LGJun 21, 2022Code
BOND: Benchmarking Unsupervised Outlier Node Detection on Static Attributed GraphsKay Liu, Yingtong Dou, Yue Zhao et al.
Detecting which nodes in graphs are outliers is a relatively new machine learning task with numerous applications. Despite the proliferation of algorithms developed in recent years for this task, there has been no standard comprehensive setting for performance evaluation. Consequently, it has been difficult to understand which methods work well and when under a broad range of settings. To bridge this gap, we present--to the best of our knowledge--the first comprehensive benchmark for unsupervised outlier node detection on static attributed graphs called BOND, with the following highlights. (1) We benchmark the outlier detection performance of 14 methods ranging from classical matrix factorization to the latest graph neural networks. (2) Using nine real datasets, our benchmark assesses how the different detection methods respond to two major types of synthetic outliers and separately to "organic" (real non-synthetic) outliers. (3) Using an existing random graph generation technique, we produce a family of synthetically generated datasets of different graph sizes that enable us to compare the running time and memory usage of the different outlier detection algorithms. Based on our experimental results, we discuss the pros and cons of existing graph outlier detection algorithms, and we highlight opportunities for future research. Importantly, our code is freely available and meant to be easily extendable: https://github.com/pygod-team/pygod/tree/main/benchmark
CVJun 29, 2023Code
Improving Fairness in Deepfake DetectionYan Ju, Shu Hu, Shan Jia et al.
Despite the development of effective deepfake detectors in recent years, recent studies have demonstrated that biases in the data used to train these detectors can lead to disparities in detection accuracy across different races and genders. This can result in different groups being unfairly targeted or excluded from detection, allowing undetected deepfakes to manipulate public opinion and erode trust in a deepfake detection model. While existing studies have focused on evaluating fairness of deepfake detectors, to the best of our knowledge, no method has been developed to encourage fairness in deepfake detection at the algorithm level. In this work, we make the first attempt to improve deepfake detection fairness by proposing novel loss functions that handle both the setting where demographic information (eg, annotations of race and gender) is available as well as the case where this information is absent. Fundamentally, both approaches can be used to convert many existing deepfake detectors into ones that encourages fairness. Extensive experiments on four deepfake datasets and five deepfake detectors demonstrate the effectiveness and flexibility of our approach in improving deepfake detection fairness. Our code is available at https://github.com/littlejuyan/DF_Fairness.
SPAug 17, 2023
Neurological Prognostication of Post-Cardiac-Arrest Coma Patients Using EEG Data: A Dynamic Survival Analysis Framework with Competing RisksXiaobin Shen, Jonathan Elmer, George H. Chen · cmu
Patients resuscitated from cardiac arrest who enter a coma are at high risk of death. Forecasting neurological outcomes of these patients (the task of neurological prognostication) could help with treatment decisions. In this paper, we propose, to the best of our knowledge, the first dynamic framework for neurological prognostication of post-cardiac-arrest comatose patients using EEG data: our framework makes predictions for a patient over time as more EEG data become available, and different training patients' available EEG time series could vary in length. Predictions are phrased in terms of either time-to-event outcomes (time-to-awakening or time-to-death) or as the patient's probability of awakening or of dying across multiple time horizons. Our framework uses any dynamic survival analysis model that supports competing risks in the form of estimating patient-level cumulative incidence functions. We consider three competing risks as to what happens first to a patient: awakening, being withdrawn from life-sustaining therapies (and thus deterministically dying), or dying (by other causes). We demonstrate our framework by benchmarking three existing dynamic survival analysis models that support competing risks on a real dataset of 922 patients. Our main experimental findings are that: (1) the classical Fine and Gray model which only uses a patient's static features and summary statistics from the patient's latest hour's worth of EEG data is highly competitive, achieving accuracy scores as high as the recently developed Dynamic-DeepHit model that uses substantially more of the patient's EEG data; and (2) in an ablation study, we show that our choice of modeling three competing risks results in a model that is at least as accurate while learning more information than simpler models (using two competing risks or a standard survival analysis setup with no competing risks).
MLNov 18, 2022Code
Distributionally Robust Survival Analysis: A Novel Fairness Loss Without DemographicsShu Hu, George H. Chen
We propose a general approach for training survival analysis models that minimizes a worst-case error across all subpopulations that are large enough (occurring with at least a user-specified minimum probability). This approach uses a training loss function that does not know any demographic information to treat as sensitive. Despite this, we demonstrate that our proposed approach often scores better on recently established fairness metrics (without a significant drop in prediction accuracy) compared to various baselines, including ones which directly use sensitive demographic information in their training loss. Our code is available at: https://github.com/discovershu/DRO_COX
LGJun 21, 2022Code
Survival Kernets: Scalable and Interpretable Deep Kernel Survival Analysis with an Accuracy GuaranteeGeorge H. Chen
Kernel survival analysis models estimate individual survival distributions with the help of a kernel function, which measures the similarity between any two data points. Such a kernel function can be learned using deep kernel survival models. In this paper, we present a new deep kernel survival model called a survival kernet, which scales to large datasets in a manner that is amenable to model interpretation and also theoretical analysis. Specifically, the training data are partitioned into clusters based on a recently developed training set compression scheme for classification and regression called kernel netting that we extend to the survival analysis setting. At test time, each data point is represented as a weighted combination of these clusters, and each such cluster can be visualized. For a special case of survival kernets, we establish a finite-sample error bound on predicted survival distributions that is, up to a log factor, optimal. Whereas scalability at test time is achieved using the aforementioned kernel netting compression strategy, scalability during training is achieved by a warm-start procedure based on tree ensembles such as XGBoost and a heuristic approach to accelerating neural architecture search. On four standard survival analysis datasets of varying sizes (up to roughly 3 million data points), we show that survival kernets are highly competitive compared to various baselines tested in terms of time-dependent concordance index. Our code is available at: https://github.com/georgehc/survival-kernets
LGDec 8, 2025
Deep Kernel Aalen-Johansen Estimator: An Interpretable and Flexible Neural Net Framework for Competing RisksXiaobin Shen, George H. Chen · cmu
We propose an interpretable deep competing risks model called the Deep Kernel Aalen-Johansen (DKAJ) estimator, which generalizes the classical Aalen-Johansen nonparametric estimate of cumulative incidence functions (CIFs). Each data point (e.g., patient) is represented as a weighted combination of clusters. If a data point has nonzero weight only for one cluster, then its predicted CIFs correspond to those of the classical Aalen-Johansen estimator restricted to data points from that cluster. These weights come from an automatically learned kernel function that measures how similar any two data points are. On four standard competing risks datasets, we show that DKAJ is competitive with state-of-the-art baselines while being able to provide visualizations to assist model interpretation.
MLAug 31, 2024
Fairness in Survival Analysis with Distributionally Robust OptimizationShu Hu, George H. Chen
We propose a general approach for encouraging fairness in survival analysis models based on minimizing a worst-case error across all subpopulations that occur with at least a user-specified probability. This approach can be used to convert many existing survival analysis models into ones that simultaneously encourage fairness, without requiring the user to specify which attributes or features to treat as sensitive in the training loss function. From a technical standpoint, our approach applies recent developments of distributionally robust optimization (DRO) to survival analysis. The complication is that existing DRO theory uses a training loss function that decomposes across contributions of individual data points, i.e., any term that shows up in the loss function depends only on a single training point. This decomposition does not hold for commonly used survival loss functions, including for the Cox proportional hazards model, its deep neural network variants, and many other recently developed models that use loss functions involving ranking or similarity score calculations. We address this technical hurdle using a sample splitting strategy. We demonstrate our sample splitting DRO approach by using it to create fair versions of a diverse set of existing survival analysis models including the Cox model (and its deep variant DeepSurv), the discrete-time model DeepHit, and the neural ODE model SODEN. We also establish a finite-sample theoretical guarantee to show what our sample splitting DRO loss converges to. For the Cox model, we further derive an exact DRO approach that does not use sample splitting. For all the models that we convert into DRO variants, we show that the DRO variants often score better on recently established fairness metrics (without incurring a significant drop in accuracy) compared to existing survival analysis fairness regularization techniques.
LGFeb 21, 2025
Explaining the Success of Nearest Neighbor Methods in PredictionGeorge H. Chen, Devavrat Shah
Many modern methods for prediction leverage nearest neighbor search to find past training examples most similar to a test example, an idea that dates back in text to at least the 11th century and has stood the test of time. This monograph aims to explain the success of these methods, both in theory, for which we cover foundational nonasymptotic statistical guarantees on nearest-neighbor-based regression and classification, and in practice, for which we gather prominent methods for approximate nearest neighbor search that have been essential to scaling prediction systems reliant on nearest neighbor analysis to handle massive datasets. Furthermore, we discuss connections to learning distances for use with nearest neighbor methods, including how random decision trees and ensemble methods learn nearest neighbor structure, as well as recent developments in crowdsourcing and graphons. In terms of theory, our focus is on nonasymptotic statistical guarantees, which we state in the form of how many training data and what algorithm parameters ensure that a nearest neighbor prediction method achieves a user-specified error tolerance. We begin with the most general of such results for nearest neighbor and related kernel regression and classification in general metric spaces. In such settings in which we assume very little structure, what enables successful prediction is smoothness in the function being estimated for regression, and a low probability of landing near the decision boundary for classification. In practice, these conditions could be difficult to verify for a real dataset. We then cover recent guarantees on nearest neighbor prediction in the three case studies of time series forecasting, recommending products to people over time, and delineating human organs in medical images by looking at image patches. In these case studies, clustering structure enables successful prediction.
LGMar 28, 2022
A collection of invited non-archival papers for the Conference on Health, Inference, and Learning (CHIL) 2022Gerardo Flores, George H. Chen, Tom Pollard et al.
A collection of invited non-archival papers for the Conference on Health, Inference, and Learning (CHIL) 2022. This index is incomplete as some authors of invited non-archival presentations opted not to include their papers in this index.
LGMar 5Code
SurvHTE-Bench: A Benchmark for Heterogeneous Treatment Effect Estimation in Survival AnalysisShahriar Noroozizadeh, Xiaobin Shen, Jeremy C. Weiss et al.
Estimating heterogeneous treatment effects (HTEs) from right-censored survival data is critical in high-stakes applications such as precision medicine and individualized policy-making. Yet, the survival analysis setting poses unique challenges for HTE estimation due to censoring, unobserved counterfactuals, and complex identification assumptions. Despite recent advances, from Causal Survival Forests to survival meta-learners and outcome imputation approaches, evaluation practices remain fragmented and inconsistent. We introduce SurvHTE-Bench, the first comprehensive benchmark for HTE estimation with censored outcomes. The benchmark spans (i) a modular suite of synthetic datasets with known ground truth, systematically varying causal assumptions and survival dynamics, (ii) semi-synthetic datasets that pair real-world covariates with simulated treatments and outcomes, and (iii) real-world datasets from a twin study (with known ground truth) and from an HIV clinical trial. Across synthetic, semi-synthetic, and real-world settings, we provide the first rigorous comparison of survival HTE methods under diverse conditions and realistic assumption violations. SurvHTE-Bench establishes a foundation for fair, reproducible, and extensible evaluation of causal survival methods. The data and code of our benchmark are available at: https://github.com/Shahriarnz14/SurvHTE-Bench .
CLMay 23, 2025Code
PMOA-TTS: Introducing the PubMed Open Access Textual Times Series CorpusShahriar Noroozizadeh, Sayantan Kumar, George H. Chen et al.
Understanding temporal dynamics in clinical narratives is essential for modeling patient trajectories, yet large-scale temporally annotated resources remain limited. We present PMOA-TTS, the first openly available dataset of 124,699 PubMed Open Access (PMOA) case reports, each converted into structured (event, time) timelines via a scalable LLM-based pipeline. Our approach combines heuristic filtering with Llama 3.3 to identify single-patient case reports, followed by prompt-driven extraction using Llama 3.3 and DeepSeek R1, resulting in over 5.6 million timestamped clinical events. To assess timeline quality, we evaluate against a clinician-curated reference set using three metrics: (i) event-level matching (80% match at a cosine similarity threshold of 0.1), (ii) temporal concordance (c-index > 0.90), and (iii) Area Under the Log-Time CDF (AULTC) for timestamp alignment. Corpus-level analysis shows wide diagnostic and demographic coverage. In a downstream survival prediction task, embeddings from extracted timelines achieve time-dependent concordance indices up to 0.82 $\pm$ 0.01, demonstrating the predictive value of temporally structured narratives. PMOA-TTS provides a scalable foundation for timeline extraction, temporal reasoning, and longitudinal modeling in biomedical NLP. The dataset is available at: https://huggingface.co/datasets/snoroozi/pmoa-tts .
LGJul 15, 2020Code
Neural Topic Models with Survival Supervision: Jointly Predicting Time-to-Event Outcomes and Learning How Clinical Features RelateGeorge H. Chen, Linhong Li, Ren Zuo et al.
We present a neural network framework for learning a survival model to predict a time-to-event outcome while simultaneously learning a topic model that reveals feature relationships. In particular, we model each subject as a distribution over "topics", where a topic could, for instance, correspond to an age group, a disorder, or a disease. The presence of a topic in a subject means that specific clinical features are more likely to appear for the subject. Topics encode information about related features and are learned in a supervised manner to predict a time-to-event outcome. Our framework supports combining many different topic and survival models; training the resulting joint survival-topic model readily scales to large datasets using standard neural net optimizers with minibatch gradient descent. For example, a special case is to combine LDA with a Cox model, in which case a subject's distribution over topics serves as the input feature vector to the Cox model. We explain how to address practical implementation issues that arise when applying these neural survival-supervised topic models to clinical data, including how to visualize results to assist clinical interpretation. We study the effectiveness of our proposed framework on seven clinical datasets on predicting time until death as well as hospital ICU length of stay, where we find that neural survival-supervised topic models achieve competitive accuracy with existing approaches while yielding interpretable clinical topics that explain feature relationships. Our code is available at: https://github.com/georgehc/survival-topics
LGNov 19, 2024
Generalized Prompt Tuning: Adapting Frozen Univariate Time Series Foundation Models for Multivariate Healthcare Time SeriesMingzhu Liu, Angela H. Chen, George H. Chen
Time series foundation models are pre-trained on large datasets and are able to achieve state-of-the-art performance in diverse tasks. However, to date, there has been limited work demonstrating how well these models perform in medical applications, where labeled data can be scarce. Further, we observe that currently, the majority of time series foundation models either are univariate in nature, or assume channel independence, meaning that they handle multivariate time series but do not model how the different variables relate. In this paper, we propose a prompt-tuning-inspired fine-tuning technique, Generalized Prompt Tuning (Gen-P-Tuning), that enables us to adapt an existing univariate time series foundation model (treated as frozen) to handle multivariate time series prediction. Our approach provides a way to combine information across channels (variables) of multivariate time series. We demonstrate the effectiveness of our fine-tuning approach against various baselines on two MIMIC classification tasks, and on influenza-like illness forecasting.
LGOct 17, 2025
Reflections from Research Roundtables at the Conference on Health, Inference, and Learning (CHIL) 2025Emily Alsentzer, Marie-Laure Charpignon, Bill Chen et al.
The 6th Annual Conference on Health, Inference, and Learning (CHIL 2025), hosted by the Association for Health Learning and Inference (AHLI), was held in person on June 25-27, 2025, at the University of California, Berkeley, in Berkeley, California, USA. As part of this year's program, we hosted Research Roundtables to catalyze collaborative, small-group dialogue around critical, timely topics at the intersection of machine learning and healthcare. Each roundtable was moderated by a team of senior and junior chairs who fostered open exchange, intellectual curiosity, and inclusive engagement. The sessions emphasized rigorous discussion of key challenges, exploration of emerging opportunities, and collective ideation toward actionable directions in the field. In total, eight roundtables were held by 19 roundtable chairs on topics of "Explainability, Interpretability, and Transparency," "Uncertainty, Bias, and Fairness," "Causality," "Domain Adaptation," "Foundation Models," "Learning from Small Medical Data," "Multimodal Methods," and "Scalable, Translational Healthcare Solutions."
LGAug 8, 2025
Stepwise Fine and Gray: Subject-Specific Variable Selection Shows When Hemodynamic Data Improves Prognostication of Comatose Post-Cardiac Arrest PatientsXiaobin Shen, Jonathan Elmer, George H. Chen · cmu
Prognostication for comatose post-cardiac arrest patients is a critical challenge that directly impacts clinical decision-making in the ICU. Clinical information that informs prognostication is collected serially over time. Shortly after cardiac arrest, various time-invariant baseline features are collected (e.g., demographics, cardiac arrest characteristics). After ICU admission, additional features are gathered, including time-varying hemodynamic data (e.g., blood pressure, doses of vasopressor medications). We view these as two phases in which we collect new features. In this study, we propose a novel stepwise dynamic competing risks model that improves the prediction of neurological outcomes by automatically determining when to take advantage of time-invariant features (first phase) and time-varying features (second phase). Notably, our model finds patients for whom this second phase (time-varying hemodynamic) information is beneficial for prognostication and also when this information is beneficial (as we collect more hemodynamic data for a patient over time, how important these data are for prognostication varies). Our approach extends the standard Fine and Gray model to explicitly model the two phases and to incorporate neural networks to flexibly capture complex nonlinear feature relationships. Evaluated on a retrospective cohort of 2,278 comatose post-arrest patients, our model demonstrates robust discriminative performance for the competing outcomes of awakening, withdrawal of life-sustaining therapy, and death despite maximal support. Our approach generalizes to more than two phases in which new features are collected and could be used in other dynamic prediction tasks, where it may be helpful to know when and for whom newly collected features significantly improve prediction.
AIJun 22, 2025
The Impact of Medication Non-adherence on Adverse Outcomes: Evidence from Schizophrenia Patients via Survival AnalysisShahriar Noroozizadeh, Pim Welle, Jeremy C. Weiss et al.
This study quantifies the association between non-adherence to antipsychotic medications and adverse outcomes in individuals with schizophrenia. We frame the problem using survival analysis, focusing on the time to the earliest of several adverse events (early death, involuntary hospitalization, jail booking). We extend standard causal inference methods (T-learner, S-learner, nearest neighbor matching) to utilize various survival models to estimate individual and average treatment effects, where treatment corresponds to medication non-adherence. Analyses are repeated using different amounts of longitudinal information (3, 6, 9, and 12 months). Using data from Allegheny County in western Pennsylvania, we find strong evidence that non-adherence advances adverse outcomes by approximately 1 to 4 months. Ablation studies confirm that county-provided risk scores adjust for key confounders, as their removal amplifies the estimated effects. Subgroup analyses by medication formulation (injectable vs. oral) and medication type consistently show that non-adherence is associated with earlier adverse events. These findings highlight the clinical importance of adherence in delaying psychiatric crises and show that integrating survival analysis with causal inference tools can yield policy-relevant insights. We caution that although we apply causal inference, we only make associative claims and discuss assumptions needed for causal interpretation.
LGDec 10, 2023
Temporal Supervised Contrastive Learning for Modeling Patient Risk ProgressionShahriar Noroozizadeh, Jeremy C. Weiss, George H. Chen
We consider the problem of predicting how the likelihood of an outcome of interest for a patient changes over time as we observe more of the patient data. To solve this problem, we propose a supervised contrastive learning framework that learns an embedding representation for each time step of a patient time series. Our framework learns the embedding space to have the following properties: (1) nearby points in the embedding space have similar predicted class probabilities, (2) adjacent time steps of the same time series map to nearby points in the embedding space, and (3) time steps with very different raw feature vectors map to far apart regions of the embedding space. To achieve property (3), we employ a nearest neighbor pairing mechanism in the raw feature space. This mechanism also serves as an alternative to data augmentation, a key ingredient of contrastive learning, which lacks a standard procedure that is adequately realistic for clinical tabular data, to our knowledge. We demonstrate that our approach outperforms state-of-the-art baselines in predicting mortality of septic patients (MIMIC-III dataset) and tracking progression of cognitive impairment (ADNI dataset). Our method also consistently recovers the correct synthetic dataset embedding structure across experiments, a feat not achieved by baselines. Our ablation experiments show the pivotal role of our nearest neighbor pairing.
MLMay 11, 2023
A General Framework for Visualizing Embedding Spaces of Neural Survival Analysis Models Based on Angular InformationGeorge H. Chen
We propose a general framework for visualizing any intermediate embedding representation used by any neural survival analysis model. Our framework is based on so-called anchor directions in an embedding space. We show how to estimate these anchor directions using clustering or, alternatively, using user-supplied "concepts" defined by collections of raw inputs (e.g., feature vectors all from female patients could encode the concept "female"). For tabular data, we present visualization strategies that reveal how anchor directions relate to raw clinical features and to survival time distributions. We then show how these visualization ideas extend to handling raw inputs that are images. Our framework is built on looking at angles between vectors in an embedding space, where there could be "information loss" by ignoring magnitude information. We show how this loss results in a "clumping" artifact that appears in our visualizations, and how to reduce this information loss in practice.
LGJan 2, 2022
ECOD: Unsupervised Outlier Detection Using Empirical Cumulative Distribution FunctionsZheng Li, Yue Zhao, Xiyang Hu et al.
Outlier detection refers to the identification of data points that deviate from a general data distribution. Existing unsupervised approaches often suffer from high computational cost, complex hyperparameter tuning, and limited interpretability, especially when working with large, high-dimensional datasets. To address these issues, we present a simple yet effective algorithm called ECOD (Empirical-Cumulative-distribution-based Outlier Detection), which is inspired by the fact that outliers are often the "rare events" that appear in the tails of a distribution. In a nutshell, ECOD first estimates the underlying distribution of the input data in a nonparametric fashion by computing the empirical cumulative distribution per dimension of the data. ECOD then uses these empirical distributions to estimate tail probabilities per dimension for each data point. Finally, ECOD computes an outlier score of each data point by aggregating estimated tail probabilities across dimensions. Our contributions are as follows: (1) we propose a novel outlier detection method called ECOD, which is both parameter-free and easy to interpret; (2) we perform extensive experiments on 30 benchmark datasets, where we find that ECOD outperforms 11 state-of-the-art baselines in terms of accuracy, efficiency, and scalability; and (3) we release an easy-to-use and scalable (with distributed support) Python implementation for accessibility and reproducibility.
LGOct 26, 2021
TOD: GPU-accelerated Outlier Detection via Tensor OperationsYue Zhao, George H. Chen, Zhihao Jia
Outlier detection (OD) is a key learning task for finding rare and deviant data samples, with many time-critical applications such as fraud detection and intrusion detection. In this work, we propose TOD, the first tensor-based system for efficient and scalable outlier detection on distributed multi-GPU machines. A key idea behind TOD is decomposing complex OD applications into a small collection of basic tensor algebra operators. This decomposition enables TOD to accelerate OD computations by leveraging recent advances in deep learning infrastructure in both hardware and software. Moreover, to deploy memory-intensive OD applications on modern GPUs with limited on-device memory, we introduce two key techniques. First, provable quantization speeds up OD computations and reduces its memory footprint by automatically performing specific floating-point operations in lower precision while provably guaranteeing no accuracy loss. Second, to exploit the aggregated compute resources and memory capacity of multiple GPUs, we introduce automatic batching, which decomposes OD computations into small batches for both sequential execution on a single GPU and parallel execution on multiple GPUs. TOD supports a diverse set of OD algorithms. Extensive evaluation on 11 real and 3 synthetic OD datasets shows that TOD is on average 10.9x faster than the leading CPU-based OD system PyOD (with a maximum speedup of 38.9x), and can handle much larger datasets than existing GPU-based OD systems. In addition, TOD allows easy integration of new OD operators, enabling fast prototyping of emerging and yet-to-discovered OD algorithms.
MLJul 25, 2020
Deep Kernel Survival Analysis and Subject-Specific Survival Time Prediction IntervalsGeorge H. Chen
Kernel survival analysis methods predict subject-specific survival curves and times using information about which training subjects are most similar to a test subject. These most similar training subjects could serve as forecast evidence. How similar any two subjects are is given by the kernel function. In this paper, we present the first neural network framework that learns which kernel functions to use in kernel survival analysis. We also show how to use kernel functions to construct prediction intervals of survival time estimates that are statistically valid for individuals similar to a test subject. These prediction intervals can use any kernel function, such as ones learned using our neural kernel learning framework or using random survival forests. Our experiments show that our neural kernel survival estimators are competitive with a variety of existing survival analysis methods, and that our prediction intervals can help compare different methods' uncertainties, even for estimators that do not use kernels. In particular, these prediction interval widths can be used as a new performance metric for survival analysis methods.
APJun 2, 2020
Predicting Mortality Risk in Viral and Unspecified Pneumonia to Assist Clinicians with COVID-19 ECMO PlanningHelen Zhou, Cheng Cheng, Zachary C. Lipton et al.
Respiratory complications due to coronavirus disease COVID-19 have claimed tens of thousands of lives in 2020. Many cases of COVID-19 escalate from Severe Acute Respiratory Syndrome (SARS-CoV-2) to viral pneumonia to acute respiratory distress syndrome (ARDS) to death. Extracorporeal membranous oxygenation (ECMO) is a life-sustaining oxygenation and ventilation therapy that may be used for patients with severe ARDS when mechanical ventilation is insufficient to sustain life. While early planning and surgical cannulation for ECMO can increase survival, clinicians report the lack of a risk score hinders these efforts. In this work, we leverage machine learning techniques to develop the PEER score, used to highlight critically ill patients with viral or unspecified pneumonia at high risk of mortality or decompensation in a subpopulation eligible for ECMO. The PEER score is validated on two large, publicly available critical care databases and predicts mortality at least as well as other existing risk scores. Stratifying our cohorts into low-risk and high-risk groups, we find that the high-risk group also has a higher proportion of decompensation indicators such as vasopressor and ventilator use. Finally, the PEER score is provided in the form of a nomogram for direct calculation of patient risk, and can be used to highlight at-risk patients among critical care patients eligible for ECMO.
EMJun 1, 2020
Influence via Ethos: On the Persuasive Power of Reputation in Deliberation OnlineEmaad Manzoor, George H. Chen, Dokyun Lee et al.
Deliberation among individuals online plays a key role in shaping the opinions that drive votes, purchases, donations and other critical offline behavior. Yet, the determinants of opinion-change via persuasion in deliberation online remain largely unexplored. Our research examines the persuasive power of $\textit{ethos}$ -- an individual's "reputation" -- using a 7-year panel of over a million debates from an argumentation platform containing explicit indicators of successful persuasion. We identify the causal effect of reputation on persuasion by constructing an instrument for reputation from a measure of past debate competition, and by controlling for unstructured argument text using neural models of language in the double machine-learning framework. We find that an individual's reputation significantly impacts their persuasion rate above and beyond the validity, strength and presentation of their arguments. In our setting, we find that having 10 additional reputation points causes a 31% increase in the probability of successful persuasion over the platform average. We also find that the impact of reputation is moderated by characteristics of the argument content, in a manner consistent with a theoretical model that attributes the persuasive power of reputation to heuristic information-processing under cognitive overload. We discuss managerial implications for platforms that facilitate deliberative decision-making for public and private organizations online.
MLOct 28, 2019
Missing Not at Random in Matrix Completion: The Effectiveness of Estimating Missingness Probabilities Under a Low Nuclear Norm AssumptionWei Ma, George H. Chen
Matrix completion is often applied to data with entries missing not at random (MNAR). For example, consider a recommendation system where users tend to only reveal ratings for items they like. In this case, a matrix completion method that relies on entries being revealed at uniformly sampled row and column indices can yield overly optimistic predictions of unseen user ratings. Recently, various papers have shown that we can reduce this bias in MNAR matrix completion if we know the probabilities of different matrix entries being missing. These probabilities are typically modeled using logistic regression or naive Bayes, which make strong assumptions and lack guarantees on the accuracy of the estimated probabilities. In this paper, we suggest a simple approach to estimating these probabilities that avoids these shortcomings. Our approach follows from the observation that missingness patterns in real data often exhibit low nuclear norm structure. We can then estimate the missingness probabilities by feeding the (always fully-observed) binary matrix specifying which entries are revealed or missing to an existing nuclear-norm-constrained matrix completion algorithm by Davenport et al. [2014]. Thus, we tackle MNAR matrix completion by solving a different matrix completion problem first that recovers missingness probabilities. We establish finite-sample error bounds for how accurate these probability estimates are and how well these estimates debias standard matrix completion losses for the original matrix to be completed. Our experiments show that the proposed debiasing strategy can improve a variety of existing matrix completion algorithms, and achieves downstream matrix completion accuracy at least as good as logistic regression and naive Bayes debiasing baselines that require additional auxiliary information.
CYJul 17, 2019
Truck Traffic Monitoring with Satellite ImagesLynn H. Kaack, George H. Chen, M. Granger Morgan
The road freight sector is responsible for a large and growing share of greenhouse gas emissions, but reliable data on the amount of freight that is moved on roads in many parts of the world are scarce. Many low- and middle-income countries have limited ground-based traffic monitoring and freight surveying activities. In this proof of concept, we show that we can use an object detection network to count trucks in satellite images and predict average annual daily truck traffic from those counts. We describe a complete model, test the uncertainty of the estimation, and discuss the transfer to developing countries.
MLMay 13, 2019
Nearest Neighbor and Kernel Survival Analysis: Nonasymptotic Error Bounds and Strong Consistency RatesGeorge H. Chen
We establish the first nonasymptotic error bounds for Kaplan-Meier-based nearest neighbor and kernel survival probability estimators where feature vectors reside in metric spaces. Our bounds imply rates of strong consistency for these nonparametric estimators and, up to a log factor, match an existing lower bound for conditional CDF estimation. Our proof strategy also yields nonasymptotic guarantees for nearest neighbor and kernel variants of the Nelson-Aalen cumulative hazards estimator. We experimentally compare these methods on four datasets. We find that for the kernel survival estimator, a good choice of kernel is one learned using random survival forests.
MLDec 2, 2017
Survival-Supervised Topic Modeling with Anchor Words: Characterizing Pancreatitis OutcomesGeorge H. Chen, Jeremy C. Weiss
We introduce a new approach for topic modeling that is supervised by survival analysis. Specifically, we build on recent work on unsupervised topic modeling with so-called anchor words by providing supervision through an elastic-net regularized Cox proportional hazards model. In short, an anchor word being present in a document provides strong indication that the document is partially about a specific topic. For example, by seeing "gallstones" in a document, we are fairly certain that the document is partially about medicine. Our proposed method alternates between learning a topic model and learning a survival model to find a local minimum of a block convex optimization problem. We apply our proposed approach to predicting how long patients with pancreatitis admitted to an intensive care unit (ICU) will stay in the ICU. Our approach is as accurate as the best of a variety of baselines while being more interpretable than any of the baselines.
LGOct 31, 2014
A Latent Source Model for Online Collaborative FilteringGuy Bresler, George H. Chen, Devavrat Shah
Despite the prevalence of collaborative filtering in recommendation systems, there has been little theoretical development on why and how well it works, especially in the "online" setting, where items are recommended to users over time. We address this theoretical gap by introducing a model for online recommendation systems, cast item recommendation under the model as a learning problem, and analyze the performance of a cosine-similarity collaborative filtering method. In our model, each of $n$ users either likes or dislikes each of $m$ items. We assume there to be $k$ types of users, and all the users of a given type share a common string of probabilities determining the chance of liking each item. At each time step, we recommend an item to each user, where a key distinction from related bandit literature is that once a user consumes an item (e.g., watches a movie), then that item cannot be recommended to the same user again. The goal is to maximize the number of likable items recommended to users over time. Our main result establishes that after nearly $\log(km)$ initial learning time steps, a simple collaborative filtering algorithm achieves essentially optimal performance without knowing $k$. The algorithm has an exploitation step that uses cosine similarity and two types of exploration steps, one to explore the space of items (standard in the literature) and the other to explore similarity between users (novel to this work).
CVMar 22, 2013
Sparse Projections of Medical Images onto ManifoldsGeorge H. Chen, Christian Wachinger, Polina Golland
Manifold learning has been successfully applied to a variety of medical imaging problems. Its use in real-time applications requires fast projection onto the low-dimensional space. To this end, out-of-sample extensions are applied by constructing an interpolation function that maps from the input space to the low-dimensional manifold. Commonly used approaches such as the Nyström extension and kernel ridge regression require using all training points. We propose an interpolation function that only depends on a small subset of the input training data. Consequently, in the testing phase each new point only needs to be compared against a small number of input training data in order to project the point onto the low-dimensional space. We interpret our method as an out-of-sample extension that approximates kernel ridge regression. Our method involves solving a simple convex optimization problem and has the attractive property of guaranteeing an upper bound on the approximation error, which is crucial for medical applications. Tuning this error bound controls the sparsity of the resulting interpolation function. We illustrate our method in two clinical applications that require fast mapping of input images onto a low-dimensional space.
MLFeb 14, 2013
A Latent Source Model for Nonparametric Time Series ClassificationGeorge H. Chen, Stanislav Nikolov, Devavrat Shah
For classifying time series, a nearest-neighbor approach is widely used in practice with performance often competitive with or better than more elaborate methods such as neural networks, decision trees, and support vector machines. We develop theoretical justification for the effectiveness of nearest-neighbor-like classification of time series. Our guiding hypothesis is that in many applications, such as forecasting which topics will become trends on Twitter, there aren't actually that many prototypical time series to begin with, relative to the number of time series we have access to, e.g., topics become trends on Twitter only in a few distinct manners whereas we can collect massive amounts of Twitter data. To operationalize this hypothesis, we propose a latent source model for time series, which naturally leads to a "weighted majority voting" classification rule that can be approximated by a nearest-neighbor classifier. We establish nonasymptotic performance guarantees of both weighted majority voting and nearest-neighbor classification under our model accounting for how much of the time series we observe and the model complexity. Experimental results on synthetic data show weighted majority voting achieving the same misclassification rate as nearest-neighbor classification while observing less of the time series. We then use weighted majority to forecast which news topics on Twitter become trends, where we are able to detect such "trending topics" in advance of Twitter 79% of the time, with a mean early advantage of 1 hour and 26 minutes, a true positive rate of 95%, and a false positive rate of 4%.