Xiaoxue Han

Xiaoxue Han, Libo Zhang, Zining Zhu et al. · utoronto

We introduce Graph Concept Bottleneck (GCB) as a new paradigm for self-explainable text-attributed graph learning. GCB maps graphs into a subspace, concept bottleneck, where each concept is a meaningful phrase, and predictions are made based on the activation of these concepts. Unlike existing interpretable graph learning methods that primarily rely on subgraphs as explanations, the concept bottleneck provides a new form of interpretation. To refine the concept space, we apply the information bottleneck principle to focus on the most relevant concepts. This not only yields more concise and faithful explanations but also explicitly guides the model to "think" toward the correct decision. We empirically show that GCB achieves intrinsic interpretability with accuracy on par with black-box Graph Neural Networks. Moreover, it delivers better performance under distribution shifts and data perturbations, showing improved robustness and generalizability, benefitting from concept-guided prediction.

Pengfei Hu, Ming Fan, Xiaoxue Han et al.

Reservoir inflow prediction is crucial for water resource management, yet existing approaches mainly focus on single-reservoir models that ignore spatial dependencies among interconnected reservoirs. We introduce AdaTrip as an adaptive, time-varying graph learning framework for multi-reservoir inflow forecasting. AdaTrip constructs dynamic graphs where reservoirs are nodes with directed edges reflecting hydrological connections, employing attention mechanisms to automatically identify crucial spatial and temporal dependencies. Evaluation on thirty reservoirs in the Upper Colorado River Basin demonstrates superiority over existing baselines, with improved performance for reservoirs with limited records through parameter sharing. Additionally, AdaTrip provides interpretable attention maps at edge and time-step levels, offering insights into hydrological controls to support operational decision-making. Our code is available at https://github.com/humphreyhuu/AdaTrip.

Pengfei Hu, Fan Ming, Xiaoxue Han et al.

Deep learning models have shown promise in reservoir inflow prediction, yet their performance often deteriorates when applied to different reservoirs due to distributional differences, referred to as the domain shift problem. Domain generalization (DG) solutions aim to address this issue by extracting domain-invariant representations that mitigate errors in unseen domains. However, in hydrological settings, each reservoir exhibits unique inflow patterns, while some metadata beyond observations like spatial information exerts indirect but significant influence. This mismatch limits the applicability of conventional DG techniques to many-domain hydrological systems. To overcome these challenges, we propose HydroDCM, a scalable DG framework for cross-reservoir inflow forecasting. Spatial metadata of reservoirs is used to construct pseudo-domain labels that guide adversarial learning of invariant temporal features. During inference, HydroDCM adapts these features through light-weight conditioning layers informed by the target reservoir's metadata, reconciling DG's invariance with location-specific adaptation. Experiment results on 30 real-world reservoirs in the Upper Colorado River Basin demonstrate that our method substantially outperforms state-of-the-art DG baselines under many-domain conditions and remains computationally efficient.

Xiaoxue Han, Zhuo Feng, Yue Ning

Continual learning on graphs tackles the problem of training a graph neural network (GNN) where graph data arrive in a streaming fashion and the model tends to forget knowledge from previous tasks when updating with new data. Traditional continual learning strategies such as Experience Replay can be adapted to streaming graphs, however, these methods often face challenges such as inefficiency in preserving graph topology and incapability of capturing the correlation between old and new tasks. To address these challenges, we propose TA$\mathbb{CO}$, a (t)opology-(a)ware graph (co)arsening and (co)ntinual learning framework that stores information from previous tasks as a reduced graph. At each time period, this reduced graph expands by combining with a new graph and aligning shared nodes, and then it undergoes a "zoom out" process by reduction to maintain a stable size. We design a graph coarsening algorithm based on node representation proximities to efficiently reduce a graph and preserve topological information. We empirically demonstrate the learning process on the reduced graph can approximate that of the original graph. Our experiments validate the effectiveness of the proposed framework on three real-world datasets using different backbone GNN models.

Hsin-Ling Hsu, Cong-Tinh Dao, Luning Wang et al.

Despite recent success in applying large language models (LLMs) to electronic health records (EHR), most systems focus primarily on assessment rather than treatment planning. We identify three critical limitations in current approaches: they generate treatment plans in a single pass rather than following the sequential reasoning process used by clinicians; they rarely incorporate patient-specific historical context; and they fail to effectively distinguish between subjective and objective clinical information. Motivated by the SOAP methodology (Subjective, Objective, Assessment, Plan), we introduce \ours{}, a novel framework that structures LLM reasoning to align with real-life clinician workflows. Our approach employs a two-stage architecture that first generates a clinical assessment based on patient symptoms and objective data, then formulates a structured treatment plan informed by this assessment and enriched with patient-specific information through retrieval-augmented generation. Comprehensive evaluation demonstrates that our method significantly outperforms baseline approaches in both assessment accuracy and treatment plan quality.

Xiaoxue Han, Pengfei Hu, Jun-En Ding et al.

Deep learning models trained on extensive Electronic Health Records (EHR) data have achieved high accuracy in diagnosis prediction, offering the potential to assist clinicians in decision-making and treatment planning. However, these models lack two crucial features that clinicians highly value: interpretability and interactivity. The ``black-box'' nature of these models makes it difficult for clinicians to understand the reasoning behind predictions, limiting their ability to make informed decisions. Additionally, the absence of interactive mechanisms prevents clinicians from incorporating their own knowledge and experience into the decision-making process. To address these limitations, we propose II-KEA, a knowledge-enhanced agent-driven causal discovery framework that integrates personalized knowledge databases and agentic LLMs. II-KEA enhances interpretability through explicit reasoning and causal analysis, while also improving interactivity by allowing clinicians to inject their knowledge and experience through customized knowledge bases and prompts. II-KEA is evaluated on both MIMIC-III and MIMIC-IV, demonstrating superior performance along with enhanced interpretability and interactivity, as evidenced by its strong results from extensive case studies.

Pengfei Hu, Xiaoxue Han, Fei Wang et al.

Healthcare providers often divide patient populations into cohorts based on shared clinical factors, such as medical history, to deliver personalized healthcare services. This idea has also been adopted in clinical prediction models, where it presents a vital challenge: capturing both global and cohort-specific patterns while enabling model generalization to unseen domains. Addressing this challenge falls under the scope of domain generalization (DG). However, conventional DG approaches often struggle in clinical settings due to the absence of explicit domain labels and the inherent gap in medical knowledge. To address this, we propose UdonCare, a hierarchy-guided method that iteratively divides patients into latent domains and decomposes domain-invariant (label) information from patient data. Our method identifies patient domains by pruning medical ontologies (e.g. ICD-9-CM hierarchy). On two public datasets, MIMIC-III and MIMIC-IV, UdonCare shows superiority over eight baselines across four clinical prediction tasks with substantial domain gaps, highlighting the untapped potential of medical knowledge in guiding clinical domain generalization problems.

Xiaoxue Han, Huzefa Rangwala, Yue Ning

Graph Neural Networks (GNNs) are susceptible to distribution shifts, creating vulnerability and security issues in critical domains. There is a pressing need to enhance the generalizability of GNNs on out-of-distribution (OOD) test data. Existing methods that target learning an invariant (feature, structure)-label mapping often depend on oversimplified assumptions about the data generation process, which do not adequately reflect the actual dynamics of distribution shifts in graphs. In this paper, we introduce a more realistic graph data generation model using Structural Causal Models (SCMs), allowing us to redefine distribution shifts by pinpointing their origins within the generation process. Building on this, we propose a casual decoupling framework, DeCaf, that independently learns unbiased feature-label and structure-label mappings. We provide a detailed theoretical framework that shows how our approach can effectively mitigate the impact of various distribution shifts. We evaluate DeCaf across both real-world and synthetic datasets that demonstrate different patterns of shifts, confirming its efficacy in enhancing the generalizability of GNNs.

Eric Yang, Pengfei Hu, Xiaoxue Han et al.

The adoption of digital systems in healthcare has resulted in the accumulation of vast electronic health records (EHRs), offering valuable data for machine learning methods to predict patient health outcomes. However, single-visit records of patients are often neglected in the training process due to the lack of annotations of next-visit information, thereby limiting the predictive and expressive power of machine learning models. In this paper, we present a novel framework MPLite that utilizes Multi-aspect Pretraining with Lab results through a light-weight neural network to enhance medical concept representation and predict future health outcomes of individuals. By incorporating both structured medical data and additional information from lab results, our approach fully leverages patient admission records. We design a pretraining module that predicts medical codes based on lab results, ensuring robust prediction by fusing multiple aspects of features. Our experimental evaluation using both MIMIC-III and MIMIC-IV datasets demonstrates improvements over existing models in diagnosis prediction and heart failure prediction tasks, achieving a higher weighted-F1 and recall with MPLite. This work reveals the potential of integrating diverse aspects of data to advance predictive modeling in healthcare.