Domain-invariant Clinical Representation Learning by Bridging Data Distribution Shift across EMR DatasetsZhongji Zhang, Yuhang Wang, Yinghao Zhu et al.
Emerging diseases present challenges in symptom recognition and timely clinical intervention due to limited available information. An effective prognostic model could assist physicians in making accurate diagnoses and designing personalized treatment plans to prevent adverse outcomes. However, in the early stages of disease emergence, several factors hamper model development: limited data collection, insufficient clinical experience, and privacy and ethical concerns restrict data availability and complicate accurate label assignment. Furthermore, Electronic Medical Record (EMR) data from different diseases or sources often exhibit significant cross-dataset feature misalignment, severely impacting the effectiveness of deep learning models. We present a domain-invariant representation learning method that constructs a transition model between source and target datasets. By constraining the distribution shift of features generated across different domains, we capture domain-invariant features specifically relevant to downstream tasks, developing a unified domain-invariant encoder that achieves better feature representation across various task domains. Experimental results across multiple target tasks demonstrate that our proposed model surpasses competing baseline methods and achieves faster training convergence, particularly when working with limited data. Extensive experiments validate our method's effectiveness in providing more accurate predictions for emerging pandemics and other diseases. Code is publicly available at https://github.com/wang1yuhang/domain_invariant_network.
When Data Manipulation Meets Attack Goals: An In-depth Survey of Attacks for VLMsAobotao Dai, Xinyu Ma, Lei Chen et al.
Vision-Language Models (VLMs) have gained considerable prominence in recent years due to their remarkable capability to effectively integrate and process both textual and visual information. This integration has significantly enhanced performance across a diverse spectrum of applications, such as scene perception and robotics. However, the deployment of VLMs has also given rise to critical safety and security concerns, necessitating extensive research to assess the potential vulnerabilities these VLM systems may harbor. In this work, we present an in-depth survey of the attack strategies tailored for VLMs. We categorize these attacks based on their underlying objectives - namely jailbreak, camouflage, and exploitation - while also detailing the various methodologies employed for data manipulation of VLMs. Meanwhile, we outline corresponding defense mechanisms that have been proposed to mitigate these vulnerabilities. By discerning key connections and distinctions among the diverse types of attacks, we propose a compelling taxonomy for VLM attacks. Moreover, we summarize the evaluation metrics that comprehensively describe the characteristics and impact of different attacks on VLMs. Finally, we conclude with a discussion of promising future research directions that could further enhance the robustness and safety of VLMs, emphasizing the importance of ongoing exploration in this critical area of study. To facilitate community engagement, we maintain an up-to-date project page, accessible at: https://github.com/AobtDai/VLM_Attack_Paper_List.
Improving Retrieval-Augmented Generation through Multi-Agent Reinforcement LearningYiqun Chen, Lingyong Yan, Weiwei Sun et al.
Retrieval-augmented generation (RAG) is widely utilized to incorporate external knowledge into large language models, thereby enhancing factuality and reducing hallucinations in question-answering (QA) tasks. A standard RAG pipeline consists of several components, such as query rewriting, document retrieval, document filtering, and answer generation. However, these components are typically optimized separately through supervised fine-tuning, which can lead to misalignments between the objectives of individual components and the overarching aim of generating accurate answers. Although recent efforts have explored using reinforcement learning (RL) to optimize specific RAG components, these approaches often focus on simple pipelines with only two components or do not adequately address the complex interdependencies and collaborative interactions among the modules. To overcome these limitations, we propose treating the complex RAG pipeline with multiple components as a multi-agent cooperative task, in which each component can be regarded as an RL agent. Specifically, we present MMOA-RAG, Multi-Module joint Optimization Algorithm for RAG, which employs multi-agent reinforcement learning to harmonize all agents' goals toward a unified reward, such as the F1 score of the final answer. Experiments conducted on various QA benchmarks demonstrate that MMOA-RAG effectively boost the overall performance of the pipeline and outperforms existing baselines. Furthermore, comprehensive ablation studies validate the contributions of individual components and demonstrate MMOA-RAG can be adapted to different RAG pipelines and benchmarks.
4.2AIDec 23, 2024
Enhancing Topic Interpretability for Neural Topic Modeling through Topic-wise Contrastive LearningXin Gao, Yang Lin, Ruiqing Li et al.
Data mining and knowledge discovery are essential aspects of extracting valuable insights from vast datasets. Neural topic models (NTMs) have emerged as a valuable unsupervised tool in this field. However, the predominant objective in NTMs, which aims to discover topics maximizing data likelihood, often lacks alignment with the central goals of data mining and knowledge discovery which is to reveal interpretable insights from large data repositories. Overemphasizing likelihood maximization without incorporating topic regularization can lead to an overly expansive latent space for topic modeling. In this paper, we present an innovative approach to NTMs that addresses this misalignment by introducing contrastive learning measures to assess topic interpretability. We propose a novel NTM framework, named ContraTopic, that integrates a differentiable regularizer capable of evaluating multiple facets of topic interpretability throughout the training process. Our regularizer adopts a unique topic-wise contrastive methodology, fostering both internal coherence within topics and clear external distinctions among them. Comprehensive experiments conducted on three diverse datasets demonstrate that our approach consistently produces topics with superior interpretability compared to state-of-the-art NTMs.
CovidCare: Transferring Knowledge from Existing EMR to Emerging Epidemic for Interpretable PrognosisLiantao Ma, Xinyu Ma, Junyi Gao et al.
Due to the characteristics of COVID-19, the epidemic develops rapidly and overwhelms health service systems worldwide. Many patients suffer from systemic life-threatening problems and need to be carefully monitored in ICUs. Thus the intelligent prognosis is in an urgent need to assist physicians to take an early intervention, prevent the adverse outcome, and optimize the medical resource allocation. However, in the early stage of the epidemic outbreak, the data available for analysis is limited due to the lack of effective diagnostic mechanisms, rarity of the cases, and privacy concerns. In this paper, we propose a deep-learning-based approach, CovidCare, which leverages the existing electronic medical records to enhance the prognosis for inpatients with emerging infectious diseases. It learns to embed the COVID-19-related medical features based on massive existing EMR data via transfer learning. The transferred parameters are further trained to imitate the teacher model's representation behavior based on knowledge distillation, which embeds the health status more comprehensively in the source dataset. We conduct the length of stay prediction experiments for patients on a real-world COVID-19 dataset. The experiment results indicate that our proposed model consistently outperforms the comparative baseline methods. CovidCare also reveals that, 1) hs-cTnI, hs-CRP and Platelet Counts are the most fatal biomarkers, whose abnormal values usually indicate emergency adverse outcome. 2) Normal values of gamma-GT, AP and eGFR indicate the overall improvement of health. The medical findings extracted by CovidCare are empirically confirmed by human experts and medical literatures.
ConCare: Personalized Clinical Feature Embedding via Capturing the Healthcare ContextLiantao Ma, Chaohe Zhang, Yasha Wang et al.
Predicting the patient's clinical outcome from the historical electronic medical records (EMR) is a fundamental research problem in medical informatics. Most deep learning-based solutions for EMR analysis concentrate on learning the clinical visit embedding and exploring the relations between visits. Although those works have shown superior performances in healthcare prediction, they fail to explore the personal characteristics during the clinical visits thoroughly. Moreover, existing works usually assume that the more recent record weights more in the prediction, but this assumption is not suitable for all conditions. In this paper, we propose ConCare to handle the irregular EMR data and extract feature interrelationship to perform individualized healthcare prediction. Our solution can embed the feature sequences separately by modeling the time-aware distribution. ConCare further improves the multi-head self-attention via the cross-head decorrelation, so that the inter-dependencies among dynamic features and static baseline information can be effectively captured to form the personal health context. Experimental results on two real-world EMR datasets demonstrate the effectiveness of ConCare. The medical findings extracted by ConCare are also empirically confirmed by human experts and medical literature.
AdaCare: Explainable Clinical Health Status Representation Learning via Scale-Adaptive Feature Extraction and RecalibrationLiantao Ma, Junyi Gao, Yasha Wang et al.
Deep learning-based health status representation learning and clinical prediction have raised much research interest in recent years. Existing models have shown superior performance, but there are still several major issues that have not been fully taken into consideration. First, the historical variation pattern of the biomarker in diverse time scales plays a vital role in indicating the health status, but it has not been explicitly extracted by existing works. Second, key factors that strongly indicate the health risk are different among patients. It is still challenging to adaptively make use of the features for patients in diverse conditions. Third, using prediction models as the black box will limit the reliability in clinical practice. However, none of the existing works can provide satisfying interpretability and meanwhile achieve high prediction performance. In this work, we develop a general health status representation learning model, named AdaCare. It can capture the long and short-term variations of biomarkers as clinical features to depict the health status in multiple time scales. It also models the correlation between clinical features to enhance the ones which strongly indicate the health status and thus can maintain a state-of-the-art performance in terms of prediction accuracy while providing qualitative interpretability. We conduct a health risk prediction experiment on two real-world datasets. Experiment results indicate that AdaCare outperforms state-of-the-art approaches and provides effective interpretability, which is verifiable by clinical experts.