Cody Bumgardner

Betina Idnay, Zihan Xu, William G. Adams et al.

This study reports a comprehensive environmental scan of the generative AI (GenAI) infrastructure in the national network for clinical and translational science across 36 institutions supported by the Clinical and Translational Science Award (CTSA) Program led by the National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health (NIH) at the United States. With the rapid advancement of GenAI technologies, including large language models (LLMs), healthcare institutions face unprecedented opportunities and challenges. This research explores the current status of GenAI integration, focusing on stakeholder roles, governance structures, and ethical considerations by administering a survey among leaders of health institutions (i.e., representing academic medical centers and health systems) to assess the institutional readiness and approach towards GenAI adoption. Key findings indicate a diverse range of institutional strategies, with most organizations in the experimental phase of GenAI deployment. The study highlights significant variations in governance models, with a strong preference for centralized decision-making but notable gaps in workforce training and ethical oversight. Moreover, the results underscore the need for a more coordinated approach to GenAI governance, emphasizing collaboration among senior leaders, clinicians, information technology staff, and researchers. Our analysis also reveals concerns regarding GenAI bias, data security, and stakeholder trust, which must be addressed to ensure the ethical and effective implementation of GenAI technologies. This study offers valuable insights into the challenges and opportunities of GenAI integration in healthcare, providing a roadmap for institutions aiming to leverage GenAI for improved quality of care and operational efficiency.

Aaron D. Mullen, Samuel E. Armstrong, Jeff Talbert et al.

Machine learning classification problems are widespread in bioinformatics, but the technical knowledge required to perform model training, optimization, and inference can prevent researchers from utilizing this technology. This article presents an automated tool for machine learning classification problems to simplify the process of training models and producing results while providing informative visualizations and insights into the data. This tool supports both binary and multiclass classification problems, and it provides access to a variety of models and methods. Synthetic data can be generated within the interface to fill missing values, balance class labels, or generate entirely new datasets. It also provides support for feature evaluation and generates explainability scores to indicate which features influence the output the most. We present CLASSify, an open-source tool for simplifying the user experience of solving classification problems without the need for knowledge of machine learning.

V. K. Cody Bumgardner, Aaron Mullen, Sam Armstrong et al.

This paper introduces an approach that combines the language reasoning capabilities of large language models (LLMs) with the benefits of local training to tackle complex, domain-specific tasks. Specifically, the authors demonstrate their approach by extracting structured condition codes from pathology reports. The proposed approach utilizes local LLMs, which can be fine-tuned to respond to specific generative instructions and provide structured outputs. The authors collected a dataset of over 150k uncurated surgical pathology reports, containing gross descriptions, final diagnoses, and condition codes. They trained different model architectures, including LLaMA, BERT and LongFormer and evaluated their performance. The results show that the LLaMA-based models significantly outperform BERT-style models across all evaluated metrics, even with extremely reduced precision. The LLaMA models performed especially well with large datasets, demonstrating their ability to handle complex, multi-label tasks. Overall, this work presents an effective approach for utilizing LLMs to perform domain-specific tasks using accessible hardware, with potential applications in the medical domain, where complex data extraction and classification are required.

Mitchell A. Klusty, W. Vaiden Logan, Samuel E. Armstrong et al.

Administrative documentation is a major driver of rising healthcare costs and is linked to adverse outcomes, including physician burnout and diminished quality of care. This paper introduces a secure system that applies recent advancements in speech-to-text transcription and speaker-labeling (diarization) to patient-provider conversations. This system is optimized to produce accurate transcriptions and highlight potential errors to promote rapid human verification, further reducing the necessary manual effort. Applied to over 40 hours of simulated conversations, this system offers a promising foundation for automating clinical transcriptions.

Mahmut Selman Gokmen, Cody Bumgardner

Vision Foundation Models (VFMs) have advanced representation learning through self-supervised methods. However, existing training pipelines are often inflexible, domain-specific, or computationally expensive, which limits their usability across different domains and resource settings. DINO-MX is a modular and extensible training framework that combines the core principles of DINO, DINOv2 and DINOv3 within a unified configuration-driven system. It supports a variety of transformer-based architectures and is fully compatible with the Hugging Face ecosystem. The framework includes multiple training strategies such as low-rank adaptation (LoRA), layer freezing, and knowledge distillation, along with support for distributed training through both Distributed Data Parallel (DDP) and Fully Sharded Data Parallel (FSDP). DINO-MX is designed to work with both natural and specialized data types, including single- and multi-channel images. Experimental results on diverse datasets show that DINO-MX achieves competitive performance while significantly reducing computational costs. Additionally, it offers interpretability tools and a label-guided data augmentation method that improves attention-based localization without the need for extra detection or segmentation heads. DINO-MX provides a reproducible and scalable foundation for developing, adapting, and benchmarking self-supervised vision models across a range of research and real-world applications.

V. K. Cody Bumgardner, Mitchell A. Klusty, W. Vaiden Logan et al.

This paper introduces a user-friendly platform developed by the University of Kentucky Center for Applied AI, designed to make large, customized language models (LLMs) more accessible. By capitalizing on recent advancements in multi-LoRA inference, the system efficiently accommodates custom adapters for a diverse range of users and projects. The paper outlines the system's architecture and key features, encompassing dataset curation, model training, secure inference, and text-based feature extraction. We illustrate the establishment of a tenant-aware computational network using agent-based methods, securely utilizing islands of isolated resources as a unified system. The platform strives to deliver secure LLM services, emphasizing process and data isolation, end-to-end encryption, and role-based resource authentication. This contribution aligns with the overarching goal of enabling simplified access to cutting-edge AI models and technology in support of scientific discovery.

Mahmut S. Gokmen, Jie Zhang, Ge Wang et al.

Diffusion models have significant impact on wide range of generative tasks, especially on image inpainting and restoration. Although the improvements on aiming for decreasing number of function evaluations (NFE), the iterative results are still computationally expensive. Consistency models are as a new family of generative models, enable single-step sampling of high quality data without the need for adversarial training. In this paper, we introduce the beta noise distribution, which provides flexibility in adjusting noise levels. This is combined with a sinusoidal curriculum that enhances the learning of the trajectory between the noise distribution and the posterior distribution of interest, allowing High Noise Improved Consistency Training (HN-iCT) to be trained in a supervised fashion. Additionally, High Noise Improved Consistency Training with Image Condition (HN-iCT-CN) architecture is introduced, enables to take Low Dose images as a condition for extracting significant features by Weighted Attention Gates (WAG).Our results indicate that unconditional image generation using HN-iCT significantly outperforms basic CT and iCT training techniques with NFE=1 on the CIFAR10 and CelebA datasets. Moreover, our image-conditioned model demonstrates exceptional performance in enhancing low-dose (LD) CT scans.

Mahmut S. Gokmen, Caner Ozcan, Moneera N. Haque et al.

Coronary artery disease (CAD), one of the leading causes of mortality worldwide, necessitates effective risk assessment strategies, with coronary artery calcium (CAC) scoring via computed tomography (CT) being a key method for prevention. Traditional methods, primarily based on UNET architectures implemented on pre-built models, face challenges like the scarcity of annotated CT scans containing CAC and imbalanced datasets, leading to reduced performance in segmentation and scoring tasks. In this study, we address these limitations by incorporating the self-supervised learning (SSL) technique of DINO (self-distillation with no labels), which trains without requiring CAC-specific annotations, enhancing its robustness in generating distinct features. The DINO-LG model, which leverages label guidance to focus on calcified areas, achieves significant improvements, with a sensitivity of 89% and specificity of 90% for detecting CAC-containing CT slices, compared to the standard DINO model's sensitivity of 79% and specificity of 77%. Additionally, false-negative and false-positive rates are reduced by 49% and 59%, respectively, instilling greater confidence in clinicians when ruling out calcification in low-risk patients and minimizing unnecessary imaging reviews by radiologists. Further, CAC scoring and segmentation tasks are conducted using a basic UNET architecture, applied specifically to CT slices identified by the DINO-LG model as containing calcified areas. This targeted approach enhances CAC scoring accuracy by feeding the UNET model with relevant slices, significantly improving diagnostic precision, reducing both false positives and false negatives, and ultimately lowering overall healthcare costs by minimizing unnecessary tests and treatments, presenting a valuable advancement in CAD risk assessment.

Mahmut S. Gokmen, Cody Bumgardner, Jie Zhang et al.

Consistency models possess high capabilities for image generation, advancing sampling steps to a single step through their advanced techniques. Current advancements move one step forward consistency training techniques and eliminates the limitation of distillation training. Even though the proposed curriculum and noise scheduling in improved training techniques yield better results than basic consistency models, it lacks well balanced noise distribution and its consistency between curriculum. In this study, it is investigated the balance between high and low noise levels in noise distribution and offered polynomial noise distribution to maintain the stability. This proposed polynomial noise distribution is also supported with a predefined Karras noises to prevent unique noise levels arises with Karras noise generation algorithm. Furthermore, by elimination of learned noisy steps with a curriculum based on sinusoidal function increase the performance of the model in denoising. To make a fair comparison with the latest released consistency model training techniques, experiments are conducted with same hyper-parameters except curriculum and noise distribution. The models utilized during experiments are determined with low depth to prove the robustness of our proposed technique. The results show that the polynomial noise distribution outperforms the model trained with log-normal noise distribution, yielding a 33.54 FID score after 100,000 training steps with constant discretization steps. Additionally, the implementation of a sinusoidal-based curriculum enhances denoising performance, resulting in a FID score of 30.48.

Aaron Mullen, Samuel E. Armstrong, Jasmine Perdeh et al.

A multi-modal machine learning system uses multiple unique data sources and types to improve its performance. This article proposes a system that combines results from several types of models, all of which are trained on different data signals. As an example to illustrate the efficacy of the system, an experiment is described in which multiple types of data are collected from rats suffering from seizures. This data includes electrocorticography readings, piezoelectric motion sensor data, and video recordings. Separate models are trained on each type of data, with the goal of classifying each time frame as either containing a seizure or not. After each model has generated its classification predictions, these results are combined. While each data signal works adequately on its own for prediction purposes, the significant imbalance in class labels leads to increased numbers of false positives, which can be filtered and removed by utilizing all data sources. This paper will demonstrate that, after postprocessing and combination techniques, classification accuracy is improved with this multi-modal system when compared to the performance of each individual data source.

Aaron D. Mullen, Daniel R. Harris, Peter Rock et al.

We present efforts in the fields of machine learning and time series forecasting to accurately predict counts of future suspected opioid overdoses recorded by Emergency Medical Services (EMS) in the state of Kentucky. Forecasts help government agencies properly prepare and distribute resources related to opioid overdoses. Our approach uses county and district level aggregations of suspected opioid overdose encounters and forecasts future counts for different time intervals. Models with different levels of complexity were evaluated to minimize forecasting error. A variety of additional covariates relevant to opioid overdoses and public health were tested to determine their impact on model performance. Our evaluation shows that useful predictions can be generated with limited error for different types of regions, and high performance can be achieved using commonly available covariates and relatively simple forecasting models.

Daniel Cotter, V. K. Cody Bumgardner

In the past decade, the healthcare industry has made significant advances in the digitization of patient information. However, a lack of interoperability among healthcare systems still imposes a high cost to patients, hospitals, and insurers. Currently, most systems pass messages using idiosyncratic messaging standards that require specialized knowledge to interpret. This increases the cost of systems integration and often puts more advanced uses of data out of reach. In this project, we demonstrate how two open standards, FHIR and RDF, can be combined both to integrate data from disparate sources in real-time and make that data queryable and susceptible to automated inference. To validate the effectiveness of the semantic engine, we perform simulations of real-time data feeds and demonstrate how they can be combined and used by client-side applications with no knowledge of the underlying sources.