Hongyan Li

Chenxi Sun, Hongyan Li, Moxian Song et al.

Continuous diagnosis and prognosis are essential for intensive care patients. It can provide more opportunities for timely treatment and rational resource allocation, especially for sepsis, a main cause of death in ICU, and COVID-19, a new worldwide epidemic. Although deep learning methods have shown their great superiority in many medical tasks, they tend to catastrophically forget, over fit, and get results too late when performing diagnosis and prognosis in the continuous mode. In this work, we summarized the three requirements of this task, proposed a new concept, continuous classification of time series (CCTS), and designed a novel model training method, restricted update strategy of neural networks (RU). In the context of continuous prognosis, our method outperformed all baselines and achieved the average accuracy of 90%, 97%, and 85% on sepsis prognosis, COVID-19 mortality prediction, and eight diseases classification. Superiorly, our method can also endow deep learning with interpretability, having the potential to explore disease mechanisms and provide a new horizon for medical research. We have achieved disease staging for sepsis and COVID-19, discovering four stages and three stages with their typical biomarkers respectively. Further, our method is a data-agnostic and model-agnostic plug-in, it can be used to continuously prognose other diseases with staging and even implement CCTS in other fields.

Yongfan Lai, Jiabo Chen, Deyun Zhang et al.

Heart disease remains a significant threat to human health. As a non-invasive diagnostic tool, the electrocardiogram (ECG) is one of the most widely used methods for cardiac screening. However, the scarcity of high-quality ECG data, driven by privacy concerns and limited medical resources, creates a pressing need for effective ECG signal generation. Existing approaches for generating ECG signals typically rely on small training datasets, lack comprehensive evaluation frameworks, and overlook potential applications beyond data augmentation. To address these challenges, we propose DiffuSETS, a novel framework capable of generating ECG signals with high semantic alignment and fidelity. DiffuSETS accepts various modalities of clinical text reports and patient-specific information as inputs, enabling the creation of clinically meaningful ECG signals. Additionally, to address the lack of standardized evaluation in ECG generation, we introduce a comprehensive benchmarking methodology to assess the effectiveness of generative models in this domain. Our model achieve excellent results in tests, proving its superiority in the task of ECG generation. Furthermore, we showcase its potential to mitigate data scarcity while exploring novel applications in cardiology education and medical knowledge discovery, highlighting the broader impact of our work.

Yen-Hsiu Chou, Shenda Hong, Chenxi Sun et al.

Since data is presented long-tailed in reality, it is challenging for Federated Learning (FL) to train across decentralized clients as practical applications. We present Global-Regularized Personalization (GRP-FED) to tackle the data imbalanced issue by considering a single global model and multiple local models for each client. With adaptive aggregation, the global model treats multiple clients fairly and mitigates the global long-tailed issue. Each local model is learned from the local data and aligns with its distribution for customization. To prevent the local model from just overfitting, GRP-FED applies an adversarial discriminator to regularize between the learned global-local features. Extensive results show that our GRP-FED improves under both global and local scenarios on real-world MIT-BIH and synthesis CIFAR-10 datasets, achieving comparable performance and addressing client imbalance.

Chenxi Sun, Moxian Song, Shenda Hong et al.

Recurrent Neural Networks (RNNs) have demonstrated their outstanding ability in sequence tasks and have achieved state-of-the-art in wide range of applications, such as industrial, medical, economic and linguistic. Echo State Network (ESN) is simple type of RNNs and has emerged in the last decade as an alternative to gradient descent training based RNNs. ESN, with a strong theoretical ground, is practical, conceptually simple, easy to implement. It avoids non-converging and computationally expensive in the gradient descent methods. Since ESN was put forward in 2002, abundant existing works have promoted the progress of ESN, and the recently introduced Deep ESN model opened the way to uniting the merits of deep learning and ESNs. Besides, the combinations of ESNs with other machine learning models have also overperformed baselines in some applications. However, the apparent simplicity of ESNs can sometimes be deceptive and successfully applying ESNs needs some experience. Thus, in this paper, we categorize the ESN-based methods to basic ESNs, DeepESNs and combinations, then analyze them from the perspective of theoretical studies, network designs and specific applications. Finally, we discuss the challenges and opportunities of ESNs by summarizing the open questions and proposing possible future works.

Chenxi Sun, Shenda Hong, Moxian Song et al.

Irregularly sampled time series (ISTS) data has irregular temporal intervals between observations and different sampling rates between sequences. ISTS commonly appears in healthcare, economics, and geoscience. Especially in the medical environment, the widely used Electronic Health Records (EHRs) have abundant typical irregularly sampled medical time series (ISMTS) data. Developing deep learning methods on EHRs data is critical for personalized treatment, precise diagnosis and medical management. However, it is challenging to directly use deep learning models for ISMTS data. On the one hand, ISMTS data has the intra-series and inter-series relations. Both the local and global structures should be considered. On the other hand, methods should consider the trade-off between task accuracy and model complexity and remain generality and interpretability. So far, many existing works have tried to solve the above problems and have achieved good results. In this paper, we review these deep learning methods from the perspectives of technology and task. Under the technology-driven perspective, we summarize them into two categories - missing data-based methods and raw data-based methods. Under the task-driven perspective, we also summarize them into two categories - data imputation-oriented and downstream task-oriented. For each of them, we point out their advantages and disadvantages. Moreover, we implement some representative methods and compare them on four medical datasets with two tasks. Finally, we discuss the challenges and opportunities in this area.

Junyuan Shang, Cao Xiao, Tengfei Ma et al.

Recent progress in deep learning is revolutionizing the healthcare domain including providing solutions to medication recommendations, especially recommending medication combination for patients with complex health conditions. Existing approaches either do not customize based on patient health history, or ignore existing knowledge on drug-drug interactions (DDI) that might lead to adverse outcomes. To fill this gap, we propose the Graph Augmented Memory Networks (GAMENet), which integrates the drug-drug interactions knowledge graph by a memory module implemented as a graph convolutional networks, and models longitudinal patient records as the query. It is trained end-to-end to provide safe and personalized recommendation of medication combination. We demonstrate the effectiveness and safety of GAMENet by comparing with several state-of-the-art methods on real EHR data. GAMENet outperformed all baselines in all effectiveness measures, and also achieved 3.60% DDI rate reduction from existing EHR data.