Jeya Balaji Balasubramanian

Jeya Balaji Balasubramanian, Daniel Adams, Ioannis Roxanis et al.

Background: Structured information extraction from unstructured histopathology reports facilitates data accessibility for clinical research. Manual extraction by experts is time-consuming and expensive, limiting scalability. Large language models (LLMs) offer efficient automated extraction through zero-shot prompting, requiring only natural language instructions without labeled data or training. We evaluate LLMs' accuracy in extracting structured information from breast cancer histopathology reports, compared to manual extraction by a trained human annotator. Methods: We developed the Medical Report Information Extractor, a web application leveraging LLMs for automated extraction. We developed a gold standard extraction dataset to evaluate the human annotator alongside five LLMs including GPT-4o, a leading proprietary model, and the Llama 3 model family, which allows self-hosting for data privacy. Our assessment involved 111 histopathology reports from the Breast Cancer Now (BCN) Generations Study, extracting 51 pathology features specified in the study's data dictionary. Results: Evaluation against the gold standard dataset showed that both Llama 3.1 405B (94.7% accuracy) and GPT-4o (96.1%) achieved extraction accuracy comparable to the human annotator (95.4%; p = 0.146 and p = 0.106, respectively). While Llama 3.1 70B (91.6%) performed below human accuracy (p <0.001), its reduced computational requirements make it a viable option for self-hosting. Conclusion: We developed an open-source tool for structured information extraction that can be customized by non-programmers using natural language. Its modular design enables reuse for various extraction tasks, producing standardized, structured data from unstructured text reports to facilitate analytics through improved accessibility and interoperability.

Ines N. Duarte, Praphulla M. S. Bhawsar, Lee K. Mason et al.

A recent report on "Learning the natural history of human disease with generative transformers" created an opportunity to assess the engineering challenge of delivering user-facing Generative AI applications in privacy-sensitive domains. The application of these models, particularly for personalized healthcare tasks like predicting individual morbidity risk, is typically constrained by data privacy concerns. This project was accordingly designed as an in-browser model deployment exercise (an "App") testing the architectural boundaries of client-side inference generation (no downloads or installations). We relied exclusively on the documentation provided in the reference report to develop the model, specifically testing the "R" component of the FAIR data principles: Findability, Accessibility, Interoperability, and Reusability. The successful model deployment, leveraging ONNX and a custom JavaScript SDK, establishes a secure, high-performance architectural blueprint for the future of private generative AI in medicine.

Jonas S Almeida, Daniel E Russ, Susana Vinga et al.

Motivation: With the advent of Language Models using Transformers, popularized by ChatGPT, there is a renewed interest in exploring encoding procedures that numerically represent symbolic sequences at multiple scales and embedding dimensions. The challenge that encoding addresses is the need for mechanisms that uniquely retain contextual information about the succession of individual symbols, which can then be modeled by nonlinear formulations such as neural networks. Context: Universal Sequence Maps(USM) are iterated functions that bijectively encode symbolic sequences onto embedded numerical spaces. USM is composed of two Chaos Game Representations (CGR), iterated forwardly and backwardly, that can be projected into the frequency domain (FCGR). The corresponding USM coordinates can be used to compute a Chebyshev distance metric as well as k-mer frequencies, without having to recompute the embedded numeric coordinates, and, paradoxically, allowing for non-integers values of k. Results: This report advances the bijective fractal encoding by Universal Sequence Maps (USM) by resolving seeding biases affecting the iterated process. The resolution had two results, the first expected, the second an intriguing outcome: 1) full reconciliation of numeric positioning with sequence identity; and 2) uncovering the nature of USM as an efficient numeric process converging towards a steady state sequence embedding solution. We illustrate these results for genomic sequences because of the convenience of a planar representation defined by an alphabet with only 4 tokens (the 4 nucleotides). Nevertheless, the application to alphabet of arbitrary cardinality was found to be straightforward.

Jeya Balaji Balasubramanian, Akshay Soni, Yashar Mehdad et al.

The content ranking problem in a social news website, is typically a function that maximizes a scalar metric of interest like dwell-time. However, like in most real-world applications we are interested in more than one metric---for instance simultaneously maximizing click-through rate, monetization metrics, dwell-time---and also satisfy the traffic requirements promised to different publishers. All this needs to be done on online data and under the settings where the objective function and the constraints can dynamically change; this could happen if for instance new publishers are added, some contracts are adjusted, or if some contracts are over. In this paper, we formulate this problem as a constrained, dynamic, multi-objective optimization problem. We propose a novel framework that extends a successful genetic optimization algorithm, NSGA-II, to solve this online, data-driven problem. We design the modules of NSGA-II to suit our problem. We evaluate optimization performance using Hypervolume and introduce a confidence interval metric for assessing the practicality of a solution. We demonstrate the application of this framework on a real-world Article Ranking problem. We observe that we make considerable improvements in both time and performance over a brute-force baseline technique that is currently in production.