Yu Ma

Kimberly Villalobos Carballo, Liangyuan Na, Yu Ma et al.

Tabular medical records remain the most readily available data format for applying machine learning in healthcare. However, traditional data preprocessing ignores valuable contextual information in tables and requires substantial manual cleaning and harmonisation, creating a bottleneck for model development. We introduce TabText, a preprocessing and feature extraction method that leverages contextual information and streamlines the curation of tabular medical data. This method converts tables into contextual language and applies pretrained large language models (LLMs) to generate task-independent numerical representations. These fixed embeddings are then used as input for various predictive tasks. TabText was evaluated on nine inpatient flow prediction tasks (e.g., ICU admission, discharge, mortality) using electronic medical records across six hospitals from a US health system, and on nine publicly available datasets from the UCI Machine Learning Repository, covering tasks such as cancer diagnosis, recurrence, and survival. TabText models trained on unprocessed data from a single hospital (572,964 patient-days, Jan 2018-Dec 2020) achieved accurate performance (AUC 0.75-0.94) when tested prospectively on 265,917 patient-days from Jan 2021-Apr 2022, and generalised well to five additional hospitals not used for training. When augmenting preprocessed tabular records with these contextual embeddings, out-of-sample AUC improved by up to 4 additive percentage points in challenging tasks such as ICU transfer and breast cancer recurrence, while providing little to no benefit for already high-performing tasks. Findings were consistent across both private and public datasets.

Dimitris Bertsimas, Yu Ma

We propose a new formulation of robust regression by integrating all realizations of the uncertainty set and taking an averaged approach to obtain the optimal solution for the ordinary least squares regression problem. We show that this formulation recovers ridge regression exactly and establishes the missing link between robust optimization and the mean squared error approaches for existing regression problems. We further demonstrate that the condition of this equivalence relies on the geometric properties of the defined uncertainty set. We provide exact, closed-form, in some cases, analytical solutions to the equivalent regularization strength under uncertainty sets induced by $\ell_p$ norm, Schatten $p$-norm, and general polytopes. We then show in synthetic datasets with different levels of uncertainties, a consistent improvement of the averaged formulation over the existing worst-case formulation in out-of-sample performance. In real-world regression problems obtained from UCI datasets, similar improvements are seen in the out-of-sample datasets.

Yi Feng, Yu Ma, Qijun Chen et al.

Feature-fusion networks with duplex encoders have proven to be an effective technique to solve the freespace detection problem. However, despite the compelling results achieved by previous research efforts, the exploration of adequate and discriminative heterogeneous feature fusion, as well as the development of fallibility-aware loss functions remains relatively scarce. This paper makes several significant contributions to address these limitations: (1) It presents a novel heterogeneous feature fusion block, comprising a holistic attention module, a heterogeneous feature contrast descriptor, and an affinity-weighted feature recalibrator, enabling a more in-depth exploitation of the inherent characteristics of the extracted features, (2) it incorporates both inter-scale and intra-scale skip connections into the decoder architecture while eliminating redundant ones, leading to both improved accuracy and computational efficiency, and (3) it introduces two fallibility-aware loss functions that separately focus on semantic-transition and depth-inconsistent regions, collectively contributing to greater supervision during model training. Our proposed heterogeneous feature fusion network (SNE-RoadSegV2), which incorporates all these innovative components, demonstrates superior performance in comparison to all other freespace detection algorithms across multiple public datasets. Notably, it ranks the 1st on the official KITTI Road benchmark.

Dimitris Bertsimas, Vassilis Digalakis, Yu Ma et al.

We consider the problem of retraining machine learning (ML) models when new batches of data become available. Existing approaches greedily optimize for predictive power independently at each batch, without considering the stability of the model's structure or analytical insights across retraining iterations. We propose a model-agnostic framework for finding sequences of models that are stable across retraining iterations. We develop a mixed-integer optimization formulation that is guaranteed to recover Pareto optimal models (in terms of the predictive power-stability trade-off) with good generalization properties, as well as an efficient polynomial-time algorithm that performs well in practice. We focus on retaining consistent analytical insights-which is important to model interpretability, ease of implementation, and fostering trust with users-by using custom-defined distance metrics that can be directly incorporated into the optimization problem. We evaluate our framework across models (regression, decision trees, boosted trees, and neural networks) and application domains (healthcare, vision, and language), including deployment in a production pipeline at a major US hospital. We find that, on average, a 2% reduction in predictive power leads to a 30% improvement in stability.

Luis R. Soenksen, Yu Ma, Cynthia Zeng et al.

Artificial intelligence (AI) systems hold great promise to improve healthcare over the next decades. Specifically, AI systems leveraging multiple data sources and input modalities are poised to become a viable method to deliver more accurate results and deployable pipelines across a wide range of applications. In this work, we propose and evaluate a unified Holistic AI in Medicine (HAIM) framework to facilitate the generation and testing of AI systems that leverage multimodal inputs. Our approach uses generalizable data pre-processing and machine learning modeling stages that can be readily adapted for research and deployment in healthcare environments. We evaluate our HAIM framework by training and characterizing 14,324 independent models based on HAIM-MIMIC-MM, a multimodal clinical database (N=34,537 samples) containing 7,279 unique hospitalizations and 6,485 patients, spanning all possible input combinations of 4 data modalities (i.e., tabular, time-series, text, and images), 11 unique data sources and 12 predictive tasks. We show that this framework can consistently and robustly produce models that outperform similar single-source approaches across various healthcare demonstrations (by 6-33%), including 10 distinct chest pathology diagnoses, along with length-of-stay and 48-hour mortality predictions. We also quantify the contribution of each modality and data source using Shapley values, which demonstrates the heterogeneity in data modality importance and the necessity of multimodal inputs across different healthcare-relevant tasks. The generalizable properties and flexibility of our Holistic AI in Medicine (HAIM) framework could offer a promising pathway for future multimodal predictive systems in clinical and operational healthcare settings.