Ting Dang

Xin Wang, Ting Dang, Vassilis Kostakos et al.

Healthcare monitoring is crucial for early detection, timely intervention, and the ongoing management of health conditions, ultimately improving individuals' quality of life. Recent research shows that Large Language Models (LLMs) have demonstrated impressive performance in supporting healthcare tasks. However, existing LLM-based healthcare solutions typically rely on cloud-based systems, which raise privacy concerns and increase the risk of personal information leakage. As a result, there is growing interest in running these models locally on devices like mobile phones and wearables to protect users' privacy. Small Language Models (SLMs) are potential candidates to solve privacy and computational issues, as they are more efficient and better suited for local deployment. However, the performance of SLMs in healthcare domains has not yet been investigated. This paper examines the capability of SLMs to accurately analyze health data, such as steps, calories, sleep minutes, and other vital statistics, to assess an individual's health status. Our results show that, TinyLlama, which has 1.1 billion parameters, utilizes 4.31 GB memory, and has 0.48s latency, showing the best performance compared other four state-of-the-art (SOTA) SLMs on various healthcare applications. Our results indicate that SLMs could potentially be deployed on wearable or mobile devices for real-time health monitoring, providing a practical solution for efficient and privacy-preserving healthcare.

Jingyao Wu, Ting Dang, Vidhyasaharan Sethu et al.

There has been a significant focus on modelling emotion ambiguity in recent years, with advancements made in representing emotions as distributions to capture ambiguity. However, there has been comparatively less effort devoted to the consideration of temporal dependencies in emotion distributions which encodes ambiguity in perceived emotions that evolve smoothly over time. Recognizing the benefits of using constrained dynamical neural ordinary differential equations (CD-NODE) to model time series as dynamic processes, we propose an ambiguity-aware dual-constrained Neural ODE approach to model the dynamics of emotion distributions on arousal and valence. In our approach, we utilize ODEs parameterised by neural networks to estimate the distribution parameters, and we integrate additional constraints to restrict the range of the system outputs to ensure the validity of predicted distributions. We evaluated our proposed system on the publicly available RECOLA dataset and observed very promising performance across a range of evaluation metrics.

Xin Hong, Yuan Gong, Vidhyasaharan Sethu et al.

Recent advancements in Large Language Models (LLMs) have demonstrated great success in many Natural Language Processing (NLP) tasks. In addition to their cognitive intelligence, exploring their capabilities in emotional intelligence is also crucial, as it enables more natural and empathetic conversational AI. Recent studies have shown LLMs' capability in recognizing emotions, but they often focus on single emotion labels and overlook the complex and ambiguous nature of human emotions. This study is the first to address this gap by exploring the potential of LLMs in recognizing ambiguous emotions, leveraging their strong generalization capabilities and in-context learning. We design zero-shot and few-shot prompting and incorporate past dialogue as context information for ambiguous emotion recognition. Experiments conducted using three datasets indicate significant potential for LLMs in recognizing ambiguous emotions, and highlight the substantial benefits of including context information. Furthermore, our findings indicate that LLMs demonstrate a high degree of effectiveness in recognizing less ambiguous emotions and exhibit potential for identifying more ambiguous emotions, paralleling human perceptual capabilities.

Zheng Nan, Ting Dang, Vidhyasaharan Sethu et al.

Connectionist temporal classification (CTC) is commonly adopted for sequence modeling tasks like speech recognition, where it is necessary to preserve order between the input and target sequences. However, CTC is only applied to deterministic sequence models, where the latent space is discontinuous and sparse, which in turn makes them less capable of handling data variability when compared to variational models. In this paper, we integrate CTC with a variational model and derive loss functions that can be used to train more generalizable sequence models that preserve order. Specifically, we derive two versions of the novel variational CTC based on two reasonable assumptions, the first being that the variational latent variables at each time step are conditionally independent; and the second being that these latent variables are Markovian. We show that both loss functions allow direct optimization of the variational lower bound for the model log-likelihood, and present computationally tractable forms for implementing them.

Kai Bian, Xucheng Guo, Bin Chen et al.

Evaluations of dental vision-language models remain fragmented across datasets, task definitions and metrics, and often ignore their computational cost. This limits their widespread deployment for dental screening outside specialist centres, where timely inference, limited hardware, and local handling of patient images are vital for practical, privacy-preserving clinical prescreening. Here we present Pocket-Dentist, an efficiency-aware benchmark for dental multimodal question answering that brings together three datasets spanning approximately 1,159 patients, five task types and seven metrics. Across typical 14 VLMs, our results reveals an interesting observation: compact VLMs (e.g., 2B-parameter models) outperform larger VLMs in accuracy while requiring substantially lower computational costs in dental image understanding. Deployed locally on an iPhone 17 Pro, our finetuned compact VLM Pocket-Dentist-2B processed each sample in 4.31 s, reducing latency by 4.9-fold and memory use by 2.3-fold compared with a 7B baseline.

Zheng Nan, Ting Dang, Vidhyasaharan Sethu et al.

Relational thinking refers to the inherent ability of humans to form mental impressions about relations between sensory signals and prior knowledge, and subsequently incorporate them into their model of their world. Despite the crucial role relational thinking plays in human understanding of speech, it has yet to be leveraged in any artificial speech recognition systems. Recently, there have been some attempts to correct this oversight, but these have been limited to coarse utterance-level models that operate exclusively in the time domain. In an attempt to narrow the gap between artificial systems and human abilities, this paper presents a novel spectro-temporal relational thinking based acoustic modeling framework. Specifically, it first generates numerous probabilistic graphs to model the relationships among speech segments across both time and frequency domains. The relational information rooted in every pair of nodes within these graphs is then aggregated and embedded into latent representations that can be utilized by downstream tasks. Models built upon this framework outperform state-of-the-art systems with a 7.82\% improvement in phoneme recognition tasks over the TIMIT dataset. In-depth analyses further reveal that our proposed relational thinking modeling mainly improves the model's ability to recognize vowels, which are the most likely to be confused by phoneme recognizers.

Amaan Izhar, Nurul Japar, Norisma Idris et al.

Medical image reporting (MIR) aims to generate structured clinical descriptions from radiological images. Existing methods struggle with fine-grained feature extraction, multimodal alignment, and generalization across diverse imaging types, often relying on vanilla transformers and focusing primarily on chest X-rays. We propose MicarVLMoE, a vision-language mixture-of-experts model with gated cross-aligned fusion, designed to address these limitations. Our architecture includes: (i) a multiscale vision encoder (MSVE) for capturing anatomical details at varying resolutions, (ii) a multihead dual-branch latent attention (MDLA) module for vision-language alignment through latent bottleneck representations, and (iii) a modulated mixture-of-experts (MoE) decoder for adaptive expert specialization. We extend MIR to CT scans, retinal imaging, MRI scans, and gross pathology images, reporting state-of-the-art results on COVCTR, MMR, PGROSS, and ROCO datasets. Extensive experiments and ablations confirm improved clinical accuracy, cross-modal alignment, and model interpretability. Code is available at https://github.com/AI-14/micar-vl-moe.

Mujie Liu, Chenze Wang, Liping Chen et al.

The limited availability of labeled brain network data makes it challenging to achieve accurate and interpretable psychiatric diagnoses. While self-supervised learning (SSL) offers a promising solution, existing methods often rely on augmentation strategies that can disrupt crucial structural semantics in brain graphs. To address this, we propose SAM-BG, a two-stage framework for learning brain graph representations with structural semantic preservation. In the pre-training stage, an edge masker is trained on a small labeled subset to capture key structural semantics. In the SSL stage, the extracted structural priors guide a structure-aware augmentation process, enabling the model to learn more semantically meaningful and robust representations. Experiments on two real-world psychiatric datasets demonstrate that SAM-BG outperforms state-of-the-art methods, particularly in small-labeled data settings, and uncovers clinically relevant connectivity patterns that enhance interpretability. Our code is available at https://github.com/mjliu99/SAM-BG.

Yu Wu, Ting Dang, Dimitris Spathis et al. · cambridge

Contrastive learning (CL) has emerged as a promising approach for representation learning in time series data by embedding similar pairs closely while distancing dissimilar ones. However, existing CL methods often introduce false negative pairs (FNPs) by neglecting inherent characteristics and then randomly selecting distinct segments as dissimilar pairs, leading to erroneous representation learning, reduced model performance, and overall inefficiency. To address these issues, we systematically define and categorize FNPs in time series into semantic false negative pairs and temporal false negative pairs for the first time: the former arising from overlooking similarities in label categories, which correlates with similarities in non-stationarity and the latter from neglecting temporal proximity. Moreover, we introduce StatioCL, a novel CL framework that captures non-stationarity and temporal dependency to mitigate both FNPs and rectify the inaccuracies in learned representations. By interpreting and differentiating non-stationary states, which reflect the correlation between trends or temporal dynamics with underlying data patterns, StatioCL effectively captures the semantic characteristics and eliminates semantic FNPs. Simultaneously, StatioCL establishes fine-grained similarity levels based on temporal dependencies to capture varying temporal proximity between segments and to mitigate temporal FNPs. Evaluated on real-world benchmark time series classification datasets, StatioCL demonstrates a substantial improvement over state-of-the-art CL methods, achieving a 2.9% increase in Recall and a 19.2% reduction in FNPs. Most importantly, StatioCL also shows enhanced data efficiency and robustness against label scarcity.

Hong Jia, Shiya Fu, Feng Xia et al.

The emergence of Small Language Models (SLMs) as privacy-preserving alternatives for sensitive applications raises a fundamental question about their inherent understanding capabilities compared to Large Language Models (LLMs). This paper investigates the mental health understanding capabilities of current SLMs through systematic evaluation across diverse classification tasks. Employing zero-shot and few-shot learning paradigms, we benchmark their performance against established LLM baselines to elucidate their relative strengths and limitations in this critical domain. We assess five state-of-the-art SLMs (Phi-3, Phi-3.5, Qwen2.5, Llama-3.2, Gemma2) against three LLMs (GPT-4, FLAN-T5-XXL, Alpaca-7B) on six mental health understanding tasks. Our findings reveal that SLMs achieve mean performance within 2\% of LLMs on binary classification tasks (F1 scores of 0.64 vs 0.66 in zero-shot settings), demonstrating notable competence despite orders of magnitude fewer parameters. Both model categories experience similar degradation on multi-class severity tasks (a drop of over 30\%), suggesting that nuanced clinical understanding challenges transcend model scale. Few-shot prompting provides substantial improvements for SLMs (up to 14.6\%), while LLM gains are more variable. Our work highlights the potential of SLMs in mental health understanding, showing they can be effective privacy-preserving tools for analyzing sensitive online text data. In particular, their ability to quickly adapt and specialize with minimal data through few-shot learning positions them as promising candidates for scalable mental health screening tools.

Jiaheng Dong, Hong Jia, Soumyajit Chatterjee et al.

Speech Foundation Models encounter significant performance degradation when deployed in real-world scenarios involving acoustic domain shifts, such as background noise and speaker accents. Test-time adaptation (TTA) has recently emerged as a viable strategy to address such domain shifts at inference time without requiring access to source data or labels. However, existing TTA approaches, particularly those relying on backpropagation, are memory-intensive, limiting their applicability in speech tasks and resource-constrained settings. Although backpropagation-free methods offer improved efficiency, existing ones exhibit poor accuracy. This is because they are predominantly developed for vision tasks, which fundamentally differ from speech task formulations, noise characteristics, and model architecture, posing unique transferability challenges. In this paper, we introduce E-BATS, the first Efficient BAckpropagation-free TTA framework designed explicitly for speech foundation models. E-BATS achieves a balance between adaptation effectiveness and memory efficiency through three key components: (i) lightweight prompt adaptation for a forward-pass-based feature alignment, (ii) a multi-scale loss to capture both global (utterance-level) and local distribution shifts (token-level) and (iii) a test-time exponential moving average mechanism for stable adaptation across utterances. Experiments conducted on four noisy speech datasets spanning sixteen acoustic conditions demonstrate consistent improvements, with 4.1%-13.5% accuracy gains over backpropagation-free baselines and 2.0-6.4 times GPU memory savings compared to backpropagation-based methods. By enabling scalable and robust adaptation under acoustic variability, this work paves the way for developing more efficient adaptation approaches for practical speech processing systems in real-world environments.

Ting Dang, Yan Gao, Hong Jia

Large language models (LLMs) have shown exceptional versatility in natural language processing, prompting recent efforts to extend their multimodal capabilities to speech processing through the development of audio large language models (Audio LLMs). While Audio LLMs excel in tasks such as speech recognition and synthesis, it remains unclear how they perform when faced with the auditory cognitive challenges posed by real-world environments, such as audio comprehension and listening recall, particularly in the presence of background noise or overlapping speech. Unlike text-based LLMs, which have access to vast amounts of text data for pre-training, retraining Audio LLMs with diverse auditory cognitive scenes is difficult due to the limited datasets that simulate real-world auditory cognitive scenarios and the challenge of acquiring auditory cognitive labels for training. While test-time compute (TTC) methods have been shown to enhance the capabilities of text-based LLMs during inference, a key challenge lies in designing these TTC methods to improve the auditory capabilities of Audio LLMs. This study aims to address these two research gaps by: i) exploring the auditory cognitive capabilities of Audio LLMs, and ii) enhancing their capabilities using TTC approaches. We have investigated five different Audio LLMs for auditory cognition using a \textit{self-collected} database and have proposed five TTC approaches to enhance auditory cognitive capabilities during inference. Our findings reveal that Audio LLMs performance decreases in more challenging auditory cognitive tasks. The proposed TTC approaches significantly enhance cognitive auditory capabilities, advancing the development of more adaptable and resilient Audio LLMs for practical applications such as assistive listening devices, voice-based AI assistants, and communication technologies.

Mujie Liu, Mengchu Zhu, Qichao Dong et al.

Psychiatric disorders involve complex neural activity changes, with functional magnetic resonance imaging (fMRI) data serving as key diagnostic evidence. However, data scarcity and the diverse nature of fMRI information pose significant challenges. While graph-based self-supervised learning (SSL) methods have shown promise in brain network analysis, they primarily focus on time-domain representations, often overlooking the rich information embedded in the frequency domain. To overcome these limitations, we propose Frequency-Enhanced Network (FENet), a novel SSL framework specially designed for fMRI data that integrates time-domain and frequency-domain information to improve psychiatric disorder detection in small-sample datasets. FENet constructs multi-view brain networks based on the inherent properties of fMRI data, explicitly incorporating frequency information into the learning process of representation. Additionally, it employs domain-specific encoders to capture temporal-spectral characteristics, including an efficient frequency-domain encoder that highlights disease-relevant frequency features. Finally, FENet introduces a domain consistency-guided learning objective, which balances the utilization of diverse information and generates frequency-enhanced brain graph representations. Experiments on two real-world medical datasets demonstrate that FENet outperforms state-of-the-art methods while maintaining strong performance in minimal data conditions. Furthermore, we analyze the correlation between various frequency-domain features and psychiatric disorders, emphasizing the critical role of high-frequency information in disorder detection.

Ting Dang, Jing Han, Tong Xia et al.

Recent work has shown the potential of using audio data (eg, cough, breathing, and voice) in the screening for COVID-19. However, these approaches only focus on one-off detection and detect the infection given the current audio sample, but do not monitor disease progression in COVID-19. Limited exploration has been put forward to continuously monitor COVID-19 progression, especially recovery, through longitudinal audio data. Tracking disease progression characteristics could lead to more timely treatment. The primary objective of this study is to explore the potential of longitudinal audio samples over time for COVID-19 progression prediction and, especially, recovery trend prediction using sequential deep learning techniques. Crowdsourced respiratory audio data, including breathing, cough, and voice samples, from 212 individuals over 5-385 days were analyzed. We developed a deep learning-enabled tracking tool using gated recurrent units (GRUs) to detect COVID-19 progression by exploring the audio dynamics of the individuals' historical audio biomarkers. The investigation comprised 2 parts: (1) COVID-19 detection in terms of positive and negative (healthy) tests, and (2) longitudinal disease progression prediction over time in terms of probability of positive tests. The strong performance for COVID-19 detection, yielding an AUROC of 0.79, a sensitivity of 0.75, and a specificity of 0.71 supported the effectiveness of the approach compared to methods that do not leverage longitudinal dynamics. We further examined the predicted disease progression trajectory, displaying high consistency with test results with a correlation of 0.75 in the test cohort and 0.86 in a subset of the test cohort who reported recovery. Our findings suggest that monitoring COVID-19 evolution via longitudinal audio data has potential in the tracking of individuals' disease progression and recovery.

Kayla-Jade Butkow, Ting Dang, Andrea Ferlini et al.

With the soaring adoption of in-ear wearables, the research community has started investigating suitable in-ear heart rate (HR) detection systems. HR is a key physiological marker of cardiovascular health and physical fitness. Continuous and reliable HR monitoring with wearable devices has therefore gained increasing attention in recent years. Existing HR detection systems in wearables mainly rely on photoplethysmography (PPG) sensors, however, these are notorious for poor performance in the presence of human motion. In this work, leveraging the occlusion effect that enhances low-frequency bone-conducted sounds in the ear canal, we investigate for the first time \textit{in-ear audio-based motion-resilient} HR monitoring. We first collected HR-induced sounds in the ear canal leveraging an in-ear microphone under stationary and three different activities (i.e., walking, running, and speaking). Then, we devised a novel deep learning based motion artefact (MA) mitigation framework to denoise the in-ear audio signals, followed by an HR estimation algorithm to extract HR. With data collected from 20 subjects over four activities, we demonstrate that hEARt, our end-to-end approach, achieves a mean absolute error (MAE) of 3.02 $\pm$ 2.97~BPM, 8.12 $\pm$ 6.74~BPM, 11.23 $\pm$ 9.20~BPM and 9.39 $\pm$ 6.97~BPM for stationary, walking, running and speaking, respectively, opening the door to a new non-invasive and affordable HR monitoring with usable performance for daily activities. Not only does hEARt outperform previous in-ear HR monitoring work, but it outperforms reported in-ear PPG performance.

Jingyao Wu, Ting Dang, Vidhyasaharan Sethu et al.

There is growing interest in affective computing for the representation and prediction of emotions along ordinal scales. However, the term ordinal emotion label has been used to refer to both absolute notions such as low or high arousal, as well as relation notions such as arousal is higher at one instance compared to another. In this paper, we introduce the terminology absolute and relative ordinal labels to make this distinction clear and investigate both with a view to integrate them and exploit their complementary nature. We propose a Markovian framework referred to as Dynamic Ordinal Markov Model (DOMM) that makes use of both absolute and relative ordinal information, to improve speech based ordinal emotion prediction. Finally, the proposed framework is validated on two speech corpora commonly used in affective computing, the RECOLA and the IEMOCAP databases, across a range of system configurations. The results consistently indicate that integrating relative ordinal information improves absolute ordinal emotion prediction.

Jing Han, Tong Xia, Dimitris Spathis et al.

Researchers have been battling with the question of how we can identify Coronavirus disease (COVID-19) cases efficiently, affordably and at scale. Recent work has shown how audio based approaches, which collect respiratory audio data (cough, breathing and voice) can be used for testing, however there is a lack of exploration of how biases and methodological decisions impact these tools' performance in practice. In this paper, we explore the realistic performance of audio-based digital testing of COVID-19. To investigate this, we collected a large crowdsourced respiratory audio dataset through a mobile app, alongside recent COVID-19 test result and symptoms intended as a ground truth. Within the collected dataset, we selected 5,240 samples from 2,478 participants and split them into different participant-independent sets for model development and validation. Among these, we controlled for potential confounding factors (such as demographics and language). The unbiased model takes features extracted from breathing, coughs, and voice signals as predictors and yields an AUC-ROC of 0.71 (95\% CI: 0.65$-$0.77). We further explore different unbalanced distributions to show how biases and participant splits affect performance. Finally, we discuss how the realistic model presented could be integrated in clinical practice to realize continuous, ubiquitous, sustainable and affordable testing at population scale.

Tong Xia, Jing Han, Lorena Qendro et al.

Recently, sound-based COVID-19 detection studies have shown great promise to achieve scalable and prompt digital pre-screening. However, there are still two unsolved issues hindering the practice. First, collected datasets for model training are often imbalanced, with a considerably smaller proportion of users tested positive, making it harder to learn representative and robust features. Second, deep learning models are generally overconfident in their predictions. Clinically, false predictions aggravate healthcare costs. Estimation of the uncertainty of screening would aid this. To handle these issues, we propose an ensemble framework where multiple deep learning models for sound-based COVID-19 detection are developed from different but balanced subsets from original data. As such, data are utilized more effectively compared to traditional up-sampling and down-sampling approaches: an AUC of 0.74 with a sensitivity of 0.68 and a specificity of 0.69 is achieved. Simultaneously, we estimate uncertainty from the disagreement across multiple models. It is shown that false predictions often yield higher uncertainty, enabling us to suggest the users with certainty higher than a threshold to repeat the audio test on their phones or to take clinical tests if digital diagnosis still fails. This study paves the way for a more robust sound-based COVID-19 automated screening system.