators. Causal mediation analysis lets us distinguish between direct and indirect effects of the intervention, but has mostly been studied in a static setting. In healthcare, data come in the form of complex, irregularly sampled time-series, with dynamic interdependencies between a treatment, outcomes, and mediators across time. Existing approaches to dynamic causal mediation analysis are limited to regular measurement intervals, simple parametric models, and disregard long-range mediator--outcome interactions. To address these limitations, we propose a non-parametric mediator--outcome model where the mediator is assumed to be a temporal point process that interacts with the outcome process. With this model, we estimate the direct and indirect effects of an external intervention on the outcome, showing how each of these affects the whole future trajectory. We demonstrate on semi-synthetic data that our method can accurately estimate direct and indirect effects. On real-world healthcare data, our model infers clinically meaningful direct and indirect effect trajectories for blood glucose after a surgery.

The shape of erythrocytes or red blood cells is altered in several pathological conditions. Therefore, identifying and quantifying different erythrocyte shapes can help diagnose various diseases and assist in designing a treatment strategy. Machine Learning (ML) can be efficiently used to identify and quantify distorted erythrocyte morphologies. In this paper, we proposed a customized deep convolutional neural network (CNN) model to classify and quantify the distorted and normal morphology of erythrocytes from the images taken from the blood samples of patients suffering from Sickle cell disease ( SCD). We chose SCD as a model disease condition due to the presence of diverse erythrocyte morphologies in the blood samples of SCD patients. For the analysis, we used 428 raw microscopic images of SCD blood samples and generated the dataset consisting of 10, 377 single-cell images. We focused on three well-defined erythrocyte shapes, including discocytes, oval, and sickle. We used 18 layered deep CNN architecture to identify and quantify these shapes with 81% accuracy, outperforming other models. We also used SHAP and LIME for further interpretability. The proposed model can be helpful for the quick and accurate analysis of SCD blood samples by the clinicians and help them make the right decision for better management of SCD.

Deep learning has emerged as a strong alternative for classical iterative methods for deformable medical image registration, where the goal is to find a mapping between the coordinate systems of two images. Popular classical image registration methods enforce the useful inductive biases of symmetricity, inverse consistency, and topology preservation by construct. However, while many deep learning registration methods encourage these properties via loss functions, no earlier methods enforce all of them by construct. Here, we propose a novel registration architecture based on extracting multi-resolution feature representations which is by construct symmetric, inverse consistent, and topology preserving. We also develop an implicit layer for memory efficient inversion of the deformation fields. Our method achieves state-of-the-art registration accuracy on two datasets.

Adverse drug events (ADEs) are an important aspect of drug safety. Various texts such as biomedical literature, drug reviews, and user posts on social media and medical forums contain a wealth of information about ADEs. Recent studies have applied word embedding and deep learning -based natural language processing to automate ADE detection from text. However, they did not explore incorporating explicit medical knowledge about drugs and adverse reactions or the corresponding feature learning. This paper adopts the heterogenous text graph which describes relationships between documents, words and concepts, augments it with medical knowledge from the Unified Medical Language System, and proposes a concept-aware attention mechanism which learns features differently for the different types of nodes in the graph. We further utilize contextualized embeddings from pretrained language models and convolutional graph neural networks for effective feature representation and relational learning. Experiments on four public datasets show that our model achieves performance competitive to the recent advances and the concept-aware attention consistently outperforms other attention mechanisms., Comment: LREC-COLING 2024

MRSA colonization is a critical public health concern. Decolonization protocols have been designed for the clearance of MRSA. Successful decolonization protocols reduce disease incidence; however, multiple protocols exist, comprising diverse therapies targeting multiple body sites, and the optimal protocol is unclear. Here, we formulate a machine learning model using data from a randomized controlled trial (RCT) of MRSA decolonization, which estimates interactions between body sites, quantifies the contribution of each therapy to successful decolonization, and enables predictions of the efficacy of therapy combinations. This work shows how a machine learning model can help design and improve complex clinical protocols., Comment: Extended Abstract presented at Machine Learning for Health (ML4H) symposium 2022, November 28th, 2022, New Orleans, United States & Virtual, http://www.ml4h.cc, 12 pages

A treatment policy defines when and what treatments are applied to affect some outcome of interest. Data-driven decision-making requires the ability to predict what happens if a policy is changed. Existing methods that predict how the outcome evolves under different scenarios assume that the tentative sequences of future treatments are fixed in advance, while in practice the treatments are determined stochastically by a policy and may depend, for example, on the efficiency of previous treatments. Therefore, the current methods are not applicable if the treatment policy is unknown or a counterfactual analysis is needed. To handle these limitations, we model the treatments and outcomes jointly in continuous time, by combining Gaussian processes and point processes. Our model enables the estimation of a treatment policy from observational sequences of treatments and outcomes, and it can predict the interventional and counterfactual progression of the outcome after an intervention on the treatment policy (in contrast with the causal effect of a single treatment). We show with real-world and semi-synthetic data on blood glucose progression that our method can answer causal queries more accurately than existing alternatives., Comment: Accepted at ICML 2023

Cross-modality image synthesis is an active research topic with multiple medical clinically relevant applications. Recently, methods allowing training with paired but misaligned data have started to emerge. However, no robust and well-performing methods applicable to a wide range of real world data sets exist. In this work, we propose a generic solution to the problem of cross-modality image synthesis with paired but non-aligned data by introducing new deformation equivariance encouraging loss functions. The method consists of joint training of an image synthesis network together with separate registration networks and allows adversarial training conditioned on the input even with misaligned data. The work lowers the bar for new clinical applications by allowing effortless training of cross-modality image synthesis networks for more difficult data sets.

Bayesian neural networks (BNNs) can account for both aleatoric and epistemic uncertainty. However, in BNNs the priors are often specified over the weights which rarely reflects true prior knowledge in large and complex neural network architectures. We present a simple approach to incorporate prior knowledge in BNNs based on external summary information about the predicted classification probabilities for a given dataset. The available summary information is incorporated as augmented data and modeled with a Dirichlet process, and we derive the corresponding \emph{Summary Evidence Lower BOund}. The approach is founded on Bayesian principles, and all hyperparameters have a proper probabilistic interpretation. We show how the method can inform the model about task difficulty and class imbalance. Extensive experiments show that, with negligible computational overhead, our method parallels and in many cases outperforms popular alternatives in accuracy, uncertainty calibration, and robustness against corruptions with both balanced and imbalanced data., Comment: Accepted in AISTATS 2023

Emotion recognition technology through analyzing the EEG signal is currently an essential concept in Artificial Intelligence and holds great potential in emotional health care, human-computer interaction, multimedia content recommendation, etc. Though there have been several works devoted to reviewing EEG-based emotion recognition, the content of these reviews needs to be updated. In addition, those works are either fragmented in content or only focus on specific techniques adopted in this area but neglect the holistic perspective of the entire technical routes. Hence, in this paper, we review from the perspective of researchers who try to take the first step on this topic. We review the recent representative works in the EEG-based emotion recognition research and provide a tutorial to guide the researchers to start from the beginning. The scientific basis of EEG-based emotion recognition in the psychological and physiological levels is introduced. Further, we categorize these reviewed works into different technical routes and illustrate the theoretical basis and the research motivation, which will help the readers better understand why those techniques are studied and employed. At last, existing challenges and future investigations are also discussed in this paper, which guides the researchers to decide potential future research directions.

Similarity metrics such as representational similarity analysis (RSA) and centered kernel alignment (CKA) have been used to compare layer-wise representations between neural networks. However, these metrics are confounded by the population structure of data items in the input space, leading to spuriously high similarity for even completely random neural networks and inconsistent domain relations in transfer learning. We introduce a simple and generally applicable fix to adjust for the confounder with covariate adjustment regression, which retains the intuitive invariance properties of the original similarity measures. We show that deconfounding the similarity metrics increases the resolution of detecting semantically similar neural networks. Moreover, in real-world applications, deconfounding improves the consistency of representation similarities with domain similarities in transfer learning, and increases correlation with out-of-distribution accuracy.

Automated medical coding, an essential task for healthcare operation and delivery, makes unstructured data manageable by predicting medical codes from clinical documents. Recent advances in deep learning and natural language processing have been widely applied to this task. However, deep learning-based medical coding lacks a unified view of the design of neural network architectures. This review proposes a unified framework to provide a general understanding of the building blocks of medical coding models and summarizes recent advanced models under the proposed framework. Our unified framework decomposes medical coding into four main components, i.e., encoder modules for text feature extraction, mechanisms for building deep encoder architectures, decoder modules for transforming hidden representations into medical codes, and the usage of auxiliary information. Finally, we introduce the benchmarks and real-world usage and discuss key research challenges and future directions., Comment: ACM Computing Surveys

Multitask deep learning has been applied to patient outcome prediction from text, taking clinical notes as input and training deep neural networks with a joint loss function of multiple tasks. However, the joint training scheme of multitask learning suffers from inter-task interference, and diagnosis prediction among the multiple tasks has the generalizability issue due to rare diseases or unseen diagnoses. To solve these challenges, we propose a hypernetwork-based approach that generates task-conditioned parameters and coefficients of multitask prediction heads to learn task-specific prediction and balance the multitask learning. We also incorporate semantic task information to improves the generalizability of our task-conditioned multitask model. Experiments on early and discharge notes extracted from the real-world MIMIC database show our method can achieve better performance on multitask patient outcome prediction than strong baselines in most cases. Besides, our method can effectively handle the scenario with limited information and improve zero-shot prediction on unseen diagnosis categories., Comment: EACL 2023

Human coders assign standardized medical codes to clinical documents generated during patients' hospitalization, which is error-prone and labor-intensive. Automated medical coding approaches have been developed using machine learning methods such as deep neural networks. Nevertheless, automated medical coding is still challenging because of the imbalanced class problem, complex code association, and noise in lengthy documents. To solve these issues, we propose a novel neural network called Multitask Balanced and Recalibrated Neural Network. Significantly, the multitask learning scheme shares the relationship knowledge between different code branches to capture the code association. A recalibrated aggregation module is developed by cascading convolutional blocks to extract high-level semantic features that mitigate the impact of noise in documents. Also, the cascaded structure of the recalibrated module can benefit the learning from lengthy notes. To solve the class imbalanced problem, we deploy the focal loss to redistribute the attention of low and high-frequency medical codes. Experimental results show that our proposed model outperforms competitive baselines on a real-world clinical dataset MIMIC-III., Comment: Accepted by ACM Transactions on Intelligent Systems and Technology (TIST)

Despite the proven effectiveness of Transformer neural networks across multiple domains, their performance with Electronic Health Records (EHR) can be nuanced. The unique, multidimensional sequential nature of EHR data can sometimes make even simple linear models with carefully engineered features more competitive. Thus, the advantages of Transformers, such as efficient transfer learning and improved scalability are not always fully exploited in EHR applications. Addressing these challenges, we introduce SANSformer, an attention-free sequential model designed with specific inductive biases to cater for the unique characteristics of EHR data. In this work, we aim to forecast the demand for healthcare services, by predicting the number of patient visits to healthcare facilities. The challenge amplifies when dealing with divergent patient subgroups, like those with rare diseases, which are characterized by unique health trajectories and are typically smaller in size. To address this, we employ a self-supervised pretraining strategy, Generative Summary Pretraining (GSP), which predicts future summary statistics based on past health records of a patient. Our models are pretrained on a health registry of nearly one million patients, then fine-tuned for specific subgroup prediction tasks, showcasing the potential to handle the multifaceted nature of EHR data. In evaluation, SANSformer consistently surpasses robust EHR baselines, with our GSP pretraining method notably amplifying model performance, particularly within smaller patient subgroups. Our results illuminate the promising potential of tailored attention-free models and self-supervised pretraining in refining healthcare utilization predictions across various patient demographics., Comment: 17 pages, 11 figures, 11 tables, Submitted to an IEEE journal

With the acceleration of the pace of work and life, people have to face more and more pressure, which increases the possibility of suffering from depression. However, many patients may fail to get a timely diagnosis due to the serious imbalance in the doctor-patient ratio in the world. Promisingly, physiological and psychological studies have indicated some differences in speech and facial expression between patients with depression and healthy individuals. Consequently, to improve current medical care, many scholars have used deep learning to extract a representation of depression cues in audio and video for automatic depression detection. To sort out and summarize these works, this review introduces the databases and describes objective markers for automatic depression estimation (ADE). Furthermore, we review the deep learning methods for automatic depression detection to extract the representation of depression from audio and video. Finally, this paper discusses challenges and promising directions related to automatic diagnosing of depression using deep learning technologies.

Medical coding translates professionally written medical reports into standardized codes, which is an essential part of medical information systems and health insurance reimbursement. Manual coding by trained human coders is time-consuming and error-prone. Thus, automated coding algorithms have been developed, building especially on the recent advances in machine learning and deep neural networks. To solve the challenges of encoding lengthy and noisy clinical documents and capturing code associations, we propose a multitask recalibrated aggregation network. In particular, multitask learning shares information across different coding schemes and captures the dependencies between different medical codes. Feature recalibration and aggregation in shared modules enhance representation learning for lengthy notes. Experiments with a real-world MIMIC-III dataset show significantly improved predictive performance., Comment: ECML-PKDD 2021

Unsupervised pretraining is an integral part of many natural language processing systems, and transfer learning with language models has achieved remarkable results in many downstream tasks. In the clinical application of medical code assignment, diagnosis and procedure codes are inferred from lengthy clinical notes such as hospital discharge summaries. However, it is not clear if pretrained models are useful for medical code prediction without further architecture engineering. This paper conducts a comprehensive quantitative analysis of various contextualized language models' performance, pretrained in different domains, for medical code assignment from clinical notes. We propose a hierarchical fine-tuning architecture to capture interactions between distant words and adopt label-wise attention to exploit label information. Contrary to current trends, we demonstrate that a carefully trained classical CNN outperforms attention-based models on a MIMIC-III subset with frequent codes. Our empirical findings suggest directions for improving the medical code assignment application.

Using deep latent variable models in causal inference has attracted considerable interest recently, but an essential open question is their ability to yield consistent causal estimates. While they have demonstrated promising results and theory exists on some simple model formulations, we also know that causal effects are not even identifiable in general with latent variables. We investigate this gap between theory and empirical results with analytical considerations and extensive experiments under multiple synthetic and real-world data sets, using the causal effect variational autoencoder (CEVAE) as a case study. While CEVAE seems to work reliably under some simple scenarios, it does not estimate the causal effect correctly with a misspecified latent variable or a complex data distribution, as opposed to its original motivation. Hence, our results show that more attention should be paid to ensuring the correctness of causal estimates with deep latent variable models., Comment: 10 pages for main text + 19 pages for references and supplementary. 18 Figures

Medical code assignment from clinical text is a fundamental task in clinical information system management. As medical notes are typically lengthy and the medical coding system's code space is large, this task is a long-standing challenge. Recent work applies deep neural network models to encode the medical notes and assign medical codes to clinical documents. However, these methods are still ineffective as they do not fully encode and capture the lengthy and rich semantic information of medical notes nor explicitly exploit the interactions between the notes and codes. We propose a novel method, gated convolutional neural networks, and a note-code interaction (GatedCNN-NCI), for automatic medical code assignment to overcome these challenges. Our methods capture the rich semantic information of the lengthy clinical text for better representation by utilizing embedding injection and gated information propagation in the medical note encoding module. With a novel note-code interaction design and a graph message passing mechanism, we explicitly capture the underlying dependency between notes and codes, enabling effective code prediction. A weight sharing scheme is further designed to decrease the number of trainable parameters. Empirical experiments on real-world clinical datasets show that our proposed model outperforms state-of-the-art models in most cases, and our model size is on par with light-weighted baselines., Comment: Findings of ACL-IJCNLP 2021

Medical code assignment, which predicts medical codes from clinical texts, is a fundamental task of intelligent medical information systems. The emergence of deep models in natural language processing has boosted the development of automatic assignment methods. However, recent advanced neural architectures with flat convolutions or multi-channel feature concatenation ignore the sequential causal constraint within a text sequence and may not learn meaningful clinical text representations, especially for lengthy clinical notes with long-term sequential dependency. This paper proposes a Dilated Convolutional Attention Network (DCAN), integrating dilated convolutions, residual connections, and label attention, for medical code assignment. It adopts dilated convolutions to capture complex medical patterns with a receptive field which increases exponentially with dilation size. Experiments on a real-world clinical dataset empirically show that our model improves the state of the art., Comment: The 3rd Clinical Natural Language Processing Workshop at EMNLP 2020

Encoding domain knowledge into the prior over the high-dimensional weight space of a neural network is challenging but essential in applications with limited data and weak signals. Two types of domain knowledge are commonly available in scientific applications: 1. feature sparsity (fraction of features deemed relevant); 2. signal-to-noise ratio, quantified, for instance, as the proportion of variance explained (PVE). We show how to encode both types of domain knowledge into the widely used Gaussian scale mixture priors with Automatic Relevance Determination. Specifically, we propose a new joint prior over the local (i.e., feature-specific) scale parameters that encodes knowledge about feature sparsity, and a Stein gradient optimization to tune the hyperparameters in such a way that the distribution induced on the model's PVE matches the prior distribution. We show empirically that the new prior improves prediction accuracy, compared to existing neural network priors, on several publicly available datasets and in a genetics application where signals are weak and sparse, often outperforming even computationally intensive cross-validation for hyperparameter tuning., Comment: 25 pages, 8 figures, 4 tables

Human knowledge provides a formal understanding of the world. Knowledge graphs that represent structural relations between entities have become an increasingly popular research direction towards cognition and human-level intelligence. In this survey, we provide a comprehensive review of knowledge graph covering overall research topics about 1) knowledge graph representation learning, 2) knowledge acquisition and completion, 3) temporal knowledge graph, and 4) knowledge-aware applications, and summarize recent breakthroughs and perspective directions to facilitate future research. We propose a full-view categorization and new taxonomies on these topics. Knowledge graph embedding is organized from four aspects of representation space, scoring function, encoding models, and auxiliary information. For knowledge acquisition, especially knowledge graph completion, embedding methods, path inference, and logical rule reasoning, are reviewed. We further explore several emerging topics, including meta relational learning, commonsense reasoning, and temporal knowledge graphs. To facilitate future research on knowledge graphs, we also provide a curated collection of datasets and open-source libraries on different tasks. In the end, we have a thorough outlook on several promising research directions.

The computational efficiency of approximate Bayesian computation (ABC) has been improved by using surrogate models such as Gaussian processes (GP). In one such promising framework the discrepancy between the simulated and observed data is modelled with a GP which is further used to form a model-based estimator for the intractable posterior. In this article we improve this approach in several ways. We develop batch-sequential Bayesian experimental design strategies to parallellise the expensive simulations. In earlier work only sequential strategies have been used. Current surrogate-based ABC methods also do not fully account the uncertainty due to the limited budget of simulations as they output only a point estimate of the ABC posterior. We propose a numerical method to fully quantify the uncertainty in, for example, ABC posterior moments. We also provide some new analysis on the GP modelling assumptions in the resulting improved framework called Bayesian ABC and discuss its connection to Bayesian quadrature (BQ) and Bayesian optimisation (BO). Experiments with toy and real-world simulation models demonstrate advantages of the proposed techniques., Comment: Minor improvements and clarifications to the text over the previous version. 20 pages, 15 figures

Estimating the effect of a treatment on a given outcome, conditioned on a vector of covariates, is central in many applications. However, learning the impact of a treatment on a continuous temporal response, when the covariates suffer extensively from measurement error and even the timing of the treatments is uncertain, has not been addressed. We introduce a novel data-driven method that can estimate treatment-response trajectories in this challenging scenario. We model personalized treatment-response curves as a combination of parametric response functions, hierarchically sharing information across individuals, and a sparse Gaussian process for the baseline trend. Importantly, our model considers measurement error not only in treatment covariates, but also in treatment times, a problem which arises in practice for example when treatment information is based on self-reporting. In a challenging and timely problem of estimating the impact of diet on continuous blood glucose measurements, our model leads to significant improvements in estimation accuracy and prediction.

We consider Bayesian inference when only a limited number of noisy log-likelihood evaluations can be obtained. This occurs for example when complex simulator-based statistical models are fitted to data, and synthetic likelihood (SL) method is used to form the noisy log-likelihood estimates using computationally costly forward simulations. We frame the inference task as a sequential Bayesian experimental design problem, where the log-likelihood function is modelled with a hierarchical Gaussian process (GP) surrogate model, which is used to efficiently select additional log-likelihood evaluation locations. Motivated by recent progress in the related problem of batch Bayesian optimisation, we develop various batch-sequential design strategies which allow to run some of the potentially costly simulations in parallel. We analyse the properties of the resulting method theoretically and empirically. Experiments with several toy problems and simulation models suggest that our method is robust, highly parallelisable, and sample-efficient., Comment: Minor changes to the text. 37 pages, 18 figures

Estimating global pairwise interaction effects, i.e., the difference between the joint effect and the sum of marginal effects of two input features, with uncertainty properly quantified, is centrally important in science applications. We propose a non-parametric probabilistic method for detecting interaction effects of unknown form. First, the relationship between the features and the output is modelled using a Bayesian neural network, capable of representing complex interactions and principled uncertainty. Second, interaction effects and their uncertainty are estimated from the trained model. For the second step, we propose an intuitive global interaction measure: Bayesian Group Expected Hessian (GEH), which aggregates information of local interactions as captured by the Hessian. GEH provides a natural trade-off between type I and type II error and, moreover, comes with theoretical guarantees ensuring that the estimated interaction effects and their uncertainty can be improved by training a more accurate BNN. The method empirically outperforms available non-probabilistic alternatives on simulated and real-world data. Finally, we demonstrate its ability to detect interpretable interactions between higher-level features (at deeper layers of the neural network)., Comment: 8 pages

Bacterial populations that colonize a host play important roles in host health, including serving as a reservoir that transmits to other hosts and from which invasive strains emerge, thus emphasizing the importance of understanding rates of acquisition and clearance of colonizing populations. Studies of colonization dynamics have been based on assessment of whether serial samples represent a single population or distinct colonization events. A common solution to estimate acquisition and clearance rates is to use a fixed genetic distance threshold. However, this approach is often inadequate to account for the diversity of the underlying within-host evolving population, the time intervals between consecutive measurements, and the uncertainty in the estimated acquisition and clearance rates. Here, we summarize recently submitted work \cite{jarvenpaa2018named} and present a Bayesian model that provides probabilities of whether two strains should be considered the same, allowing to determine bacterial clearance and acquisition from genomes sampled over time. We explicitly model the within-host variation using population genetic simulation, and the inference is done by combining information from multiple data sources by using a combination of Approximate Bayesian Computation (ABC) and Markov Chain Monte Carlo (MCMC). We use the method to analyse a collection of methicillin resistant Staphylococcus aureus (MRSA) isolates., Comment: Machine Learning for Health (ML4H) Workshop at NeurIPS 2018 arXiv:1811.07216