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The electrocardiogram (ECG) remains a fundamental tool in cardiac diagnostics, yet its interpretation traditionally reliant on the expertise of cardiologists. The emergence of deep learning has heralded a revolutionary era in medical data analysis, particularly in the domain of ECG diagnostics. However, inter-patient variability prohibit the generalibility of ECG-AI model trained on a population dataset, hence degrade the performance of ECG-AI on specific patient or patient group. Many studies have address this challenge using different deep learning technologies. This comprehensive review systematically synthesizes research from a wide range of studies to provide an in-depth examination of cutting-edge deep-learning techniques in personalized ECG diagnosis. The review outlines a rigorous methodology for the selection of pertinent scholarly articles and offers a comprehensive overview of deep learning approaches applied to personalized ECG diagnostics. Moreover, the challenges these methods encounter are investigated, along with future research directions, culminating in insights into how the integration of deep learning can transform personalized ECG diagnosis and enhance cardiac care. By emphasizing both the strengths and limitations of current methodologies, this review underscores the immense potential of deep learning to refine and redefine ECG analysis in clinical practice, paving the way for more accurate, efficient, and personalized cardiac diagnostics.

Diffusion Transformers (DiTs) have achieved remarkable success in diverse and high-quality text-to-image(T2I) generation. However, how text and image latents individually and jointly contribute to the semantics of generated images, remain largely unexplored. Through our investigation of DiT's latent space, we have uncovered key findings that unlock the potential for zero-shot fine-grained semantic editing: (1) Both the text and image spaces in DiTs are inherently decomposable. (2) These spaces collectively form a disentangled semantic representation space, enabling precise and fine-grained semantic control. (3) Effective image editing requires the combined use of both text and image latent spaces. Leveraging these insights, we propose a simple and effective Extract-Manipulate-Sample (EMS) framework for zero-shot fine-grained image editing. Our approach first utilizes a multi-modal Large Language Model to convert input images and editing targets into text descriptions. We then linearly manipulate text embeddings based on the desired editing degree and employ constrained score distillation sampling to manipulate image embeddings. We quantify the disentanglement degree of the latent space of diffusion models by proposing a new metric. To evaluate fine-grained editing performance, we introduce a comprehensive benchmark incorporating both human annotations, manual evaluation, and automatic metrics. We have conducted extensive experimental results and in-depth analysis to thoroughly uncover the semantic disentanglement properties of the diffusion transformer, as well as the effectiveness of our proposed method. Our annotated benchmark dataset is publicly available at https://anonymous.com/anonymous/EMS-Benchmark, facilitating reproducible research in this domain.

Teachers are important to imparting knowledge and guiding learners, and the role of large language models (LLMs) as potential educators is emerging as an important area of study. Recognizing LLMs' capability to generate educational content can lead to advances in automated and personalized learning. While LLMs have been tested for their comprehension and problem-solving skills, their capability in teaching remains largely unexplored. In teaching, questioning is a key skill that guides students to analyze, evaluate, and synthesize core concepts and principles. Therefore, our research introduces a benchmark to evaluate the questioning capability in education as a teacher of LLMs through evaluating their generated educational questions, utilizing Anderson and Krathwohl's taxonomy across general, monodisciplinary, and interdisciplinary domains. We shift the focus from LLMs as learners to LLMs as educators, assessing their teaching capability through guiding them to generate questions. We apply four metrics, including relevance, coverage, representativeness, and consistency, to evaluate the educational quality of LLMs' outputs. Our results indicate that GPT-4 demonstrates significant potential in teaching general, humanities, and science courses; Claude2 appears more apt as an interdisciplinary teacher. Furthermore, the automatic scores align with human perspectives., Comment: Accepted to ACL 2024

Electronic health records (EHRs) are multimodal by nature, consisting of structured tabular features like lab tests and unstructured clinical notes. In real-life clinical practice, doctors use complementary multimodal EHR data sources to get a clearer picture of patients' health and support clinical decision-making. However, most EHR predictive models do not reflect these procedures, as they either focus on a single modality or overlook the inter-modality interactions/redundancy. In this work, we propose MEDFuse, a Multimodal EHR Data Fusion framework that incorporates masked lab-test modeling and large language models (LLMs) to effectively integrate structured and unstructured medical data. MEDFuse leverages multimodal embeddings extracted from two sources: LLMs fine-tuned on free clinical text and masked tabular transformers trained on structured lab test results. We design a disentangled transformer module, optimized by a mutual information loss to 1) decouple modality-specific and modality-shared information and 2) extract useful joint representation from the noise and redundancy present in clinical notes. Through comprehensive validation on the public MIMIC-III dataset and the in-house FEMH dataset, MEDFuse demonstrates great potential in advancing clinical predictions, achieving over 90% F1 score in the 10-disease multi-label classification task.

In-context learning (ICL) with Large Vision Models (LVMs) presents a promising avenue in medical image segmentation by reducing the reliance on extensive labeling. However, the ICL performance of LVMs highly depends on the choices of visual prompts and suffers from domain shifts. While existing works leveraging LVMs for medical tasks have focused mainly on model-centric approaches like fine-tuning, we study an orthogonal data-centric perspective on how to select good visual prompts to facilitate generalization to medical domain. In this work, we propose a label-efficient in-context medical segmentation method by introducing a novel Meta-driven Visual Prompt Selection mechanism (MVPS), where a prompt retriever obtained from a meta-learning framework actively selects the optimal images as prompts to promote model performance and generalizability. Evaluated on 8 datasets and 4 tasks across 3 medical imaging modalities, our proposed approach demonstrates consistent gains over existing methods under different scenarios, improving both computational and label efficiency. Finally, we show that MVPS is a flexible, finetuning-free module that could be easily plugged into different backbones and combined with other model-centric approaches.

We propose Adam-mini, an optimizer that achieves on-par or better performance than AdamW with 45% to 50% less memory footprint. Adam-mini reduces memory by cutting down the learning rate resources in Adam (i.e., $1/\sqrt{v}$). We find that $\geq$ 90% of these learning rates in $v$ could be harmlessly removed if we (1) carefully partition the parameters into blocks following our proposed principle on Hessian structure; (2) assign a single but good learning rate to each parameter block. We further find that, for each of these parameter blocks, there exists a single high-quality learning rate that can outperform Adam, provided that sufficient resources are available to search it out. We then provide one cost-effective way to find good learning rates and propose Adam-mini. Empirically, we verify that Adam-mini performs on par or better than AdamW on various language models sized from 125M to 7B for pre-training, supervised fine-tuning, and RLHF. The reduced memory footprint of Adam-mini also alleviates communication overheads among GPUs and CPUs, thereby increasing throughput. For instance, Adam-mini achieves 49.6% higher throughput than AdamW when pre-training Llama2-7B on $2\times$ A800-80GB GPUs, which saves 33% wall-clock time for pre-training.

The deployment of large language models (LLMs) in healthcare has demonstrated substantial potential for enhancing clinical decision-making, administrative efficiency, and patient outcomes. However, the underrepresentation of diverse groups in the development and application of these models can perpetuate biases, leading to inequitable healthcare delivery. This paper presents a comprehensive scientometric analysis of LLM research for healthcare, including data from January 1, 2021, to July 1, 2024. By analyzing metadata from PubMed and Dimensions, including author affiliations, countries, and funding sources, we assess the diversity of contributors to LLM research. Our findings highlight significant gender and geographic disparities, with a predominance of male authors and contributions primarily from high-income countries (HICs). We introduce a novel journal diversity index based on Gini diversity to measure the inclusiveness of scientific publications. Our results underscore the necessity for greater representation in order to ensure the equitable application of LLMs in healthcare. We propose actionable strategies to enhance diversity and inclusivity in artificial intelligence research, with the ultimate goal of fostering a more inclusive and equitable future in healthcare innovation.

Large-scale multi-modal deep learning models have revolutionized domains such as healthcare, highlighting the importance of computational power. However, in resource-constrained regions like Low and Middle-Income Countries (LMICs), limited access to GPUs and data poses significant challenges, often leaving CPUs as the sole resource. To address this, we advocate for leveraging vector embeddings to enable flexible and efficient computational methodologies, democratizing multimodal deep learning across diverse contexts. Our paper investigates the efficiency and effectiveness of using vector embeddings from single-modal foundation models and multi-modal Vision-Language Models (VLMs) for multimodal deep learning in low-resource environments, particularly in healthcare. Additionally, we propose a simple yet effective inference-time method to enhance performance by aligning image-text embeddings. Comparing these approaches with traditional methods, we assess their impact on computational efficiency and model performance using metrics like accuracy, F1-score, inference time, training time, and memory usage across three medical modalities: BRSET (ophthalmology), HAM10000 (dermatology), and SatelliteBench (public health). Our findings show that embeddings reduce computational demands without compromising model performance. Furthermore, our alignment method improves performance in medical tasks. This research promotes sustainable AI practices by optimizing resources in constrained environments, highlighting the potential of embedding-based approaches for efficient multimodal learning. Vector embeddings democratize multimodal deep learning in LMICs, particularly in healthcare, enhancing AI adaptability in varied use cases.

In the big data era, integrating diverse data modalities poses significant challenges, particularly in complex fields like healthcare. This paper introduces a new process model for multimodal Data Fusion for Data Mining, integrating embeddings and the Cross-Industry Standard Process for Data Mining with the existing Data Fusion Information Group model. Our model aims to decrease computational costs, complexity, and bias while improving efficiency and reliability. We also propose "disentangled dense fusion", a novel embedding fusion method designed to optimize mutual information and facilitate dense inter-modality feature interaction, thereby minimizing redundant information. We demonstrate the model's efficacy through three use cases: predicting diabetic retinopathy using retinal images and patient metadata, domestic violence prediction employing satellite imagery, internet, and census data, and identifying clinical and demographic features from radiography images and clinical notes. The model achieved a Macro F1 score of 0.92 in diabetic retinopathy prediction, an R-squared of 0.854 and sMAPE of 24.868 in domestic violence prediction, and a macro AUC of 0.92 and 0.99 for disease prediction and sex classification, respectively, in radiological analysis. These results underscore the Data Fusion for Data Mining model's potential to significantly impact multimodal data processing, promoting its adoption in diverse, resource-constrained settings., Comment: 6 figures, 5 tables

Compositionality is a common property in many modalities including natural languages and images, but the compositional generalization of multi-modal models is not well-understood. In this paper, we identify two sources of visual-linguistic compositionality: linguistic priors and the interplay between images and texts. We show that current attempts to improve compositional generalization rely on linguistic priors rather than on information in the image. We also propose a new metric for compositionality without such linguistic priors.

Medical data poses a daunting challenge for AI algorithms: it exists in many different modalities, experiences frequent distribution shifts, and suffers from a scarcity of examples and labels. Recent advances, including transformers and self-supervised learning, promise a more universal approach that can be applied flexibly across these diverse conditions. To measure and drive progress in this direction, we present BenchMD: a benchmark that tests how well unified, modality-agnostic methods, including architectures and training techniques (e.g. self-supervised learning, ImageNet pretraining),perform on a diverse array of clinically-relevant medical tasks. BenchMD combines 19 publicly available datasets for 7 medical modalities, including 1D sensor data, 2D images, and 3D volumetric scans. Our benchmark reflects real-world data constraints by evaluating methods across a range of dataset sizes, including challenging few-shot settings that incentivize the use of pretraining. Finally, we evaluate performance on out-of-distribution data collected at different hospitals than the training data, representing naturally-occurring distribution shifts that frequently degrade the performance of medical AI models. Our baseline results demonstrate that no unified learning technique achieves strong performance across all modalities, leaving ample room for improvement on the benchmark. Code is released at https://github.com/rajpurkarlab/BenchMD.

Sparse coding, which refers to modeling a signal as sparse linear combinations of the elements of a learned dictionary, has proven to be a successful (and interpretable) approach in applications such as signal processing, computer vision, and medical imaging. While this success has spurred much work on provable guarantees for dictionary recovery when the learned dictionary is the same size as the ground-truth dictionary, work on the setting where the learned dictionary is larger (or over-realized) with respect to the ground truth is comparatively nascent. Existing theoretical results in this setting have been constrained to the case of noise-less data. We show in this work that, in the presence of noise, minimizing the standard dictionary learning objective can fail to recover the elements of the ground-truth dictionary in the over-realized regime, regardless of the magnitude of the signal in the data-generating process. Furthermore, drawing from the growing body of work on self-supervised learning, we propose a novel masking objective for which recovering the ground-truth dictionary is in fact optimal as the signal increases for a large class of data-generating processes. We corroborate our theoretical results with experiments across several parameter regimes showing that our proposed objective also enjoys better empirical performance than the standard reconstruction objective., Comment: 16 pages, 1 figure, ICML 2023

Mixup is a data augmentation technique that relies on training using random convex combinations of data points and their labels. In recent years, Mixup has become a standard primitive used in the training of state-of-the-art image classification models due to its demonstrated benefits over empirical risk minimization with regards to generalization and robustness. In this work, we try to explain some of this success from a feature learning perspective. We focus our attention on classification problems in which each class may have multiple associated features (or views) that can be used to predict the class correctly. Our main theoretical results demonstrate that, for a non-trivial class of data distributions with two features per class, training a 2-layer convolutional network using empirical risk minimization can lead to learning only one feature for almost all classes while training with a specific instantiation of Mixup succeeds in learning both features for every class. We also show empirically that these theoretical insights extend to the practical settings of image benchmarks modified to have multiple features., Comment: 37 pages, 2 figures, ICML 2023

In the Mixup training paradigm, a model is trained using convex combinations of data points and their associated labels. Despite seeing very few true data points during training, models trained using Mixup seem to still minimize the original empirical risk and exhibit better generalization and robustness on various tasks when compared to standard training. In this paper, we investigate how these benefits of Mixup training rely on properties of the data in the context of classification. For minimizing the original empirical risk, we compute a closed form for the Mixup-optimal classification, which allows us to construct a simple dataset on which minimizing the Mixup loss can provably lead to learning a classifier that does not minimize the empirical loss on the data. On the other hand, we also give sufficient conditions for Mixup training to also minimize the original empirical risk. For generalization, we characterize the margin of a Mixup classifier, and use this to understand why the decision boundary of a Mixup classifier can adapt better to the full structure of the training data when compared to standard training. In contrast, we also show that, for a large class of linear models and linearly separable datasets, Mixup training leads to learning the same classifier as standard training., Comment: 26 pages, 14 figures, Accepted to ICLR 2022 (Spotlight)

Over-parametrization is an important technique in training neural networks. In both theory and practice, training a larger network allows the optimization algorithm to avoid bad local optimal solutions. In this paper we study a closely related tensor decomposition problem: given an $l$-th order tensor in $(R^d)^{\otimes l}$ of rank $r$ (where $r\ll d$), can variants of gradient descent find a rank $m$ decomposition where $m > r$? We show that in a lazy training regime (similar to the NTK regime for neural networks) one needs at least $m = \Omega(d^{l-1})$, while a variant of gradient descent can find an approximate tensor when $m = O^*(r^{2.5l}\log d)$. Our results show that gradient descent on over-parametrized objective could go beyond the lazy training regime and utilize certain low-rank structure in the data., Comment: NeurIPS 2020; the first two authors contribute equally

Hessian captures important properties of the deep neural network loss landscape. Previous works have observed low rank structure in the Hessians of neural networks. In this paper, we propose a decoupling conjecture that decomposes the layer-wise Hessians of a network as the Kronecker product of two smaller matrices. We can analyze the properties of these smaller matrices and prove the structure of top eigenspace random 2-layer networks. The decoupling conjecture has several other interesting implications - top eigenspaces for different models have surprisingly high overlap, and top eigenvectors form low rank matrices when they are reshaped into the same shape as the corresponding weight matrix. All of these can be verified empirically for deeper networks. Finally, we use the structure of layer-wise Hessian to get better explicit generalization bounds for neural networks., Comment: 72 pages, 31 figures. Main text: 10 pages, 7 figures. First two authors have equal contribution and are in alphabetical order

In the classical multi-party computation setting, multiple parties jointly compute a function without revealing their own input data. We consider a variant of this problem, where the input data can be shared for machine learning training purposes, but the data are also encrypted so that they cannot be recovered by other parties. We present a rotation based method using flow model, and theoretically justified its security. We demonstrate the effectiveness of our method in different scenarios, including supervised secure model training, and unsupervised generative model training. Our code is available at https://github.com/ duchenzhuang/flowencrypt.

Choosing the right parameters for optimization algorithms is often the key to their success in practice. Solving this problem using a learning-to-learn approach -- using meta-gradient descent on a meta-objective based on the trajectory that the optimizer generates -- was recently shown to be effective. However, the meta-optimization problem is difficult. In particular, the meta-gradient can often explode/vanish, and the learned optimizer may not have good generalization performance if the meta-objective is not chosen carefully. In this paper we give meta-optimization guarantees for the learning-to-learn approach on a simple problem of tuning the step size for quadratic loss. Our results show that the na\"ive objective suffers from meta-gradient explosion/vanishing problem. Although there is a way to design the meta-objective so that the meta-gradient remains polynomially bounded, computing the meta-gradient directly using backpropagation leads to numerical issues. We also characterize when it is necessary to compute the meta-objective on a separate validation set to ensure the generalization performance of the learned optimizer. Finally, we verify our results empirically and show that a similar phenomenon appears even for more complicated learned optimizers parametrized by neural networks., Comment: ICML 2021. Added proof sketch