Zhicheng Guo

Zhicheng Guo, Cheng Ding, Duc H. Do et al.

Atrial fibrillation (AF) is the most common type of cardiac arrhythmia. It is associated with an increased risk of stroke, heart failure, and other cardiovascular complications, but can be clinically silent. Passive AF monitoring with wearables may help reduce adverse clinical outcomes related to AF. Detecting AF in noisy wearable data poses a significant challenge, leading to the emergence of various deep learning techniques. Previous deep learning models learn from a single modality, either electrocardiogram (ECG) or photoplethysmography (PPG) signals. However, deep learning models often struggle to learn generalizable features and rely on features that are more susceptible to corruption from noise, leading to sub-optimal performances in certain scenarios, especially with low-quality signals. Given the increasing availability of ECG and PPG signal pairs from wearables and bedside monitors, we propose a new approach, SiamAF, leveraging a novel Siamese network architecture and joint learning loss function to learn shared information from both ECG and PPG signals. At inference time, the proposed model is able to predict AF from either PPG or ECG and outperforms baseline methods on three external test sets. It learns medically relevant features as a result of our novel architecture design. The proposed model also achieves comparable performance to traditional learning regimes while requiring much fewer training labels, providing a potential approach to reduce future reliance on manual labeling.

Sully F. Chen, Zhicheng Guo, Cheng Ding et al.

Rapid, reliable, and accurate interpretation of medical time-series signals is crucial for high-stakes clinical decision-making. Deep learning methods offered unprecedented performance in medical signal processing but at a cost: they were compute-intensive and lacked interpretability. We propose Sparse Mixture of Learned Kernels (SMoLK), an interpretable architecture for medical time series processing. SMoLK learns a set of lightweight flexible kernels that form a single-layer sparse neural network, providing not only interpretability, but also efficiency, robustness, and generalization to unseen data distributions. We introduce a parameter reduction techniques to reduce the size of SMoLK's networks while maintaining performance. We test SMoLK on two important tasks common to many consumer wearables: photoplethysmography (PPG) artifact detection and atrial fibrillation detection from single-lead electrocardiograms (ECGs). We find that SMoLK matches the performance of models orders of magnitude larger. It is particularly suited for real-time applications using low-power devices, and its interpretability benefits high-stakes situations.

Jon Donnelly, Zhicheng Guo, Alina Jade Barnett et al.

Interpretability is critical for machine learning models in high-stakes settings because it allows users to verify the model's reasoning. In computer vision, prototypical part models (ProtoPNets) have become the dominant model type to meet this need. Users can easily identify flaws in ProtoPNets, but fixing problems in a ProtoPNet requires slow, difficult retraining that is not guaranteed to resolve the issue. This problem is called the "interaction bottleneck." We solve the interaction bottleneck for ProtoPNets by simultaneously finding many equally good ProtoPNets (i.e., a draw from a "Rashomon set"). We show that our framework - called Proto-RSet - quickly produces many accurate, diverse ProtoPNets, allowing users to correct problems in real time while maintaining performance guarantees with respect to the training set. We demonstrate the utility of this method in two settings: 1) removing synthetic bias introduced to a bird identification model and 2) debugging a skin cancer identification model. This tool empowers non-machine-learning experts, such as clinicians or domain experts, to quickly refine and correct machine learning models without repeated retraining by machine learning experts.

Cheng Ding, Zhicheng Guo, Zhaoliang Chen et al.

Foundation models, especially those using transformers as backbones, have gained significant popularity, particularly in language and language-vision tasks. However, large foundation models are typically trained on high-quality data, which poses a significant challenge, given the prevalence of poor-quality real-world data. This challenge is more pronounced for developing foundation models for physiological data; such data are often noisy, incomplete, or inconsistent. The present work aims to provide a toolset for developing foundation models on physiological data. We leverage a large dataset of photoplethysmography (PPG) signals from hospitalized intensive care patients. For this data, we propose SimQuality, a novel self-supervised learning task based on convolutional neural networks (CNNs) as the backbone to enforce representations to be similar for good and poor quality signals that are from similar physiological states. We pre-trained the SimQuality on over 36 million 30-second PPG pairs and then fine-tuned and tested on six downstream tasks using external datasets. The results demonstrate the superiority of the proposed approach on all the downstream tasks, which are extremely important for heart monitoring on wearable devices. Our method indicates that CNNs can be an effective backbone for foundation models that are robust to training data quality.

Varun Babbar, Zhicheng Guo, Cynthia Rudin

The performance of machine learning models relies heavily on the quality of input data, yet real-world applications often face significant data-related challenges. A common issue arises when curating training data or deploying models: two datasets from the same domain may exhibit differing distributions. While many techniques exist for detecting such distribution shifts, there is a lack of comprehensive methods to explain these differences in a human-understandable way beyond opaque quantitative metrics. To bridge this gap, we propose a versatile framework of interpretable methods for comparing datasets. Using a variety of case studies, we demonstrate the effectiveness of our approach across diverse data modalities-including tabular data, text data, images, time-series signals -- in both low and high-dimensional settings. These methods complement existing techniques by providing actionable and interpretable insights to better understand and address distribution shifts.

Cheng Ding, Zhicheng Guo, Cynthia Rudin et al.

This paper explores the challenges in evaluating machine learning (ML) models for continuous health monitoring using wearable devices beyond conventional metrics. We state the complexities posed by real-world variability, disease dynamics, user-specific characteristics, and the prevalence of false notifications, necessitating novel evaluation strategies. Drawing insights from large-scale heart studies, the paper offers a comprehensive guideline for robust ML model evaluation on continuous health monitoring.