Mei Liu

Mohsen Nayebi Kerdabadi, Arya Hadizadeh Moghaddam, Bin Liu et al.

Survival analysis plays a crucial role in many healthcare decisions, where the risk prediction for the events of interest can support an informative outlook for a patient's medical journey. Given the existence of data censoring, an effective way of survival analysis is to enforce the pairwise temporal concordance between censored and observed data, aiming to utilize the time interval before censoring as partially observed time-to-event labels for supervised learning. Although existing studies mostly employed ranking methods to pursue an ordering objective, contrastive methods which learn a discriminative embedding by having data contrast against each other, have not been explored thoroughly for survival analysis. Therefore, in this paper, we propose a novel Ontology-aware Temporality-based Contrastive Survival (OTCSurv) analysis framework that utilizes survival durations from both censored and observed data to define temporal distinctiveness and construct negative sample pairs with adjustable hardness for contrastive learning. Specifically, we first use an ontological encoder and a sequential self-attention encoder to represent the longitudinal EHR data with rich contexts. Second, we design a temporal contrastive loss to capture varying survival durations in a supervised setting through a hardness-aware negative sampling mechanism. Last, we incorporate the contrastive task into the time-to-event predictive task with multiple loss components. We conduct extensive experiments using a large EHR dataset to forecast the risk of hospitalized patients who are in danger of developing acute kidney injury (AKI), a critical and urgent medical condition. The effectiveness and explainability of the proposed model are validated through comprehensive quantitative and qualitative studies.

Mei Liu, Liangming Chen, Xiaohao Du et al.

Deep neural networks often suffer from poor performance or even training failure due to the ill-conditioned problem, the vanishing/exploding gradient problem, and the saddle point problem. In this paper, a novel method by acting the gradient activation function (GAF) on the gradient is proposed to handle these challenges. Intuitively, the GAF enlarges the tiny gradients and restricts the large gradient. Theoretically, this paper gives conditions that the GAF needs to meet, and on this basis, proves that the GAF alleviates the problems mentioned above. In addition, this paper proves that the convergence rate of SGD with the GAF is faster than that without the GAF under some assumptions. Furthermore, experiments on CIFAR, ImageNet, and PASCAL visual object classes confirm the GAF's effectiveness. The experimental results also demonstrate that the proposed method is able to be adopted in various deep neural networks to improve their performance. The source code is publicly available at https://github.com/LongJin-lab/Activated-Gradients-for-Deep-Neural-Networks.

Mohsen Nayebi Kerdabadi, Arya Hadizadeh Moghaddam, Bin Liu et al.

Survival analysis (SA) models have been widely studied in mining electronic health records (EHRs), particularly in forecasting the risk of critical conditions for prioritizing high-risk patients. However, their vulnerability to adversarial attacks is much less explored in the literature. Developing black-box perturbation algorithms and evaluating their impact on state-of-the-art survival models brings two benefits to medical applications. First, it can effectively evaluate the robustness of models in pre-deployment testing. Also, exploring how subtle perturbations would result in significantly different outcomes can provide counterfactual insights into the clinical interpretation of model prediction. In this work, we introduce SurvAttack, a novel black-box adversarial attack framework leveraging subtle clinically compatible, and semantically consistent perturbations on longitudinal EHRs to degrade survival models' predictive performance. We specifically develop a greedy algorithm to manipulate medical codes with various adversarial actions throughout a patient's medical history. Then, these adversarial actions are prioritized using a composite scoring strategy based on multi-aspect perturbation quality, including saliency, perturbation stealthiness, and clinical meaningfulness. The proposed adversarial EHR perturbation algorithm is then used in an efficient SA-specific strategy to attack a survival model when estimating the temporal ranking of survival urgency for patients. To demonstrate the significance of our work, we conduct extensive experiments, including baseline comparisons, explainability analysis, and case studies. The experimental results affirm our research's effectiveness in illustrating the vulnerabilities of patient survival models, model interpretation, and ultimately contributing to healthcare quality.

Liangming Chen, Long Jin, Xiujuan Du et al.

In deep learning, it is usually assumed that the optimization process is conducted on a shape-fixed loss surface. Differently, we first propose a novel concept of deformation mapping in this paper to affect the behaviour of the optimizer. Vertical deformation mapping (VDM), as a type of deformation mapping, can make the optimizer enter a flat region, which often implies better generalization performance. Moreover, we design various VDMs, and further provide their contributions to the loss surface. After defining the local M region, theoretical analyses show that deforming the loss surface can enhance the gradient descent optimizer's ability to filter out sharp minima. With visualizations of loss landscapes, we evaluate the flatnesses of minima obtained by both the original optimizer and optimizers enhanced by VDMs on CIFAR-100. The experimental results show that VDMs do find flatter regions. Moreover, we compare popular convolutional neural networks enhanced by VDMs with the corresponding original ones on ImageNet, CIFAR-10, and CIFAR-100. The results are surprising: there are significant improvements on all of the involved models equipped with VDMs. For example, the top-1 test accuracy of ResNet-20 on CIFAR-100 increases by 1.46%, with insignificant additional computational overhead.