Linglong Qian

Yuezhou Zhang, Amos A Folarin, Judith Dineley et al.

Language use has been shown to correlate with depression, but large-scale validation is needed. Traditional methods like clinic studies are expensive. So, natural language processing has been employed on social media to predict depression, but limitations remain-lack of validated labels, biased user samples, and no context. Our study identified 29 topics in 3919 smartphone-collected speech recordings from 265 participants using the Whisper tool and BERTopic model. Six topics with a median PHQ-8 greater than or equal to 10 were regarded as risk topics for depression: No Expectations, Sleep, Mental Therapy, Haircut, Studying, and Coursework. To elucidate the topic emergence and associations with depression, we compared behavioral (from wearables) and linguistic characteristics across identified topics. The correlation between topic shifts and changes in depression severity over time was also investigated, indicating the importance of longitudinally monitoring language use. We also tested the BERTopic model on a similar smaller dataset (356 speech recordings from 57 participants), obtaining some consistent results. In summary, our findings demonstrate specific speech topics may indicate depression severity. The presented data-driven workflow provides a practical approach to collecting and analyzing large-scale speech data from real-world settings for digital health research.

Jun Wang, Wenjie Du, Yiyuan Yang et al.

Missing values are ubiquitous in multivariate time series (MTS) data, posing significant challenges for accurate analysis and downstream applications. In recent years, deep learning-based methods have successfully handled missing data by leveraging complex temporal dependencies and learned data distributions. In this survey, we provide a comprehensive summary of deep learning approaches for multivariate time series imputation (MTSI) tasks. We propose a novel taxonomy that categorizes existing methods based on two key perspectives: imputation uncertainty and neural network architecture. Furthermore, we summarize existing MTSI toolkits with a particular emphasis on the PyPOTS Ecosystem, which provides an integrated and standardized foundation for MTSI research. Finally, we discuss key challenges and future research directions, which give insight for further MTSI research. This survey aims to serve as a valuable resource for researchers and practitioners in the field of time series analysis and missing data imputation tasks.A well-maintained MTSI paper and tool list are available at https://github.com/WenjieDu/Awesome_Imputation.

Linglong Qian, Tao Wang, Jun Wang et al.

We present a comprehensive analysis of deep learning approaches for Electronic Health Record (EHR) time-series imputation, examining how architectural and framework biases combine to influence model performance. Our investigation reveals varying capabilities of deep imputers in capturing complex spatiotemporal dependencies within EHRs, and that model effectiveness depends on how its combined biases align with medical time-series characteristics. Our experimental evaluation challenges common assumptions about model complexity, demonstrating that larger models do not necessarily improve performance. Rather, carefully designed architectures can better capture the complex patterns inherent in clinical data. The study highlights the need for imputation approaches that prioritise clinically meaningful data reconstruction over statistical accuracy. Our experiments show imputation performance variations of up to 20\% based on preprocessing and implementation choices, emphasising the need for standardised benchmarking methodologies. Finally, we identify critical gaps between current deep imputation methods and medical requirements, highlighting the importance of integrating clinical insights to achieve more reliable imputation approaches for healthcare applications.

Linglong Qian, Joseph Arul Raj, Hugh Logan Ellis et al.

We introduce the Conditional Self-Attention Imputation (CSAI) model, a novel recurrent neural network architecture designed to address the challenges of complex missing data patterns in multivariate time series derived from hospital electronic health records (EHRs). CSAI extends state-of-the-art neural network-based imputation by introducing key modifications specific to EHR data: a) attention-based hidden state initialisation to capture both long- and short-range temporal dependencies prevalent in EHRs, b) domain-informed temporal decay to mimic clinical data recording patterns, and c) a non-uniform masking strategy that models non-random missingness by calibrating weights according to both temporal and cross-sectional data characteristics. Comprehensive evaluation across four EHR benchmark datasets demonstrates CSAI's effectiveness compared to state-of-the-art architectures in data restoration and downstream tasks. CSAI is integrated into PyPOTS, an open-source Python toolbox designed for machine learning tasks on partially observed time series. This work significantly advances the state of neural network imputation applied to EHRs by more closely aligning algorithmic imputation with clinical realities.

Wenjie Du, Jun Wang, Linglong Qian et al.

Effective imputation is a crucial preprocessing step for time series analysis. Despite the development of numerous deep learning algorithms for time series imputation, the community lacks standardized and comprehensive benchmark platforms to effectively evaluate imputation performance across different settings. Moreover, although many deep learning forecasting algorithms have demonstrated excellent performance, whether their modelling achievements can be transferred to time series imputation tasks remains unexplored. To bridge these gaps, we develop TSI-Bench, the first (to our knowledge) comprehensive benchmark suite for time series imputation utilizing deep learning techniques. The TSI-Bench pipeline standardizes experimental settings to enable fair evaluation of imputation algorithms and identification of meaningful insights into the influence of domain-appropriate missing rates and patterns on model performance. Furthermore, TSI-Bench innovatively provides a systematic paradigm to tailor time series forecasting algorithms for imputation purposes. Our extensive study across 34,804 experiments, 28 algorithms, and 8 datasets with diverse missingness scenarios demonstrates TSI-Bench's effectiveness in diverse downstream tasks and potential to unlock future directions in time series imputation research and analysis. All source code and experiment logs are released at https://github.com/WenjieDu/AwesomeImputation.

Wenjie Du, Yiyuan Yang, Linglong Qian et al.

PyPOTS is an open-source Python library dedicated to data mining and analysis on multivariate partially-observed time series with missing values. Particularly, it provides easy access to diverse algorithms categorized into five tasks: imputation, forecasting, anomaly detection, classification, and clustering. The included models represent a diverse set of methodological paradigms, offering a unified and well-documented interface suitable for both academic research and practical applications. With robustness and scalability in its design philosophy, best practices of software construction, for example, unit testing, continuous integration and continuous delivery, code coverage, maintainability evaluation, interactive tutorials, and parallelization, are carried out as principles during the development of PyPOTS. The toolbox is available on PyPI, Anaconda, and Docker. PyPOTS is open source and publicly available on GitHub https://github.com/WenjieDu/PyPOTS.

Joseph Arul Raj, Linglong Qian, Zina Ibrahim

Secondary research use of Electronic Health Records (EHRs) is often hampered by the abundance of missing data in this valuable resource. Missingness in EHRs occurs naturally as a result of the data recording practices during routine clinical care, but handling it is crucial to the precision of medical analysis and the decision-making that follows. The literature contains a variety of imputation methodologies based on deep neural networks. Those aim to overcome the dynamic, heterogeneous and multivariate missingness patterns of EHRs, which cannot be handled by classical and statistical imputation methods. However, all existing deep imputation methods rely on end-to-end pipelines that incorporate both imputation and downstream analyses, e.g. classification. This coupling makes it difficult to assess the quality of imputation and takes away the flexibility of re-using the imputer for a different task. Furthermore, most end-to-end deep architectures tend to use complex networks to perform the downstream task, in addition to the already sophisticated deep imputation network. We, therefore ask if the high performance reported in the literature is due to the imputer or the classifier and further ask if an optimised state-of-the-art imputer is used, a simpler classifier can achieve comparable performance. This paper explores the development of a modular, deep learning-based imputation and classification pipeline, specifically built to leverage the capabilities of state-of-the-art imputation models for downstream classification tasks. Such a modular approach enables a) objective assessment of the quality of the imputer and classifier independently, and b) enables the exploration of the performance of simpler classification architectures using an optimised imputer.

Linglong Qian, Zina Ibrahim, Richard Dobson

Missingness is ubiquitous in multivariate time series and poses an obstacle to reliable downstream analysis. Although recurrent network imputation achieved the SOTA, existing models do not scale to deep architectures that can potentially alleviate issues arising in complex data. Moreover, imputation carries the risk of biased estimations of the ground truth. Yet, confidence in the imputed values is always unmeasured or computed post hoc from model output. We propose DEep Attention Recurrent Imputation (DEARI), which jointly estimates missing values and their associated uncertainty in heterogeneous multivariate time series. By jointly representing feature-wise correlations and temporal dynamics, we adopt a self attention mechanism, along with an effective residual component, to achieve a deep recurrent neural network with good imputation performance and stable convergence. We also leverage self-supervised metric learning to boost performance by optimizing sample similarity. Finally, we transform DEARI into a Bayesian neural network through a novel Bayesian marginalization strategy to produce stochastic DEARI, which outperforms its deterministic equivalent. Experiments show that DEARI surpasses the SOTA in diverse imputation tasks using real-world datasets, namely air quality control, healthcare and traffic.

Pawel Renc, Michal K. Grzeszczyk, Linglong Qian et al.

We present Federated Timeline Synthesis (FTS), a novel framework for training generative foundation models across distributed timeseries data applied to electronic health records (EHR). At its core, FTS represents patient history as tokenized Patient Health Timelines (PHTs), language-agnostic sequences encoding temporal, categorical, and continuous clinical information. Each institution trains an autoregressive transformer on its local PHTs and transmits only model weights to a central server. The server uses the generators to synthesize a large corpus of trajectories and train a Global Generator (GG), enabling zero-shot inference via Monte Carlo simulation of future PHTs. We evaluate FTS on five clinically meaningful prediction tasks using MIMIC-IV data, showing that models trained on synthetic data generated by GG perform comparably to those trained on real data. FTS offers strong privacy guarantees, scalability across institutions, and extensibility to diverse prediction and simulation tasks especially in healthcare, including counterfactual inference, early warning detection, and synthetic trial design.

Yu Deng, Yiyang Xu, Linglong Qian et al.

Cardiac Magnetic Resonance (CMR) imaging is widely used for heart modelling and digital twin computational analysis due to its ability to visualize soft tissues and capture dynamic functions. However, the anisotropic nature of CMR images, characterized by large inter-slice distances and misalignments from cardiac motion, poses significant challenges to accurate model reconstruction. These limitations result in data loss and measurement inaccuracies, hindering the capture of detailed anatomical structures. This study introduces MorphiNet, a novel network that enhances heart model reconstruction by leveraging high-resolution Computer Tomography (CT) images, unpaired with CMR images, to learn heart anatomy. MorphiNet encodes anatomical structures as gradient fields, transforming template meshes into patient-specific geometries. A multi-layer graph subdivision network refines these geometries while maintaining dense point correspondence. The proposed method achieves high anatomy fidelity, demonstrating approximately 40% higher Dice scores, half the Hausdorff distance, and around 3 mm average surface error compared to state-of-the-art methods. MorphiNet delivers superior results with greater inference efficiency. This approach represents a significant advancement in addressing the challenges of CMR-based heart model reconstruction, potentially improving digital twin computational analyses of cardiac structure and functions.

Gregory Kell, Angus Roberts, Serge Umansky et al.

Objective: Question answering (QA) systems have the potential to improve the quality of clinical care by providing health professionals with the latest and most relevant evidence. However, QA systems have not been widely adopted. This systematic review aims to characterize current medical QA systems, assess their suitability for healthcare, and identify areas of improvement. Materials and methods: We searched PubMed, IEEE Xplore, ACM Digital Library, ACL Anthology and forward and backward citations on 7th February 2023. We included peer-reviewed journal and conference papers describing the design and evaluation of biomedical QA systems. Two reviewers screened titles, abstracts, and full-text articles. We conducted a narrative synthesis and risk of bias assessment for each study. We assessed the utility of biomedical QA systems. Results: We included 79 studies and identified themes, including question realism, answer reliability, answer utility, clinical specialism, systems, usability, and evaluation methods. Clinicians' questions used to train and evaluate QA systems were restricted to certain sources, types and complexity levels. No system communicated confidence levels in the answers or sources. Many studies suffered from high risks of bias and applicability concerns. Only 8 studies completely satisfied any criterion for clinical utility, and only 7 reported user evaluations. Most systems were built with limited input from clinicians. Discussion: While machine learning methods have led to increased accuracy, most studies imperfectly reflected real-world healthcare information needs. Key research priorities include developing more realistic healthcare QA datasets and considering the reliability of answer sources, rather than merely focusing on accuracy.

Jun Wang, Yang Zhao, Linglong Qian et al.

The precise detection of blood vessels in retinal images is crucial to the early diagnosis of the retinal vascular diseases, e.g., diabetic, hypertensive and solar retinopathies. Existing works often fail in predicting the abnormal areas, e.g, sudden brighter and darker areas and are inclined to predict a pixel to background due to the significant class imbalance, leading to high accuracy and specificity while low sensitivity. To that end, we propose a novel error attention refining network (ERA-Net) that is capable of learning and predicting the potential false predictions in a two-stage manner for effective retinal vessel segmentation. The proposed ERA-Net in the refine stage drives the model to focus on and refine the segmentation errors produced in the initial training stage. To achieve this, unlike most previous attention approaches that run in an unsupervised manner, we introduce a novel error attention mechanism which considers the differences between the ground truth and the initial segmentation masks as the ground truth to supervise the attention map learning. Experimental results demonstrate that our method achieves state-of-the-art performance on two common retinal blood vessel datasets.