Young Sang Choi

Young Sang Choi, Vincent Jeanselme, Pierre Elias et al.

Multimodal learning is of continued interest in artificial intelligence-based applications, motivated by the potential information gain from combining different types of data. However, modalities observed in the source environment may differ from the modalities observed in the target environment due to multiple factors, including cost, hardware failure, or the perceived informativeness of a given modality. This shift in missingness between the source and target environment has not been carefully studied. Naive estimation of the information gain associated with including an additional modality without accounting for missingness may result in improper estimates of that modality's value in the target environment. We formalize the problem of missingness, demonstrate its ubiquity, and show that the subsequent distribution shift results in bias when the missingness process is not explicitly accounted for. To address this issue, we introduce ICYM2I (In Case You Multimodal Missed It), a framework for the evaluation of predictive performance and information gain under missingness through inverse probability weighting-based correction. We demonstrate the importance of the proposed adjustment to estimate information gain under missingness on synthetic, semi-synthetic, and real-world datasets.

Chao Pang, Vincent Jeanselme, Young Sang Choi et al.

Foundation models hold significant promise in healthcare, given their capacity to extract meaningful representations independent of downstream tasks. This property has enabled state-of-the-art performance across several clinical applications trained on structured electronic health record (EHR) data, even in settings with limited labeled data, a prevalent challenge in healthcare. However, there is little consensus on these models' potential for clinical utility due to the lack of desiderata of comprehensive and meaningful tasks and sufficiently diverse evaluations to characterize the benefit over conventional supervised learning. To address this gap, we propose a suite of clinically meaningful tasks spanning patient outcomes, early prediction of acute and chronic conditions, including desiderata for robust evaluations. We evaluate state-of-the-art foundation models on EHR data consisting of 5 million patients from Columbia University Irving Medical Center (CUMC), a large urban academic medical center in New York City, across 14 clinically relevant tasks. We measure overall accuracy, calibration, and subpopulation performance to surface tradeoffs based on the choice of pre-training, tokenization, and data representation strategies. Our study aims to advance the empirical evaluation of structured EHR foundation models and guide the development of future healthcare foundation models.

Yong-Yeon Jo, Young Sang Choi, Jong-Hwan Jang et al.

The electrocardiogram (ECG) records electrical signals in a non-invasive way to observe the condition of the heart, typically looking at the heart from 12 different directions. Several types of the cardiac disease are diagnosed by using 12-lead ECGs Recently, various wearable devices have enabled immediate access to the ECG without the use of wieldy equipment. However, they only provide ECGs with a couple of leads. This results in an inaccurate diagnosis of cardiac disease due to lacking of required leads. We propose a deep generative model for ECG synthesis from two asynchronous leads to ten leads. It first represents a heart condition referring to two leads, and then generates ten leads based on the represented heart condition. Both the rhythm and amplitude of leads generated resemble those of the original ones, while the technique removes noise and the baseline wander appearing in the original leads. As a data augmentation method, our model improves the classification performance of models compared with models using ECGs with only one or two leads.

Taewoo Lee, Min-Joong Lee, Tae Gyoon Kang et al.

We propose an adapter based multi-domain Transformer based language model (LM) for Transformer ASR. The model consists of a big size common LM and small size adapters. The model can perform multi-domain adaptation with only the small size adapters and its related layers. The proposed model can reuse the full fine-tuned LM which is fine-tuned using all layers of an original model. The proposed LM can be expanded to new domains by adding about 2% of parameters for a first domain and 13% parameters for after second domain. The proposed model is also effective in reducing the model maintenance cost because it is possible to omit the costly and time-consuming common LM pre-training process. Using proposed adapter based approach, we observed that a general LM with adapter can outperform a dedicated music domain LM in terms of word error rate (WER).

Sanghyun Yoo, Young-Seok Kim, Kang Hyun Lee et al.

Graphs are the natural data structure to represent relational and structural information in many domains. To cover the broad range of graph-data applications including graph classification as well as graph generation, it is desirable to have a general and flexible model consisting of an encoder and a decoder that can handle graph data. Although the representative encoder-decoder model, Transformer, shows superior performance in various tasks especially of natural language processing, it is not immediately available for graphs due to their non-sequential characteristics. To tackle this incompatibility, we propose GRaph-Aware Transformer (GRAT), the first Transformer-based model which can encode and decode whole graphs in end-to-end fashion. GRAT is featured with a self-attention mechanism adaptive to the edge information and an auto-regressive decoding mechanism based on the two-path approach consisting of sub-graph encoding path and node-and-edge generation path for each decoding step. We empirically evaluated GRAT on multiple setups including encoder-based tasks such as molecule property predictions on QM9 datasets and encoder-decoder-based tasks such as molecule graph generation in the organic molecule synthesis domain. GRAT has shown very promising results including state-of-the-art performance on 4 regression tasks in QM9 benchmark.