Runze Yan

Zhaoliang Chen, Cheng Ding, Saurabh Kataria et al.

This study introduces a novel application of a Generative Pre-trained Transformer (GPT) model tailored for photoplethysmography (PPG) signals, serving as a foundation model for various downstream tasks. Adapting the standard GPT architecture to suit the continuous characteristics of PPG signals, our approach demonstrates promising results. Our models are pre-trained on our extensive dataset that contains more than 200 million 30s PPG samples. We explored different supervised fine-tuning techniques to adapt our model to downstream tasks, resulting in performance comparable to or surpassing current state-of-the-art (SOTA) methods in tasks like atrial fibrillation detection. A standout feature of our GPT model is its inherent capability to perform generative tasks such as signal denoising effectively, without the need for further fine-tuning. This success is attributed to the generative nature of the GPT framework.

Minxiao Wang, Runze Yan, Carol Li et al.

Clinical laboratory tests provide essential biochemical measurements for diagnosis and treatment, but are limited by intermittent and invasive sampling. In contrast, photoplethysmogram (PPG) is a non-invasive, continuously recorded signal in intensive care units (ICUs) that reflects cardiovascular dynamics and can serve as a proxy for latent physiological changes. We propose UNIPHY+Lab, a framework that combines a large-scale PPG foundation model for local waveform encoding with a patient-aware Mamba model for long-range temporal modeling. Our architecture addresses three challenges: (1) capturing extended temporal trends in laboratory values, (2) accounting for patient-specific baseline variation via FiLM-modulated initial states, and (3) performing multi-task estimation for interrelated biomarkers. We evaluate our method on the two ICU datasets for predicting the five key laboratory tests. The results show substantial improvements over the LSTM and carry-forward baselines in MAE, RMSE, and $R^2$ among most of the estimation targets. This work demonstrates the feasibility of continuous, personalized lab value estimation from routine PPG monitoring, offering a pathway toward non-invasive biochemical surveillance in critical care.

Runze Yan, Xun Shen, Akifumi Wachi et al.

When applying offline reinforcement learning (RL) in healthcare scenarios, the out-of-distribution (OOD) issues pose significant risks, as inappropriate generalization beyond clinical expertise can result in potentially harmful recommendations. While existing methods like conservative Q-learning (CQL) attempt to address the OOD issue, their effectiveness is limited by only constraining action selection by suppressing uncertain actions. This action-only regularization imitates clinician actions that prioritize short-term rewards, but it fails to regulate downstream state trajectories, thereby limiting the discovery of improved long-term treatment strategies. To safely improve policy beyond clinician recommendations while ensuring that state-action trajectories remain in-distribution, we propose \textit{Offline Guarded Safe Reinforcement Learning} ($\mathsf{OGSRL}$), a theoretically grounded model-based offline RL framework. $\mathsf{OGSRL}$ introduces a novel dual constraint mechanism for improving policy with reliability and safety. First, the OOD guardian is established to specify clinically validated regions for safe policy exploration. By constraining optimization within these regions, it enables the reliable exploration of treatment strategies that outperform clinician behavior by leveraging the full patient state history, without drifting into unsupported state-action trajectories. Second, we introduce a safety cost constraint that encodes medical knowledge about physiological safety boundaries, providing domain-specific safeguards even in areas where training data might contain potentially unsafe interventions. Notably, we provide theoretical guarantees on safety and near-optimality: policies that satisfy these constraints remain in safe and reliable regions and achieve performance close to the best possible policy supported by the data.

Runze Yan, Afsaneh Doryab

Modeling biological rhythms helps understand the complex principles behind the physical and psychological abnormalities of human bodies, to plan life schedules, and avoid persisting fatigue and mood and sleep alterations due to the desynchronization of those rhythms. The first step in modeling biological rhythms is to identify their characteristics, such as cyclic periods, phase, and amplitude. However, human rhythms are susceptible to external events, which cause irregular fluctuations in waveforms and affect the characterization of each rhythm. In this paper, we present our exploratory work towards developing a computational framework for automated discovery and modeling of human rhythms. We first identify cyclic periods in time series data using three different methods and test their performance on both synthetic data and real fine-grained biological data. We observe consistent periods are detected by all three methods. We then model inner cycles within each period through identifying change points to observe fluctuations in biological data that may inform the impact of external events on human rhythms. The results provide initial insights into the design of a computational framework for discovering and modeling human rhythms.

Fateme Nikseresht, Runze Yan, Rachel Lew et al.

Despite the evolution of norms and regulations to mitigate the harm from biases, harmful discrimination linked to an individual's unconscious biases persists. Our goal is to better understand and detect the physiological and behavioral indicators of implicit biases. This paper investigates whether we can reliably detect racial bias from physiological responses, including heart rate, conductive skin response, skin temperature, and micro-body movements. We analyzed data from 46 subjects whose physiological data was collected with Empatica E4 wristband while taking an Implicit Association Test (IAT). Our machine learning and statistical analysis show that implicit bias can be predicted from physiological signals with 76.1% accuracy. Our results also show that the EDA signal associated with skin response has the strongest correlation with racial bias and that there are significant differences between the values of EDA features for biased and unbiased participants.