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The adoption of large language models (LLMs) to assist clinicians has attracted remarkable attention. Existing works mainly adopt the close-ended question-answering (QA) task with answer options for evaluation. However, many clinical decisions involve answering open-ended questions without pre-set options. To better understand LLMs in the clinic, we construct a benchmark ClinicBench. We first collect eleven existing datasets covering diverse clinical language generation, understanding, and reasoning tasks. Furthermore, we construct six novel datasets and clinical tasks that are complex but common in real-world practice, e.g., open-ended decision-making, long document processing, and emerging drug analysis. We conduct an extensive evaluation of twenty-two LLMs under both zero-shot and few-shot settings. Finally, we invite medical experts to evaluate the clinical usefulness of LLMs. The benchmark data is available at https://github.com/AI-in-Health/ClinicBench., Comment: Accepted at EMNLP 2024 Main Conference

The lack of data democratization and information leakage from trained models hinder the development and acceptance of robust deep learning-based healthcare solutions. This paper argues that irreversible data encoding can provide an effective solution to achieve data democratization without violating the privacy constraints imposed on healthcare data and clinical models. An ideal encoding framework transforms the data into a new space where it is imperceptible to a manual or computational inspection. However, encoded data should preserve the semantics of the original data such that deep learning models can be trained effectively. This paper hypothesizes the characteristics of the desired encoding framework and then exploits random projections and random quantum encoding to realize this framework for dense and longitudinal or time-series data. Experimental evaluation highlights that models trained on encoded time-series data effectively uphold the information bottleneck principle and hence, exhibit lesser information leakage from trained models.

The prevalence of artificial intelligence (AI) has envisioned an era of healthcare democratisation that promises every stakeholder a new and better way of life. However, the advancement of clinical AI research is significantly hurdled by the dearth of data democratisation in healthcare. To truly democratise data for AI studies, challenges are two-fold: 1. the sensitive information in clinical data should be anonymised appropriately, and 2. AI-oriented clinical knowledge should flow freely across organisations. This paper considers a recent deep-learning advent, dataset condensation (DC), as a stone that kills two birds in democratising healthcare data. The condensed data after DC, which can be viewed as statistical metadata, abstracts original clinical records and irreversibly conceals sensitive information at individual levels; nevertheless, it still preserves adequate knowledge for learning deep neural networks (DNNs). More favourably, the compressed volumes and the accelerated model learnings of condensed data portray a more efficient clinical knowledge sharing and flowing system, as necessitated by data democratisation. We underline DC's prospects for democratising clinical data, specifically electrical healthcare records (EHRs), for AI research through experimental results and analysis across three healthcare datasets of varying data types.

External validation is often recommended to ensure the generalizability of ML models. However, it neither guarantees generalizability nor equates to a model's clinical usefulness (the ultimate goal of any clinical decision-support tool). External validation is misaligned with current healthcare ML needs. First, patient data changes across time, geography, and facilities. These changes create significant volatility in the performance of a single fixed model (especially for deep learning models, which dominate clinical ML). Second, newer ML techniques, current market forces, and updated regulatory frameworks are enabling frequent updating and monitoring of individual deployed model instances. We submit that external validation is insufficient to establish ML models' safety or utility. Proposals to fix the external validation paradigm do not go far enough. Continued reliance on it as the ultimate test is likely to lead us astray. We propose the MLOps-inspired paradigm of recurring local validation as an alternative that ensures the validity of models while protecting against performance-disruptive data variability. This paradigm relies on site-specific reliability tests before every deployment, followed by regular and recurrent checks throughout the life cycle of the deployed algorithm. Initial and recurrent reliability tests protect against performance-disruptive distribution shifts, and concept drifts that jeopardize patient safety.

Observational studies have recently received significant attention from the machine learning community due to the increasingly available non-experimental observational data and the limitations of the experimental studies, such as considerable cost, impracticality, small and less representative sample sizes, etc. In observational studies, de-confounding is a fundamental problem of individualised treatment effects (ITE) estimation. This paper proposes disentangled representations with adversarial training to selectively balance the confounders in the binary treatment setting for the ITE estimation. The adversarial training of treatment policy selectively encourages treatment-agnostic balanced representations for the confounders and helps to estimate the ITE in the observational studies via counterfactual inference. Empirical results on synthetic and real-world datasets, with varying degrees of confounding, prove that our proposed approach improves the state-of-the-art methods in achieving lower error in the ITE estimation., Comment: accepted to AISTATS 2023

In electronic health records (EHRs), irregular time-series (ITS) occur naturally due to patient health dynamics, reflected by irregular hospital visits, diseases/conditions and the necessity to measure different vitals signs at each visit etc. ITS present challenges in training machine learning algorithms which mostly are built on assumption of coherent fixed dimensional feature space. In this paper, we propose a novel COntinuous patient state PERceiver model, called COPER, to cope with ITS in EHRs. COPER uses Perceiver model and the concept of neural ordinary differential equations (ODEs) to learn the continuous time dynamics of patient state, i.e., continuity of input space and continuity of output space. The neural ODEs help COPER to generate regular time-series to feed to Perceiver model which has the capability to handle multi-modality large-scale inputs. To evaluate the performance of the proposed model, we use in-hospital mortality prediction task on MIMIC-III dataset and carefully design experiments to study irregularity. The results are compared with the baselines which prove the efficacy of the proposed model., Comment: 2 figures; presented in IEEE International Conference on Biomedical and Health Informatics (IEEE BHI-2022)

This paper proposes multiscale convolutional neural network (CNN)-based deep metric learning for bioacoustic classification, under low training data conditions. The proposed CNN is characterized by the utilization of four different filter sizes at each level to analyze input feature maps. This multiscale nature helps in describing different bioacoustic events effectively: smaller filters help in learning the finer details of bioacoustic events, whereas, larger filters help in analyzing a larger context leading to global details. A dynamic triplet loss is employed in the proposed CNN architecture to learn a transformation from the input space to the embedding space, where classification is performed. The triplet loss helps in learning this transformation by analyzing three examples, referred to as triplets, at a time where intra-class distance is minimized while maximizing the inter-class separation by a dynamically increasing margin. The number of possible triplets increases cubically with the dataset size, making triplet loss more suitable than the softmax cross-entropy loss in low training data conditions. Experiments on three different publicly available datasets show that the proposed framework performs better than existing bioacoustic classification frameworks. Experimental results also confirm the superiority of the triplet loss over the cross-entropy loss in low training data conditions, Comment: Under Review at JASA. Primitive version of paper. We are still working on getting better performances out of the comparative methods

This paper proposes a data-efficient, semi-supervised, two-pass framework for segmenting bird vocalizations. The framework utilizes a binary classification model to categorize frames of an input audio recording into the background or bird vocalization. The first pass of the framework automatically generates training labels from the input recording itself, while model training and classification is done during the second pass. The proposed framework utilizes a reference directional model for obtaining a feature representation called directional embeddings (DE). This reference directional model acts as an acoustic model for bird vocalizations and is obtained using the mixtures of Von-Mises Fisher distribution (moVMF). The proposed DE space only contains information about bird vocalizations, while no information about the background disturbances is reflected. The framework employs supervised information only for obtaining the reference directional model and avoids the background modeling. Hence, it can be regarded as semi-supervised in nature. The proposed framework is tested on approximately 79000 vocalizations of seven different bird species. The performance of the framework is also analyzed in the presence of noise at different SNRs. Experimental results convey that the proposed framework performs better than the existing bird vocalization segmentation methods., Comment: Accepted for publication in Applied Acoustics

In this work, we propose a supervised, convex representation based audio hashing framework for bird species classification. The proposed framework utilizes archetypal analysis, a matrix factorization technique, to obtain convex-sparse representations of a bird vocalization. These convex representations are hashed using Bloom filters with non-cryptographic hash functions to obtain compact binary codes, designated as conv-codes. The conv-codes extracted from the training examples are clustered using class-specific k-medoids clustering with Jaccard coefficient as the similarity metric. A hash table is populated using the cluster centers as keys while hash values/slots are pointers to the species identification information. During testing, the hash table is searched to find the species information corresponding to a cluster center that exhibits maximum similarity with the test conv-code. Hence, the proposed framework classifies a bird vocalization in the conv-code space and requires no explicit classifier or reconstruction error calculations. Apart from that, based on min-hash and direct addressing, we also propose a variant of the proposed framework that provides faster and effective classification. The performances of both these frameworks are compared with existing bird species classification frameworks on the audio recordings of 50 different bird species., Comment: Accepted for presentation at ICASSP 2019