Youxiang Zhu

Youxiang Zhu, Nana Lin, Xiaohui Liang et al.

Using picture description speech for dementia detection has been studied for 30 years. Despite the long history, previous models focus on identifying the differences in speech patterns between healthy subjects and patients with dementia but do not utilize the picture information directly. In this paper, we propose the first dementia detection models that take both the picture and the description texts as inputs and incorporate knowledge from large pre-trained image-text alignment models. We observe the difference between dementia and healthy samples in terms of the text's relevance to the picture and the focused area of the picture. We thus consider such a difference could be used to enhance dementia detection accuracy. Specifically, we use the text's relevance to the picture to rank and filter the sentences of the samples. We also identified focused areas of the picture as topics and categorized the sentences according to the focused areas. We propose three advanced models that pre-processed the samples based on their relevance to the picture, sub-image, and focused areas. The evaluation results show that our advanced models, with knowledge of the picture and large image-text alignment models, achieve state-of-the-art performance with the best detection accuracy at 83.44%, which is higher than the text-only baseline model at 79.91%. Lastly, we visualize the sample and picture results to explain the advantages of our models.

Ruochen Li, Jiazhen Pan, Youxiang Zhu et al.

Cardiac Magnetic Resonance Imaging (CMR) is the gold standard for diagnosing cardiovascular diseases. Clinical diagnoses predominantly rely on magnitude-only Digital Imaging and Communications in Medicine (DICOM) images, omitting crucial phase information that might provide additional diagnostic benefits. In contrast, k-space is complex-valued and encompasses both magnitude and phase information, while humans cannot directly perceive. In this work, we propose KMAE, a Transformer-based model specifically designed to process k-space data directly, eliminating conventional intermediary conversion steps to the image domain. KMAE can handle critical cardiac disease classification, relevant phenotype regression, and cardiac morphology segmentation tasks. We utilize this model to investigate the potential of k-space-based diagnosis in cardiac MRI. Notably, this model achieves competitive classification and regression performance compared to image-domain methods e.g. Masked Autoencoders (MAEs) and delivers satisfactory segmentation performance with a myocardium dice score of 0.884. Last but not least, our model exhibits robust performance with consistent results even when the k-space is 8* undersampled. We encourage the MR community to explore the untapped potential of k-space and pursue end-to-end, automated diagnosis with reduced human intervention.

Karmesh Siddharam Chaudhari, Youxiang Zhu, Amy Feng et al.

The increasing use of Online Vision Language Models (OVLMs) for processing images has introduced significant privacy risks, as individuals frequently upload images for various utilities, unaware of the potential for privacy violations. Images contain relationships that relate to Personally Identifiable Information (PII), where even seemingly harmless details can indirectly reveal sensitive information through surrounding clues. This paper explores the critical issue of PII disclosure in images uploaded to OVLMs and its implications for user privacy. We investigate how the extraction of contextual relationships from images can lead to direct (explicit) or indirect (implicit) exposure of PII, significantly compromising personal privacy. Furthermore, we propose methods to protect privacy while preserving the intended utility of the images in Vision Language Model (VLM)-based applications. Our evaluation demonstrates the efficacy of these techniques, highlighting the delicate balance between maintaining utility and protecting privacy in online image processing environments. Index Terms-Personally Identifiable Information (PII), Privacy, Utility, privacy concerns, sensitive information

Youxiang Zhu, Ruochen Li, Danqing Wang et al.

Long-context large language models (LLMs) are prone to be distracted by irrelevant contexts. The reason for distraction remains poorly understood. In this paper, we first identify the contextual heads, a special group of attention heads that control the overall attention of the LLM. Then, we demonstrate that distraction arises when contextual heads fail to allocate sufficient attention to relevant contexts and can be mitigated by increasing attention to these contexts. We further identify focus directions, located at the key and query activations of these heads, which enable them to allocate more attention to relevant contexts without explicitly specifying which context is relevant. We comprehensively evaluate the effect of focus direction on various long-context tasks and find out focus directions could help to mitigate the poor task alignment of the long-context LLMs. We believe our findings could promote further research on long-context LLM alignment.

Kristin Qi, Youxiang Zhu, Xiaohui Liang

We present our approach to the PerAnsSumm Shared Task, which involves perspective span identification and perspective-aware summarization in community question-answering (CQA) threads. For span identification, we adopt ensemble learning that integrates three transformer models through averaging to exploit individual model strengths, achieving an 82.91% F1-score on test data. For summarization, we design a suite of Chain-of-Thought (CoT) prompting strategies that incorporate keyphrases and guide information to structure summary generation into manageable steps. To further enhance summary quality, we apply prompt optimization using the DSPy framework and supervised fine-tuning (SFT) on Llama-3 to adapt the model to domain-specific data. Experimental results on validation and test sets show that structured prompts with keyphrases and guidance improve summaries aligned with references, while the combination of prompt optimization and fine-tuning together yields significant improvement in both relevance and factuality evaluation metrics.

Nana Lin, Youxiang Zhu, Xiaohui Liang et al.

Mild cognitive impairment (MCI) is a major public health concern due to its high risk of progressing to dementia. This study investigates the potential of detecting MCI with spontaneous voice assistant (VA) commands from 35 older adults in a controlled setting. Specifically, a command-generation task is designed with pre-defined intents for participants to freely generate commands that are more associated with cognitive ability than read commands. We develop MCI classification and regression models with audio, textual, intent, and multimodal fusion features. We find the command-generation task outperforms the command-reading task with an average classification accuracy of 82%, achieved by leveraging multimodal fusion features. In addition, generated commands correlate more strongly with memory and attention subdomains than read commands. Our results confirm the effectiveness of the command-generation task and imply the promise of using longitudinal in-home commands for MCI detection.

Bang Tran, Youxiang Zhu, Xiaohui Liang et al.

Excessive sleepiness in attention-critical contexts can lead to adverse events, such as car crashes. Detecting and monitoring sleepiness can help prevent these adverse events from happening. In this paper, we use the Voiceome dataset to extract speech from 1,828 participants to develop a deep transfer learning model using Hidden-Unit BERT (HuBERT) speech representations to detect sleepiness from individuals. Speech is an under-utilized source of data in sleep detection, but as speech collection is easy, cost-effective, and non-invasive, it provides a promising resource for sleepiness detection. Two complementary techniques were conducted in order to seek converging evidence regarding the importance of individual speech tasks. Our first technique, masking, evaluated task importance by combining all speech tasks, masking selected responses in the speech, and observing systematic changes in model accuracy. Our second technique, separate training, compared the accuracy of multiple models, each of which used the same architecture, but was trained on a different subset of speech tasks. Our evaluation shows that the best-performing model utilizes the memory recall task and categorical naming task from the Boston Naming Test, which achieved an accuracy of 80.07% (F1-score of 0.85) and 81.13% (F1-score of 0.89), respectively.

Youxiang Zhu, Bang Tran, Xiaohui Liang et al.

Speech pause is an effective biomarker in dementia detection. Recent deep learning models have exploited speech pauses to achieve highly accurate dementia detection, but have not exploited the interpretability of speech pauses, i.e., what and how positions and lengths of speech pauses affect the result of dementia detection. In this paper, we will study the positions and lengths of dementia-sensitive pauses using adversarial learning approaches. Specifically, we first utilize an adversarial attack approach by adding the perturbation to the speech pauses of the testing samples, aiming to reduce the confidence levels of the detection model. Then, we apply an adversarial training approach to evaluate the impact of the perturbation in training samples on the detection model. We examine the interpretability from the perspectives of model accuracy, pause context, and pause length. We found that some pauses are more sensitive to dementia than other pauses from the model's perspective, e.g., speech pauses near to the verb "is". Increasing lengths of sensitive pauses or adding sensitive pauses leads the model inference to Alzheimer's Disease, while decreasing the lengths of sensitive pauses or deleting sensitive pauses leads to non-AD.

Youxiang Zhu, Xiaohui Liang

In this paper, we exploit a Fully Convolutional Network (FCN) to analyze the audio data of spontaneous speech for dementia detection. A fully convolutional network accommodates speech samples with varying lengths, thus enabling us to analyze the speech sample without manual segmentation. Specifically, we first obtain the Mel Frequency Cepstral Coefficient (MFCC) feature map from each participant's audio data and convert the speech classification task on audio data to an image classification task on MFCC feature maps. Then, to solve the data insufficiency problem, we apply transfer learning by adopting a pre-trained backbone Convolutional Neural Network (CNN) model from the MobileNet architecture and the ImageNet dataset. We further build a convolutional layer to produce a heatmap using Otsu's method for visualization, enabling us to understand the impact of the time-series audio segments on the classification results. We demonstrate that our classification model achieves 66.7% over the testing dataset, 62.5% of the baseline model provided in the ADReSS challenge. Through the visualization technique, we can evaluate the impact of audio segments, such as filled pauses from the participants and repeated questions from the investigator, on the classification results.