David A. Clifton

Hang Yuan, Shing Chan, Andrew P. Creagh et al.

Advances in deep learning for human activity recognition have been relatively limited due to the lack of large labelled datasets. In this study, we leverage self-supervised learning techniques on the UK-Biobank activity tracker dataset--the largest of its kind to date--containing more than 700,000 person-days of unlabelled wearable sensor data. Our resulting activity recognition model consistently outperformed strong baselines across seven benchmark datasets, with an F1 relative improvement of 2.5%-100% (median 18.4%), the largest improvements occurring in the smaller datasets. In contrast to previous studies, our results generalise across external datasets, devices, and environments. Our open-source model will help researchers and developers to build customisable and generalisable activity classifiers with high performance.

Peng Jin, Jinfa Huang, Fenglin Liu et al. · oxford

Most video-and-language representation learning approaches employ contrastive learning, e.g., CLIP, to project the video and text features into a common latent space according to the semantic similarities of text-video pairs. However, such learned shared latent spaces are not often optimal, and the modality gap between visual and textual representation can not be fully eliminated. In this paper, we propose Expectation-Maximization Contrastive Learning (EMCL) to learn compact video-and-language representations. Specifically, we use the Expectation-Maximization algorithm to find a compact set of bases for the latent space, where the features could be concisely represented as the linear combinations of these bases. Such feature decomposition of video-and-language representations reduces the rank of the latent space, resulting in increased representing power for the semantics. Extensive experiments on three benchmark text-video retrieval datasets prove that our EMCL can learn more discriminative video-and-language representations than previous methods, and significantly outperform previous state-of-the-art methods across all metrics. More encouragingly, the proposed method can be applied to boost the performance of existing approaches either as a jointly training layer or an out-of-the-box inference module with no extra training, making it easy to be incorporated into any existing methods.

Omid Rohanian, Mohammadmahdi Nouriborji, Samaneh Kouchaki et al.

Language models pre-trained on biomedical corpora, such as BioBERT, have recently shown promising results on downstream biomedical tasks. Many existing pre-trained models, on the other hand, are resource-intensive and computationally heavy owing to factors such as embedding size, hidden dimension, and number of layers. The natural language processing (NLP) community has developed numerous strategies to compress these models utilising techniques such as pruning, quantisation, and knowledge distillation, resulting in models that are considerably faster, smaller, and subsequently easier to use in practice. By the same token, in this paper we introduce six lightweight models, namely, BioDistilBERT, BioTinyBERT, BioMobileBERT, DistilBioBERT, TinyBioBERT, and CompactBioBERT which are obtained either by knowledge distillation from a biomedical teacher or continual learning on the Pubmed dataset via the Masked Language Modelling (MLM) objective. We evaluate all of our models on three biomedical tasks and compare them with BioBERT-v1.1 to create efficient lightweight models that perform on par with their larger counterparts. All the models will be publicly available on our Huggingface profile at https://huggingface.co/nlpie and the codes used to run the experiments will be available at https://github.com/nlpie-research/Compact-Biomedical-Transformers.

Omid Rohanian, Mohammadmahdi Nouriborji, Hannah Jauncey et al.

Specialised pre-trained language models are becoming more frequent in NLP since they can potentially outperform models trained on generic texts. BioBERT and BioClinicalBERT are two examples of such models that have shown promise in medical NLP tasks. Many of these models are overparametrised and resource-intensive, but thanks to techniques like Knowledge Distillation (KD), it is possible to create smaller versions that perform almost as well as their larger counterparts. In this work, we specifically focus on development of compact language models for processing clinical texts (i.e. progress notes, discharge summaries etc). We developed a number of efficient lightweight clinical transformers using knowledge distillation and continual learning, with the number of parameters ranging from 15 million to 65 million. These models performed comparably to larger models such as BioBERT and ClinicalBioBERT and significantly outperformed other compact models trained on general or biomedical data. Our extensive evaluation was done across several standard datasets and covered a wide range of clinical text-mining tasks, including Natural Language Inference, Relation Extraction, Named Entity Recognition, and Sequence Classification. To our knowledge, this is the first comprehensive study specifically focused on creating efficient and compact transformers for clinical NLP tasks. The models and code used in this study can be found on our Huggingface profile at https://huggingface.co/nlpie and Github page at https://github.com/nlpie-research/Lightweight-Clinical-Transformers, respectively, promoting reproducibility of our results.

Omid Rohanian, Hannah Jauncey, Mohammadmahdi Nouriborji et al.

Processing information locked within clinical health records is a challenging task that remains an active area of research in biomedical NLP. In this work, we evaluate a broad set of machine learning techniques ranging from simple RNNs to specialised transformers such as BioBERT on a dataset containing clinical notes along with a set of annotations indicating whether a sample is cancer-related or not. Furthermore, we specifically employ efficient fine-tuning methods from NLP, namely, bottleneck adapters and prompt tuning, to adapt the models to our specialised task. Our evaluations suggest that fine-tuning a frozen BERT model pre-trained on natural language and with bottleneck adapters outperforms all other strategies, including full fine-tuning of the specialised BioBERT model. Based on our findings, we suggest that using bottleneck adapters in low-resource situations with limited access to labelled data or processing capacity could be a viable strategy in biomedical text mining. The code used in the experiments are going to be made available at https://github.com/omidrohanian/bottleneck-adapters.

Mohammadmahdi Nouriborji, Omid Rohanian, Samaneh Kouchaki et al.

Pre-trained Language Models (LMs) have become an integral part of Natural Language Processing (NLP) in recent years, due to their superior performance in downstream applications. In spite of this resounding success, the usability of LMs is constrained by computational and time complexity, along with their increasing size; an issue that has been referred to as `overparameterisation'. Different strategies have been proposed in the literature to alleviate these problems, with the aim to create effective compact models that nearly match the performance of their bloated counterparts with negligible performance losses. One of the most popular techniques in this area of research is model distillation. Another potent but underutilised technique is cross-layer parameter sharing. In this work, we combine these two strategies and present MiniALBERT, a technique for converting the knowledge of fully parameterised LMs (such as BERT) into a compact recursive student. In addition, we investigate the application of bottleneck adapters for layer-wise adaptation of our recursive student, and also explore the efficacy of adapter tuning for fine-tuning of compact models. We test our proposed models on a number of general and biomedical NLP tasks to demonstrate their viability and compare them with the state-of-the-art and other existing compact models. All the codes used in the experiments are available at https://github.com/nlpie-research/MiniALBERT. Our pre-trained compact models can be accessed from https://huggingface.co/nlpie.

Peng Xu, Xiatian Zhu, David A. Clifton

Transformer is a promising neural network learner, and has achieved great success in various machine learning tasks. Thanks to the recent prevalence of multimodal applications and big data, Transformer-based multimodal learning has become a hot topic in AI research. This paper presents a comprehensive survey of Transformer techniques oriented at multimodal data. The main contents of this survey include: (1) a background of multimodal learning, Transformer ecosystem, and the multimodal big data era, (2) a theoretical review of Vanilla Transformer, Vision Transformer, and multimodal Transformers, from a geometrically topological perspective, (3) a review of multimodal Transformer applications, via two important paradigms, i.e., for multimodal pretraining and for specific multimodal tasks, (4) a summary of the common challenges and designs shared by the multimodal Transformer models and applications, and (5) a discussion of open problems and potential research directions for the community.

Bang Yang, Fenglin Liu, Yuexian Zou et al. · oxford

Natural Language Generation (NLG) accepts input data in the form of images, videos, or text and generates corresponding natural language text as output. Existing NLG methods mainly adopt a supervised approach and rely heavily on coupled data-to-text pairs. However, for many targeted scenarios and for non-English languages, sufficient quantities of labeled data are often not available. To relax the dependency on labeled data of downstream tasks, we propose an intuitive and effective zero-shot learning framework, ZeroNLG, which can deal with multiple NLG tasks, including image-to-text (image captioning), video-to-text (video captioning), and text-to-text (neural machine translation), across English, Chinese, German, and French within a unified framework. ZeroNLG does not require any labeled downstream pairs for training. During training, ZeroNLG (i) projects different domains (across modalities and languages) to corresponding coordinates in a shared common latent space; (ii) bridges different domains by aligning their corresponding coordinates in this space; and (iii) builds an unsupervised multilingual auto-encoder to learn to generate text by reconstructing the input text given its coordinate in shared latent space. Consequently, during inference, based on the data-to-text pipeline, ZeroNLG can generate target sentences across different languages given the coordinate of input data in the common space. Within this unified framework, given visual (imaging or video) data as input, ZeroNLG can perform zero-shot visual captioning; given textual sentences as input, ZeroNLG can perform zero-shot machine translation. We present the results of extensive experiments on twelve NLG tasks, showing that, without using any labeled downstream pairs for training, ZeroNLG generates high-quality and believable outputs and significantly outperforms existing zero-shot methods.

Fenglin Liu, Bang Yang, Chenyu You et al. · oxford

Language models (LMs), including large language models (such as ChatGPT), have the potential to assist clinicians in generating various clinical notes. However, LMs are prone to produce ``hallucinations'', i.e., generated content that is not aligned with facts and knowledge. In this paper, we propose the Re$^3$Writer method with retrieval-augmented generation and knowledge-grounded reasoning to enable LMs to generate faithful clinical texts. We demonstrate the effectiveness of our method in generating patient discharge instructions. It requires the LMs not to only understand the patients' long clinical documents, i.e., the health records during hospitalization, but also to generate critical instructional information provided both to carers and to the patient at the time of discharge. The proposed Re$^3$Writer imitates the working patterns of physicians to first \textbf{re}trieve related working experience from historical instructions written by physicians, then \textbf{re}ason related medical knowledge. Finally, it \textbf{re}fines the retrieved working experience and reasoned medical knowledge to extract useful information, which is used to generate the discharge instructions for previously-unseen patients. Our experiments show that, using our method, the performance of five representative LMs can be substantially boosted across all metrics. Meanwhile, we show results from human evaluations to measure the effectiveness in terms of fluency, faithfulness, and comprehensiveness.

Vinod Kumar Chauhan, Soheila Molaei, Marzia Hoque Tania et al. · oxford

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.

Rushuang Zhou, Lei Lu, Zijun Liu et al.

Electrocardiography (ECG) is a non-invasive tool for predicting cardiovascular diseases (CVDs). Current ECG-based diagnosis systems show promising performance owing to the rapid development of deep learning techniques. However, the label scarcity problem, the co-occurrence of multiple CVDs and the poor performance on unseen datasets greatly hinder the widespread application of deep learning-based models. Addressing them in a unified framework remains a significant challenge. To this end, we propose a multi-label semi-supervised model (ECGMatch) to recognize multiple CVDs simultaneously with limited supervision. In the ECGMatch, an ECGAugment module is developed for weak and strong ECG data augmentation, which generates diverse samples for model training. Subsequently, a hyperparameter-efficient framework with neighbor agreement modeling and knowledge distillation is designed for pseudo-label generation and refinement, which mitigates the label scarcity problem. Finally, a label correlation alignment module is proposed to capture the co-occurrence information of different CVDs within labeled samples and propagate this information to unlabeled samples. Extensive experiments on four datasets and three protocols demonstrate the effectiveness and stability of the proposed model, especially on unseen datasets. As such, this model can pave the way for diagnostic systems that achieve robust performance on multi-label CVDs prediction with limited supervision.

Vinod Kumar Chauhan, Anshul Thakur, Odhran O'Donoghue et al.

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.

Xinshao Wang, Yang Hua, Elyor Kodirov et al.

There is a family of label modification approaches including self and non-self label correction (LC), and output regularisation. They are widely used for training robust deep neural networks (DNNs), but have not been mathematically and thoroughly analysed together. We study them and discover three key issues: (1) We are more interested in adopting Self LC as it leverages its own knowledge and requires no auxiliary models. However, it is unclear how to adaptively trust a learner as the training proceeds. (2) Some methods penalise while the others reward low-entropy (i.e., high-confidence) predictions, prompting us to ask which one is better. (3) Using the standard training setting, a learned model becomes less confident when severe noise exists. Self LC using high-entropy knowledge would generate high-entropy targets. To resolve the issue (1), inspired by a well-accepted finding, i.e., deep neural networks learn meaningful patterns before fitting noise, we propose a novel end-to-end method named ProSelfLC, which is designed according to the learning time and prediction entropy. Concretely, for any data point, we progressively and adaptively trust its predicted probability distribution versus its annotated one if a network has been trained for a relatively long time and the prediction is of low entropy. For the issue (2), the effectiveness of ProSelfLC defends entropy minimisation. By ProSelfLC, we empirically prove that it is more effective to redefine a semantic low-entropy state and optimise the learner toward it. To address the issue (3), we decrease the entropy of self knowledge using a low temperature before exploiting it to correct labels, so that the revised labels redefine low-entropy target probability distributions. We demonstrate the effectiveness of ProSelfLC through extensive experiments in both clean and noisy settings, and on both image and protein datasets.

Taha Ceritli, Andrew P. Creagh, David A. Clifton

A particular challenge for disease progression modeling is the heterogeneity of a disease and its manifestations in the patients. Existing approaches often assume the presence of a single disease progression characteristics which is unlikely for neurodegenerative disorders such as Parkinson's disease. In this paper, we propose a hierarchical time-series model that can discover multiple disease progression dynamics. The proposed model is an extension of an input-output hidden Markov model that takes into account the clinical assessments of patients' health status and prescribed medications. We illustrate the benefits of our model using a synthetically generated dataset and a real-world longitudinal dataset for Parkinson's disease.

Taha Ceritli, Ghadeer O. Ghosheh, Vinod Kumar Chauhan et al.

Electronic Health Records (EHRs) contain sensitive patient information, which presents privacy concerns when sharing such data. Synthetic data generation is a promising solution to mitigate these risks, often relying on deep generative models such as Generative Adversarial Networks (GANs). However, recent studies have shown that diffusion models offer several advantages over GANs, such as generation of more realistic synthetic data and stable training in generating data modalities, including image, text, and sound. In this work, we investigate the potential of diffusion models for generating realistic mixed-type tabular EHRs, comparing TabDDPM model with existing methods on four datasets in terms of data quality, utility, privacy, and augmentation. Our experiments demonstrate that TabDDPM outperforms the state-of-the-art models across all evaluation metrics, except for privacy, which confirms the trade-off between privacy and utility.

Jenny Yang, Rasheed El-Bouri, Odhran O'Donoghue et al.

With the rapid growth of memory and computing power, datasets are becoming increasingly complex and imbalanced. This is especially severe in the context of clinical data, where there may be one rare event for many cases in the majority class. We introduce an imbalanced classification framework, based on reinforcement learning, for training extremely imbalanced data sets, and extend it for use in multi-class settings. We combine dueling and double deep Q-learning architectures, and formulate a custom reward function and episode-training procedure, specifically with the added capability of handling multi-class imbalanced training. Using real-world clinical case studies, we demonstrate that our proposed framework outperforms current state-of-the-art imbalanced learning methods, achieving more fair and balanced classification, while also significantly improving the prediction of minority classes.

Xingrun Xing, Boyan Gao, Zheng Zhang et al.

Recent advancements in large language models (LLMs) with billions of parameters have improved performance in various applications, but their inference processes demand significant energy and computational resources. In contrast, the human brain, with approximately 86 billion neurons, is much more energy-efficient than LLMs with similar parameters. Inspired by this, we redesign 7$\sim$70 billion parameter LLMs using bio-plausible spiking mechanisms, emulating the efficient behavior of the human brain. We propose the first spiking large language model, SpikeLLM. Coupled with the proposed model, two essential approaches are proposed to improve spike training efficiency: Generalized Integrate-and-Fire (GIF) neurons to compress spike length from $T$ to $\frac{T}{L} \log_2 L$ bits, and an Optimal Brain Spiking framework to divide outlier channels and allocate different $T$ for GIF neurons, which further compresses spike length to approximate $log_2T$ bits. The necessity of spike-driven LLM is proved by comparison with quantized LLMs with similar operations. In the OmniQuant pipeline, SpikeLLM reduces 11.01% WikiText2 perplexity and improves 2.55% accuracy of common scene reasoning on a LLAMA-7B W4A4 model. In the GPTQ pipeline, SpikeLLM achieves direct additive in linear layers, significantly exceeding PB-LLMs.

Omid Rohanian, Mohammadmahdi Nouriborji, David A. Clifton

Large Language Models (LLMs), particularly those similar to ChatGPT, have significantly influenced the field of Natural Language Processing (NLP). While these models excel in general language tasks, their performance in domain-specific downstream tasks such as biomedical and clinical Named Entity Recognition (NER), Relation Extraction (RE), and Medical Natural Language Inference (NLI) is still evolving. In this context, our study investigates the potential of instruction tuning for biomedical language processing, applying this technique to two general LLMs of substantial scale. We present a comprehensive, instruction-based model trained on a dataset that consists of approximately $200,000$ instruction-focused samples. This dataset represents a carefully curated compilation of existing data, meticulously adapted and reformatted to align with the specific requirements of our instruction-based tasks. This initiative represents an important step in utilising such models to achieve results on par with specialised encoder-only models like BioBERT and BioClinicalBERT for various classical biomedical NLP tasks. Our work includes an analysis of the dataset's composition and its impact on model performance, providing insights into the intricacies of instruction tuning. By sharing our codes, models, and the distinctively assembled instruction-based dataset, we seek to encourage ongoing research and development in this area.

Mohammadmahdi Nouriborji, Omid Rohanian, David Clifton

This paper outlines the system using which team Nowruz participated in SemEval 2022 Task 7 Identifying Plausible Clarifications of Implicit and Underspecified Phrases for both subtasks A and B. Using a pre-trained transformer as a backbone, the model targeted the task of multi-task classification and ranking in the context of finding the best fillers for a cloze task related to instructional texts on the website Wikihow. The system employed a combination of two ordinal regression components to tackle this task in a multi-task learning scenario. According to the official leaderboard of the shared task, this system was ranked 5th in the ranking and 7th in the classification subtasks out of 21 participating teams. With additional experiments, the models have since been further optimised.

Fenglin Liu, Zheng Li, Hongjian Zhou et al.

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.

Omid Rohanian, Mohammadmahdi Nouriborji, Olena Seminog et al.

This paper introduces the Pandemic PACT Advanced Categorisation Engine (PPACE) along with its associated dataset. PPACE is a fine-tuned model developed to automatically classify research abstracts from funded biomedical projects according to WHO-aligned research priorities. This task is crucial for monitoring research trends and identifying gaps in global health preparedness and response. Our approach builds on human-annotated projects, which are allocated one or more categories from a predefined list. A large language model is then used to generate `rationales' explaining the reasoning behind these annotations. This augmented data, comprising expert annotations and rationales, is subsequently used to fine-tune a smaller, more efficient model. Developed as part of the Pandemic PACT project, which aims to track and analyse research funding and clinical evidence for a wide range of diseases with outbreak potential, PPACE supports informed decision-making by research funders, policymakers, and independent researchers. We introduce and release both the trained model and the instruction-based dataset used for its training. Our evaluation shows that PPACE significantly outperforms its baselines. The release of PPACE and its associated dataset offers valuable resources for researchers in multilabel biomedical document classification and supports advancements in aligning biomedical research with key global health priorities.

Niall Taylor, Upamanyu Ghose, Omid Rohanian et al.

The entry of large language models (LLMs) into research and commercial spaces has led to a trend of ever-larger models, with initial promises of generalisability, followed by a widespread desire to downsize and create specialised models without the need for complete fine-tuning, using Parameter Efficient Fine-tuning (PEFT) methods. We present an investigation into the suitability of different PEFT methods to clinical decision-making tasks, across a range of model sizes, including extremely small models with as few as $25$ million parameters. Our analysis shows that the performance of most PEFT approaches varies significantly from one task to another, with the exception of LoRA, which maintains relatively high performance across all model sizes and tasks, typically approaching or matching full fine-tuned performance. The effectiveness of PEFT methods in the clinical domain is evident, particularly for specialised models which can operate on low-cost, in-house computing infrastructure. The advantages of these models, in terms of speed and reduced training costs, dramatically outweighs any performance gain from large foundation LLMs. Furthermore, we highlight how domain-specific pre-training interacts with PEFT methods and model size, and discuss how these factors interplay to provide the best efficiency-performance trade-off. Full code available at: tbd.

Ruilin Yao, Bo Zhang, Jirui Huang et al.

Multimodal Large Language Models (MLLMs) have achieved significant advances in integrating visual and linguistic information, yet their ability to reason about complex and real-world scenarios remains limited. The existing benchmarks are usually constructed in the task-oriented manner without guarantee that different task samples come from the same data distribution, thus they often fall short in evaluating the synergistic effects of lower-level perceptual capabilities on higher-order reasoning. To lift this limitation, we contribute Lens, a multi-level benchmark with 3.4K contemporary images and 60K+ human-authored questions covering eight tasks and 12 daily scenarios, forming three progressive task tiers, i.e., perception, understanding, and reasoning. One feature is that each image is equipped with rich annotations for all tasks. Thus, this dataset intrinsically supports to evaluate MLLMs to handle image-invariable prompts, from basic perception to compositional reasoning. In addition, our images are manully collected from the social media, in which 53% were published later than Jan. 2025. We evaluate 15+ frontier MLLMs such as Qwen2.5-VL-72B, InternVL3-78B, GPT-4o and two reasoning models QVQ-72B-preview and Kimi-VL. These models are released later than Dec. 2024, and none of them achieve an accuracy greater than 60% in the reasoning tasks. Project page: https://github.com/Lens4MLLMs/lens. ICCV 2025 workshop page: https://lens4mllms.github.io/mars2-workshop-iccv2025/

Xin Wang, Ling Feng, Huijun Zhang et al.

Stress haunts people in modern society, which may cause severe health issues if left unattended. With social media becoming an integral part of daily life, leveraging social media to detect stress has gained increasing attention. While the majority of the work focuses on classifying stress states and stress categories, this study introduce a new task aimed at estimating more specific stressors (like exam, writing paper, etc.) through users' posts on social media. Unfortunately, the diversity of stressors with many different classes but a few examples per class, combined with the consistent arising of new stressors over time, hinders the machine understanding of stressors. To this end, we cast the stressor estimation problem within a practical scenario few-shot learning setting, and propose a novel meta-learning based stressor estimation framework that is enhanced by a meta-knowledge inheritance mechanism. This model can not only learn generic stressor context through meta-learning, but also has a good generalization ability to estimate new stressors with little labeled data. A fundamental breakthrough in our approach lies in the inclusion of the meta-knowledge inheritance mechanism, which equips our model with the ability to prevent catastrophic forgetting when adapting to new stressors. The experimental results show that our model achieves state-of-the-art performance compared with the baselines. Additionally, we construct a social media-based stressor estimation dataset that can help train artificial intelligence models to facilitate human well-being. The dataset is now public at \href{https://www.kaggle.com/datasets/xinwangcs/stressor-cause-of-mental-health-problem-dataset}{\underline{Kaggle}} and \href{https://huggingface.co/datasets/XinWangcs/Stressor}{\underline{Hugging Face}}.

Li Wang, Boyan Gao, Yanran Li et al.

Despite the groundbreaking success of diffusion models in generating high-fidelity images, their latent space remains relatively under-explored, even though it holds significant promise for enabling versatile and interpretable image editing capabilities. The complicated denoising trajectory and high dimensionality of the latent space make it extremely challenging to interpret. Existing methods mainly explore the feature space of U-Net in Diffusion Models (DMs) instead of the latent space itself. In contrast, we directly investigate the latent space via Singular Value Decomposition (SVD) and discover three useful properties that can be used to control generation results without the requirements of data collection and maintain identity fidelity generated images. Based on these properties, we propose a novel image editing framework that is capable of learning arbitrary attributes from one pair of latent codes destined by text prompts in Stable Diffusion Models. To validate our approach, extensive experiments are conducted to demonstrate its effectiveness and flexibility in image editing. We will release our codes soon to foster further research and applications in this area.

Rushuang Zhou, Lei Clifton, Zijun Liu et al.

The label scarcity problem is the main challenge that hinders the wide application of deep learning systems in automatic cardiovascular diseases (CVDs) detection using electrocardiography (ECG). Tuning pre-trained models alleviates this problem by transferring knowledge learned from large datasets to downstream small datasets. However, bottlenecks in computational efficiency and detection performance limit its clinical applications. It is difficult to improve the detection performance without significantly sacrificing the computational efficiency during model training. Here, we propose a computation-efficient semi-supervised learning paradigm (CE-SSL) for robust and computation-efficient CVDs detection using ECG. It enables a robust adaptation of pre-trained models on downstream datasets with limited supervision and high computational efficiency. First, a random-deactivation technique is developed to achieve robust and fast low-rank adaptation of pre-trained weights. Subsequently, we propose a one-shot rank allocation module to determine the optimal ranks for the update matrices of the pre-trained weights. Finally, a lightweight semi-supervised learning pipeline is introduced to enhance model performance by leveraging labeled and unlabeled data with high computational efficiency. Extensive experiments on four downstream datasets demonstrate that CE-SSL not only outperforms the state-of-the-art methods in multi-label CVDs detection but also consumes fewer GPU footprints, training time, and parameter storage space. As such, this paradigm provides an effective solution for achieving high computational efficiency and robust detection performance in the clinical applications of pre-trained models under limited supervision. Code and Supplementary Materials are available at https://github.com/KAZABANA/CE-SSL

Xinshao Wang, Yang Hua, Elyor Kodirov et al.

To train robust deep neural networks (DNNs), we systematically study several target modification approaches, which include output regularisation, self and non-self label correction (LC). Two key issues are discovered: (1) Self LC is the most appealing as it exploits its own knowledge and requires no extra models. However, how to automatically decide the trust degree of a learner as training goes is not well answered in the literature? (2) Some methods penalise while the others reward low-entropy predictions, prompting us to ask which one is better? To resolve the first issue, taking two well-accepted propositions--deep neural networks learn meaningful patterns before fitting noise [3] and minimum entropy regularisation principle [10]--we propose a novel end-to-end method named ProSelfLC, which is designed according to learning time and entropy. Specifically, given a data point, we progressively increase trust in its predicted label distribution versus its annotated one if a model has been trained for enough time and the prediction is of low entropy (high confidence). For the second issue, according to ProSelfLC, we empirically prove that it is better to redefine a meaningful low-entropy status and optimise the learner toward it. This serves as a defence of entropy minimisation. We demonstrate the effectiveness of ProSelfLC through extensive experiments in both clean and noisy settings. The source code is available at https://github.com/XinshaoAmosWang/ProSelfLC-CVPR2021. Keywords: entropy minimisation, maximum entropy, confidence penalty, self knowledge distillation, label correction, label noise, semi-supervised learning, output regularisation

Xin Wang, Boyan Gao, Yi Dai et al.

Stress is a pervasive global health issue that can lead to severe mental health problems. Early detection offers timely intervention and prevention of stress-related disorders. The current early detection models perform "black box" inference suffering from limited explainability and trust which blocks the real-world clinical application. Thanks to the generative properties introduced by the Large Language Models (LLMs), the decision and the prediction from such models are semi-interpretable through the corresponding description. However, the existing LLMs are mostly trained for general purposes without the guidance of psychological cognitive theory. To this end, we first highlight the importance of prior theory with the observation of performance boosted by the chain-of-thoughts tailored for stress detection. This method termed Cognition Chain explicates the generation of stress through a step-by-step cognitive perspective based on cognitive appraisal theory with a progress pipeline: Stimulus $\rightarrow$ Evaluation $\rightarrow$ Reaction $\rightarrow$ Stress State, guiding LLMs to provide comprehensive reasoning explanations. We further study the benefits brought by the proposed Cognition Chain format by utilising it as a synthetic dataset generation template for LLMs instruction-tuning and introduce CogInstruct, an instruction-tuning dataset for stress detection. This dataset is developed using a three-stage self-reflective annotation pipeline that enables LLMs to autonomously generate and refine instructional data. By instruction-tuning Llama3 with CogInstruct, we develop CogLLM, an explainable stress detection model. Evaluations demonstrate that CogLLM achieves outstanding performance while enhancing explainability. Our work contributes a novel approach by integrating cognitive theories into LLM reasoning processes, offering a promising direction for future explainable AI research.

Vinod Kumar Chauhan, Lei Clifton, Achille Salaün et al. · oxford

While machine learning algorithms hold promise for personalised medicine, their clinical adoption remains limited, partly due to biases that can compromise the reliability of predictions. In this paper, we focus on sample selection bias (SSB), a specific type of bias where the study population is less representative of the target population, leading to biased and potentially harmful decisions. Despite being well-known in the literature, SSB remains scarcely studied in machine learning for healthcare. Moreover, the existing machine learning techniques try to correct the bias mostly by balancing distributions between the study and the target populations, which may result in a loss of predictive performance. To address these problems, our study illustrates the potential risks associated with SSB by examining SSB's impact on the performance of machine learning algorithms. Most importantly, we propose a new research direction for addressing SSB, based on the target population identification rather than the bias correction. Specifically, we propose two independent networks(T-Net) and a multitasking network (MT-Net) for addressing SSB, where one network/task identifies the target subpopulation which is representative of the study population and the second makes predictions for the identified subpopulation. Our empirical results with synthetic and semi-synthetic datasets highlight that SSB can lead to a large drop in the performance of an algorithm for the target population as compared with the study population, as well as a substantial difference in the performance for the target subpopulations that are representative of the selected and the non-selected patients from the study population. Furthermore, our proposed techniques demonstrate robustness across various settings, including different dataset sizes, event rates, and selection rates, outperforming the existing bias correction techniques.

James Anibal, Hannah Huth, Ming Li et al.

Artificial intelligence (AI) models trained on audio data may have the potential to rapidly perform clinical tasks, enhancing medical decision-making and potentially improving outcomes through early detection. Existing technologies depend on limited datasets collected with expensive recording equipment in high-income countries, which challenges deployment in resource-constrained, high-volume settings where audio data may have a profound impact on health equity. This report introduces a novel data type and a corresponding collection system that captures health data through guided questions using only a mobile/web application. The app facilitates the collection of an audio electronic health record (Voice EHR) which may contain complex biomarkers of health from conventional voice/respiratory features, speech patterns, and spoken language with semantic meaning and longitudinal context, potentially compensating for the typical limitations of unimodal clinical datasets. This report presents the application used for data collection, initial experiments on data quality, and case studies which demonstrate the potential of voice EHR to advance the scalability/diversity of audio AI.

Peng Xu, Shengwu Xiong, Jiajun Zhang et al.

This paper reviews the MARS2 2025 Challenge on Multimodal Reasoning. We aim to bring together different approaches in multimodal machine learning and LLMs via a large benchmark. We hope it better allows researchers to follow the state-of-the-art in this very dynamic area. Meanwhile, a growing number of testbeds have boosted the evolution of general-purpose large language models. Thus, this year's MARS2 focuses on real-world and specialized scenarios to broaden the multimodal reasoning applications of MLLMs. Our organizing team released two tailored datasets Lens and AdsQA as test sets, which support general reasoning in 12 daily scenarios and domain-specific reasoning in advertisement videos, respectively. We evaluated 40+ baselines that include both generalist MLLMs and task-specific models, and opened up three competition tracks, i.e., Visual Grounding in Real-world Scenarios (VG-RS), Visual Question Answering with Spatial Awareness (VQA-SA), and Visual Reasoning in Creative Advertisement Videos (VR-Ads). Finally, 76 teams from the renowned academic and industrial institutions have registered and 40+ valid submissions (out of 1200+) have been included in our ranking lists. Our datasets, code sets (40+ baselines and 15+ participants' methods), and rankings are publicly available on the MARS2 workshop website and our GitHub organization page https://github.com/mars2workshop/, where our updates and announcements of upcoming events will be continuously provided.

Edward Phillips, Sean Wu, Soheila Molaei et al.

Large language models demonstrate impressive results across diverse tasks but are still known to hallucinate, generating linguistically plausible but incorrect answers to questions. Uncertainty quantification has been proposed as a strategy for hallucination detection, but no existing black-box approach provides estimates for both global and local uncertainty. The former attributes uncertainty to a batch of responses, while the latter attributes uncertainty to individual responses. Current local methods typically rely on white-box access to internal model states, whilst black-box methods only provide global uncertainty estimates. We introduce a geometric framework to address this, based on archetypal analysis of batches of responses sampled with only black-box model access. At the global level, we propose Geometric Volume, which measures the convex hull volume of archetypes derived from response embeddings. At the local level, we propose Geometric Suspicion, which ranks responses by reliability and enables hallucination reduction through preferential response selection. Unlike prior dispersion methods which yield only a single global score, our approach provides semantic boundary points which have utility for attributing reliability to individual responses. Experiments show that our framework performs comparably to or better than prior methods on short form question-answering datasets, and achieves superior results on medical datasets where hallucinations carry particularly critical risks. We also provide theoretical justification by proving a link between convex hull volume and entropy.

Pramit Saha, Felix Wagner, Divyanshu Mishra et al.

Effective training of large Vision-Language Models (VLMs) on resource-constrained client devices in Federated Learning (FL) requires the usage of parameter-efficient fine-tuning (PEFT) strategies. To this end, we demonstrate the impact of two factors \textit{viz.}, client-specific layer importance score that selects the most important VLM layers for fine-tuning and inter-client layer diversity score that encourages diverse layer selection across clients for optimal VLM layer selection. We first theoretically motivate and leverage the principal eigenvalue magnitude of layerwise Neural Tangent Kernels and show its effectiveness as client-specific layer importance score. Next, we propose a novel layer updating strategy dubbed F$^3$OCUS that jointly optimizes the layer importance and diversity factors by employing a data-free, multi-objective, meta-heuristic optimization on the server. We explore 5 different meta-heuristic algorithms and compare their effectiveness for selecting model layers and adapter layers towards PEFT-FL. Furthermore, we release a new MedVQA-FL dataset involving overall 707,962 VQA triplets and 9 modality-specific clients and utilize it to train and evaluate our method. Overall, we conduct more than 10,000 client-level experiments on 6 Vision-Language FL task settings involving 58 medical image datasets and 4 different VLM architectures of varying sizes to demonstrate the effectiveness of the proposed method.

Ayush Noori, Joaquín Polonuer, Katharina Meyer et al.

Neurological diseases are the leading global cause of disability, yet most lack disease-modifying treatments. We present PROTON, a heterogeneous graph transformer that generates testable hypotheses across molecular, organoid, and clinical systems. To evaluate PROTON, we apply it to Parkinson's disease (PD), bipolar disorder (BD), and Alzheimer's disease (AD). In PD, PROTON linked genetic risk loci to genes essential for dopaminergic neuron survival and predicted pesticides toxic to patient-derived neurons, including the insecticide endosulfan, which ranked within the top 1.29% of predictions. In silico screens performed by PROTON reproduced six genome-wide $α$-synuclein experiments, including a split-ubiquitin yeast two-hybrid system (normalized enrichment score [NES] = 2.30, FDR-adjusted $p < 1 \times 10^{-4}$), an ascorbate peroxidase proximity labeling assay (NES = 2.16, FDR $< 1 \times 10^{-4}$), and a high-depth targeted exome sequencing study in 496 synucleinopathy patients (NES = 2.13, FDR $< 1 \times 10^{-4}$). In BD, PROTON predicted calcitriol as a candidate drug that reversed proteomic alterations observed in cortical organoids derived from BD patients. In AD, we evaluated PROTON predictions in health records from $n = 610,524$ patients at Mass General Brigham, confirming that five PROTON-predicted drugs were associated with reduced seven-year dementia risk (minimum hazard ratio = 0.63, 95% CI: 0.53-0.75, $p < 1 \times 10^{-7}$). PROTON generated neurological hypotheses that were evaluated across molecular, organoid, and clinical systems, defining a path for AI-driven discovery in neurological disease.

Pafue Christy Nganjimi, Andrew Soltan, Danielle Belgrave et al.

Dataset condensation (DC) enables the creation of compact, privacy-preserving synthetic datasets that can match the utility of real patient records, supporting democratised access to highly regulated clinical data for developing downstream clinical models. State-of-the-art DC methods supervise synthetic data by aligning the training dynamics of models trained on real and those trained on synthetic data, typically using full stochastic gradient descent (SGD) trajectories as alignment targets; however, these trajectories are often noisy, high-curvature, and storage-intensive, leading to unstable gradients, slow convergence, and substantial memory overhead. We address these limitations by replacing full SGD trajectories with smooth, low-loss parametric surrogates, specifically quadratic Bézier curves that connect the initial and final model states from real training trajectories. These mode-connected paths provide noise-free, low-curvature supervision signals that stabilise gradients, accelerate convergence, and eliminate the need for dense trajectory storage. We theoretically justify Bézier-mode connections as effective surrogates for SGD paths and empirically show that the proposed method outperforms state-of-the-art condensation approaches across five clinical datasets, yielding condensed datasets that enable clinically effective model development.

Ayush Noori, Adam Rodman, Alan Karthikesalingam et al.

Modern computer systems often rely on syslog, a simple, universal protocol that records every critical event across heterogeneous infrastructure. However, healthcare's rapidly growing clinical AI stack has no equivalent. As hospitals rush to pilot large language models and other AI-based clinical decision support tools, we still lack a standard way to record how, when, by whom, and for whom these AI models are used. Without that transparency and visibility, it is challenging to measure real-world performance and outcomes, detect adverse events, or correct bias or dataset drift. In the spirit of syslog, we introduce MedLog, a protocol for event-level logging of clinical AI. Any time an AI model is invoked to interact with a human, interface with another algorithm, or act independently, a MedLog record is created. This record consists of nine core fields: header, model, user, target, inputs, artifacts, outputs, outcomes, and feedback, providing a structured and consistent record of model activity. To encourage early adoption, especially in low-resource settings, and minimize the data footprint, MedLog supports risk-based sampling, lifecycle-aware retention policies, and write-behind caching; detailed traces for complex, agentic, or multi-stage workflows can also be captured under MedLog. MedLog can catalyze the development of new databases and software to store and analyze MedLog records. Realizing this vision would enable continuous surveillance, auditing, and iterative improvement of medical AI, laying the foundation for a new form of digital epidemiology.

Boyan Gao, Xin Wang, Yibo Yang et al.

Large Language Models (LLMs) have demonstrated remarkable performance in real-world applications. However, adapting LLMs to novel tasks via fine-tuning often requires substantial training data and computational resources that are impractical in few-shot scenarios. Existing approaches, such as in-context learning and Parameter-Efficient Fine-Tuning (PEFT), face key limitations: in-context learning introduces additional inference computational overhead with limited performance gains, while PEFT models are prone to overfitting on the few demonstration examples. In this work, we reinterpret the forward pass of LLMs as an optimization process, a sequence of preconditioned gradient descent steps refining internal representations. Based on this connection, we propose Optimization-Inspired Few-Shot Adaptation (OFA), integrating a parameterization that learns preconditioners without introducing additional trainable parameters, and an objective that improves optimization efficiency by learning preconditioners based on a convergence bound, while simultaneously steering the optimization path toward the flat local minimum. Our method overcomes both issues of ICL-based and PEFT-based methods, and demonstrates superior performance over the existing methods on a variety of few-shot adaptation tasks in experiments.

Fengxiang Bie, Yibo Yang, Zhongzhu Zhou et al.

Text-to-image generation (TTI) refers to the usage of models that could process text input and generate high fidelity images based on text descriptions. Text-to-image generation using neural networks could be traced back to the emergence of Generative Adversial Network (GAN), followed by the autoregressive Transformer. Diffusion models are one prominent type of generative model used for the generation of images through the systematic introduction of noises with repeating steps. As an effect of the impressive results of diffusion models on image synthesis, it has been cemented as the major image decoder used by text-to-image models and brought text-to-image generation to the forefront of machine-learning (ML) research. In the era of large models, scaling up model size and the integration with large language models have further improved the performance of TTI models, resulting the generation result nearly indistinguishable from real-world images, revolutionizing the way we retrieval images. Our explorative study has incentivised us to think that there are further ways of scaling text-to-image models with the combination of innovative model architectures and prediction enhancement techniques. We have divided the work of this survey into five main sections wherein we detail the frameworks of major literature in order to delve into the different types of text-to-image generation methods. Following this we provide a detailed comparison and critique of these methods and offer possible pathways of improvement for future work. In the future work, we argue that TTI development could yield impressive productivity improvements for creation, particularly in the context of the AIGC era, and could be extended to more complex tasks such as video generation and 3D generation.

Vinod Kumar Chauhan, Jiandong Zhou, Ghadeer Ghosheh et al.

Estimation of individualized treatment effects (ITE) from observational studies is a fundamental problem in causal inference and holds significant importance across domains, including healthcare. However, limited observational datasets pose challenges in reliable ITE estimation as data have to be split among treatment groups to train an ITE learner. While information sharing among treatment groups can partially alleviate the problem, there is currently no general framework for end-to-end information sharing in ITE estimation. To tackle this problem, we propose a deep learning framework based on `\textit{soft weight sharing}' to train ITE learners, enabling \textit{dynamic end-to-end} information sharing among treatment groups. The proposed framework complements existing ITE learners, and introduces a new class of ITE learners, referred to as \textit{HyperITE}. We extend state-of-the-art ITE learners with \textit{HyperITE} versions and evaluate them on IHDP, ACIC-2016, and Twins benchmarks. Our experimental results show that the proposed framework improves ITE estimation error, with increasing effectiveness for smaller datasets.

Yujiang Wang, Anshul Thakur, Mingzhi Dong et al.

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.

Anshul Thakur, Tingting Zhu, Vinayak Abrol et al.

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.

Alex Youssef, Michael Pencina, Anshul Thakur et al.

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.

Anna Antoniou, Giacomo Dossena, Julia MacMillan et al.

Objective: The use of routinely-acquired medical data for research purposes requires the protection of patient confidentiality via data anonymisation. The objective of this work is to calculate the risk of re-identification arising from a malicious attack to an anonymised dataset, as described below. Methods: We first present an analytical means of estimating the probability of re-identification of a single patient in a k-anonymised dataset of Electronic Health Record (EHR) data. Second, we generalize this solution to obtain the probability of multiple patients being re-identified. We provide synthetic validation via Monte Carlo simulations to illustrate the accuracy of the estimates obtained. Results: The proposed analytical framework for risk estimation provides re-identification probabilities that are in agreement with those provided by simulation in a number of scenarios. Our work is limited by conservative assumptions which inflate the re-identification probability. Discussion: Our estimates show that the re-identification probability increases with the proportion of the dataset maliciously obtained and that it has an inverse relationship with the equivalence class size. Our recursive approach extends the applicability domain to the general case of a multi-patient re-identification attack in an arbitrary k-anonymisation scheme. Conclusion: We prescribe a systematic way to parametrize the k-anonymisation process based on a pre-determined re-identification probability. We observed that the benefits of a reduced re-identification risk that come with increasing k-size may not be worth the reduction in data granularity when one is considering benchmarking the re-identification probability on the size of the portion of the dataset maliciously obtained by the adversary.

Shuhao Cao, Peng Xu, David A. Clifton

"Masked Autoencoders (MAE) Are Scalable Vision Learners" revolutionizes the self-supervised learning method in that it not only achieves the state-of-the-art for image pre-training, but is also a milestone that bridges the gap between visual and linguistic masked autoencoding (BERT-style) pre-trainings. However, to our knowledge, to date there are no theoretical perspectives to explain the powerful expressivity of MAE. In this paper, we, for the first time, propose a unified theoretical framework that provides a mathematical understanding for MAE. Specifically, we explain the patch-based attention approaches of MAE using an integral kernel under a non-overlapping domain decomposition setting. To help the research community to further comprehend the main reasons of the great success of MAE, based on our framework, we pose five questions and answer them with mathematical rigor using insights from operator theory.

Omid Rohanian, Samaneh Kouchaki, Andrew Soltan et al.

Early detection of COVID-19 is an ongoing area of research that can help with triage, monitoring and general health assessment of potential patients and may reduce operational strain on hospitals that cope with the coronavirus pandemic. Different machine learning techniques have been used in the literature to detect coronavirus using routine clinical data (blood tests, and vital signs). Data breaches and information leakage when using these models can bring reputational damage and cause legal issues for hospitals. In spite of this, protecting healthcare models against leakage of potentially sensitive information is an understudied research area. In this work, we examine two machine learning approaches, intended to predict a patient's COVID-19 status using routinely collected and readily available clinical data. We employ adversarial training to explore robust deep learning architectures that protect attributes related to demographic information about the patients. The two models we examine in this work are intended to preserve sensitive information against adversarial attacks and information leakage. In a series of experiments using datasets from the Oxford University Hospitals, Bedfordshire Hospitals NHS Foundation Trust, University Hospitals Birmingham NHS Foundation Trust, and Portsmouth Hospitals University NHS Trust we train and test two neural networks that predict PCR test results using information from basic laboratory blood tests, and vital signs performed on a patients' arrival to hospital. We assess the level of privacy each one of the models can provide and show the efficacy and robustness of our proposed architectures against a comparable baseline. One of our main contributions is that we specifically target the development of effective COVID-19 detection models with built-in mechanisms in order to selectively protect sensitive attributes against adversarial attacks.

Rasheed el-Bouri, Tingting Zhu, David A. Clifton

Given the abundance and ease of access of personal data today, individual privacy has become of paramount importance, particularly in the healthcare domain. In this work, we aim to utilise patient data extracted from multiple hospital data centres to train a machine learning model without sacrificing patient privacy. We develop a scheduling algorithm in conjunction with a student-teacher algorithm that is deployed in a federated manner. This allows a central model to learn from batches of data at each federal node. The teacher acts between data centres to update the main task (student) algorithm using the data that is stored in the various data centres. We show that the scheduler, trained using meta-gradients, can effectively organise training and as a result train a machine learning model on a diverse dataset without needing explicit access to the patient data. We achieve state-of-the-art performance and show how our method overcomes some of the problems faced in the federated learning such as node poisoning. We further show how the scheduler can be used as a mechanism for transfer learning, allowing different teachers to work together in training a student for state-of-the-art performance.

Ziyun Li, Xinshao Wang, Di Hu et al.

Mutual knowledge distillation (MKD) improves a model by distilling knowledge from another model. However, \textit{not all knowledge is certain and correct}, especially under adverse conditions. For example, label noise usually leads to less reliable models due to undesired memorization \cite{zhang2017understanding,arpit2017closer}. Wrong knowledge misleads the learning rather than helps. This problem can be handled by two aspects: (i) improving the reliability of a model where the knowledge is from (i.e., knowledge source's reliability); (ii) selecting reliable knowledge for distillation. In the literature, making a model more reliable is widely studied while selective MKD receives little attention. Therefore, we focus on studying selective MKD. Concretely, a generic MKD framework, \underline{C}onfident knowledge selection followed by \underline{M}utual \underline{D}istillation (CMD), is designed. The key component of CMD is a generic knowledge selection formulation, making the selection threshold either static (CMD-S) or progressive (CMD-P). Additionally, CMD covers two special cases: zero-knowledge and all knowledge, leading to a unified MKD framework. Extensive experiments are present to demonstrate the effectiveness of CMD and thoroughly justify the design of CMD. For example, CMD-P obtains new state-of-the-art results in robustness against label noise.

Dani Kiyasseh, Tingting Zhu, David Clifton

Cardiac signals, such as the electrocardiogram, convey a significant amount of information about the health status of a patient which is typically summarized by a clinician in the form of a clinical report, a cumbersome process that is prone to errors. To streamline this routine process, we propose a deep neural network capable of captioning cardiac signals; it receives a cardiac signal as input and generates a clinical report as output. We extend this further to generate multilingual reports. To that end, we create and make publicly available a multilingual clinical report dataset. In the absence of sufficient labelled data, deep neural networks can benefit from a warm-start, or pre-training, procedure in which parameters are first learned in an arbitrary task. We propose such a task in the form of discriminative multilingual pre-training where tokens from clinical reports are randomly replaced with those from other languages and the network is tasked with predicting the language of all tokens. We show that our method performs on par with state-of-the-art pre-training methods such as MLM, ELECTRA, and MARGE, while simultaneously generating diverse and plausible clinical reports. We also demonstrate that multilingual models can outperform their monolingual counterparts, informally terming this beneficial phenomenon as the blessing of multilinguality.

Dani Kiyasseh, Tingting Zhu, David A. Clifton

The process of manually searching for relevant instances in, and extracting information from, clinical databases underpin a multitude of clinical tasks. Such tasks include disease diagnosis, clinical trial recruitment, and continuing medical education. This manual search-and-extract process, however, has been hampered by the growth of large-scale clinical databases and the increased prevalence of unlabelled instances. To address this challenge, we propose a supervised contrastive learning framework, CROCS, where representations of cardiac signals associated with a set of patient-specific attributes (e.g., disease class, sex, age) are attracted to learnable embeddings entitled clinical prototypes. We exploit such prototypes for both the clustering and retrieval of unlabelled cardiac signals based on multiple patient attributes. We show that CROCS outperforms the state-of-the-art method, DTC, when clustering and also retrieves relevant cardiac signals from a large database. We also show that clinical prototypes adopt a semantically meaningful arrangement based on patient attributes and thus confer a high degree of interpretability.

Dani Kiyasseh, Tingting Zhu, David A. Clifton

Many clinical deep learning algorithms are population-based and difficult to interpret. Such properties limit their clinical utility as population-based findings may not generalize to individual patients and physicians are reluctant to incorporate opaque models into their clinical workflow. To overcome these obstacles, we propose to learn patient-specific embeddings, entitled patient cardiac prototypes (PCPs), that efficiently summarize the cardiac state of the patient. To do so, we attract representations of multiple cardiac signals from the same patient to the corresponding PCP via supervised contrastive learning. We show that the utility of PCPs is multifold. First, they allow for the discovery of similar patients both within and across datasets. Second, such similarity can be leveraged in conjunction with a hypernetwork to generate patient-specific parameters, and in turn, patient-specific diagnoses. Third, we find that PCPs act as a compact substitute for the original dataset, allowing for dataset distillation.