Xinyi Wan

Douwe J. Spaanderman, Matthew Marzetti, Xinyi Wan et al.

Soft-tissue and bone tumours (STBT) are rare, diagnostically challenging lesions with variable clinical behaviours and treatment approaches. This systematic review provides an overview of Artificial Intelligence (AI) methods using radiological imaging for diagnosis and prognosis of these tumours, highlighting challenges in clinical translation, and evaluating study alignment with the Checklist for AI in Medical Imaging (CLAIM) and the FUTURE-AI international consensus guidelines for trustworthy and deployable AI to promote the clinical translation of AI methods. The review covered literature from several bibliographic databases, including papers published before 17/07/2024. Original research in peer-reviewed journals focused on radiology-based AI for diagnosing or prognosing primary STBT was included. Exclusion criteria were animal, cadaveric, or laboratory studies, and non-English papers. Abstracts were screened by two of three independent reviewers for eligibility. Eligible papers were assessed against guidelines by one of three independent reviewers. The search identified 15,015 abstracts, from which 325 articles were included for evaluation. Most studies performed moderately on CLAIM, averaging a score of 28.9$\pm$7.5 out of 53, but poorly on FUTURE-AI, averaging 5.1$\pm$2.1 out of 30. Imaging-AI tools for STBT remain at the proof-of-concept stage, indicating significant room for improvement. Future efforts by AI developers should focus on design (e.g. define unmet clinical need, intended clinical setting and how AI would be integrated in clinical workflow), development (e.g. build on previous work, explainability), evaluation (e.g. evaluating and addressing biases, evaluating AI against best practices), and data reproducibility and availability (making documented code and data publicly available). Following these recommendations could improve clinical translation of AI methods.

Xinyi Wan, Penghui Qi, Guangxing Huang et al.

Modern data parallel (DP) training favors collective communication over parameter servers (PS) for its simplicity and efficiency under balanced workloads. However, the balanced workload assumption no longer holds in large language model (LLM) post-training due to the high variance in sequence lengths. Under imbalanced workloads, collective communication creates synchronization barriers, leading to under-utilization of devices with smaller workloads. This change in training dynamics calls for a revisit of the PS paradigm for its robustness to such imbalance. We propose \textbf{On-Demand Communication (ODC)}, which adapts PS into Fully Sharded Data Parallel (FSDP) by replacing collective all-gather and reduce-scatter with direct point-to-point communication. Compared to FSDP, ODC reduces the synchronization barrier from once per layer to once per minibatch and decouples the workload on each device so that faster workers are not stalled. It also enables simpler and more effective load balancing at the minibatch level. Across diverse LLM post-training tasks, ODC consistently improves device utilization and training throughput, achieving up to a 36\% speedup over standard FSDP. These results demonstrate that ODC is a superior fit for the prevalent imbalanced workloads in LLM post-training. Our implementation of ODC and integration with FSDP is open-sourced at https://github.com/sail-sg/odc.