Chao Yan

Lisa Pilgram, Fida K. Dankar, Jorg Drechsler et al.

Synthetic data generation is one approach for sharing individual-level data. However, to meet legislative requirements, it is necessary to demonstrate that the individuals' privacy is adequately protected. There is no consolidated standard for measuring privacy in synthetic data. Through an expert panel and consensus process, we developed a framework for evaluating privacy in synthetic data. Our findings indicate that current similarity metrics fail to measure identity disclosure, and their use is discouraged. For differentially private synthetic data, a privacy budget other than close to zero was not considered interpretable. There was consensus on the importance of membership and attribute disclosure, both of which involve inferring personal information about an individual without necessarily revealing their identity. The resultant framework provides precise recommendations for metrics that address these types of disclosures effectively. Our findings further present specific opportunities for future research that can help with widespread adoption of synthetic data.

Martin C. Were, Ang Li, Bradley A. Malin et al.

The role and use of race within health-related artificial intelligence and machine learning (AI/ML) models has sparked increasing attention and controversy. Despite the complexity and breadth of related issues, a robust and holistic framework to guide stakeholders in their examination and resolution remains lacking. This perspective provides a broad-based, systematic, and cross-cutting landscape analysis of race-related challenges, structured around the AI/ML lifecycle and framed through "points to consider" to support inquiry and decision-making.

Xiaoge Zhang, Tao Wang, Chao Yan et al.

Ensuring trustworthiness is fundamental to the development of artificial intelligence (AI) that is considered societally responsible, particularly in cancer diagnostics, where a misdiagnosis can have dire consequences. Current digital pathology AI models lack systematic solutions to address trustworthiness concerns arising from model limitations and data discrepancies between model deployment and development environments. To address this issue, we developed TRUECAM, a framework designed to ensure both data and model trustworthiness in non-small cell lung cancer subtyping with whole-slide images. TRUECAM integrates 1) a spectral-normalized neural Gaussian process for identifying out-of-scope inputs and 2) an ambiguity-guided elimination of tiles to filter out highly ambiguous regions, addressing data trustworthiness, as well as 3) conformal prediction to ensure controlled error rates. We systematically evaluated the framework across multiple large-scale cancer datasets, leveraging both task-specific and foundation models, illustrate that an AI model wrapped with TRUECAM significantly outperforms models that lack such guidance, in terms of classification accuracy, robustness, interpretability, and data efficiency, while also achieving improvements in fairness. These findings highlight TRUECAM as a versatile wrapper framework for digital pathology AI models with diverse architectural designs, promoting their responsible and effective applications in real-world settings.

J. Thomas Brown, Chao Yan, Weiyi Xia et al.

Supporting public health research and the public's situational awareness during a pandemic requires continuous dissemination of infectious disease surveillance data. Legislation, such as the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and recent state-level regulations, permits sharing de-identified person-level data; however, current de-identification approaches are limited. namely, they are inefficient, relying on retrospective disclosure risk assessments, and do not flex with changes in infection rates or population demographics over time. In this paper, we introduce a framework to dynamically adapt de-identification for near-real time sharing of person-level surveillance data. The framework leverages a simulation mechanism, capable of application at any geographic level, to forecast the re-identification risk of sharing the data under a wide range of generalization policies. The estimates inform weekly, prospective policy selection to maintain the proportion of records corresponding to a group size less than 11 (PK11) at or below 0.1. Fixing the policy at the start of each week facilitates timely dataset updates and supports sharing granular date information. We use August 2020 through October 2021 case data from Johns Hopkins University and the Centers for Disease Control and Prevention to demonstrate the framework's effectiveness in maintaining the PK!1 threshold of 0.01. When sharing COVID-19 county-level case data across all US counties, the framework's approach meets the threshold for 96.2% of daily data releases, while a policy based on current de-identification techniques meets the threshold for 32.3%. Periodically adapting the data publication policies preserves privacy while enhancing public health utility through timely updates and sharing epidemiologically critical features.

Prithwish Chakraborty, James Codella, Piyush Madan et al.

Deep learning architectures have an extremely high-capacity for modeling complex data in a wide variety of domains. However, these architectures have been limited in their ability to support complex prediction problems using insurance claims data, such as readmission at 30 days, mainly due to data sparsity issue. Consequently, classical machine learning methods, especially those that embed domain knowledge in handcrafted features, are often on par with, and sometimes outperform, deep learning approaches. In this paper, we illustrate how the potential of deep learning can be achieved by blending domain knowledge within deep learning architectures to predict adverse events at hospital discharge, including readmissions. More specifically, we introduce a learning architecture that fuses a representation of patient data computed by a self-attention based recurrent neural network, with clinically relevant features. We conduct extensive experiments on a large claims dataset and show that the blended method outperforms the standard machine learning approaches.

Chao Yan, Ziqi Zhang, Steve Nyemba et al.

Sharing electronic health records (EHRs) on a large scale may lead to privacy intrusions. Recent research has shown that risks may be mitigated by simulating EHRs through generative adversarial network (GAN) frameworks. Yet the methods developed to date are limited because they 1) focus on generating data of a single type (e.g., diagnosis codes), neglecting other data types (e.g., demographics, procedures or vital signs) and 2) do not represent constraints between features. In this paper, we introduce a method to simulate EHRs composed of multiple data types by 1) refining the GAN model, 2) accounting for feature constraints, and 3) incorporating key utility measures for such generation tasks. Our analysis with over $770,000$ EHRs from Vanderbilt University Medical Center demonstrates that the new model achieves higher performance in terms of retaining basic statistics, cross-feature correlations, latent structural properties, feature constraints and associated patterns from real data, without sacrificing privacy.

Liang Tong, Aron Laszka, Chao Yan et al.

Detection of malicious behavior is a fundamental problem in security. One of the major challenges in using detection systems in practice is in dealing with an overwhelming number of alerts that are triggered by normal behavior (the so-called false positives), obscuring alerts resulting from actual malicious activity. While numerous methods for reducing the scope of this issue have been proposed, ultimately one must still decide how to prioritize which alerts to investigate, and most existing prioritization methods are heuristic, for example, based on suspiciousness or priority scores. We introduce a novel approach for computing a policy for prioritizing alerts using adversarial reinforcement learning. Our approach assumes that the attackers know the full state of the detection system and dynamically choose an optimal attack as a function of this state, as well as of the alert prioritization policy. The first step of our approach is to capture the interaction between the defender and attacker in a game theoretic model. To tackle the computational complexity of solving this game to obtain a dynamic stochastic alert prioritization policy, we propose an adversarial reinforcement learning framework. In this framework, we use neural reinforcement learning to compute best response policies for both the defender and the adversary to an arbitrary stochastic policy of the other. We then use these in a double-oracle framework to obtain an approximate equilibrium of the game, which in turn yields a robust stochastic policy for the defender. Extensive experiments using case studies in fraud and intrusion detection demonstrate that our approach is effective in creating robust alert prioritization policies.

Chao Yan, Haifeng Xu, Yevgeniy Vorobeychik et al.

Routine operational use of sensitive data is often governed by law and regulation. For instance, in the medical domain, there are various statues at the state and federal level that dictate who is permitted to work with patients' records and under what conditions. To screen for potential privacy breaches, logging systems are usually deployed to trigger alerts whenever suspicious access is detected. However, such mechanisms are often inefficient because 1) the vast majority of triggered alerts are false positives, 2) small budgets make it unlikely that a real attack will be detected, and 3) attackers can behave strategically, such that traditional auditing mechanisms cannot easily catch them. To improve efficiency, information systems may invoke signaling, so that whenever a suspicious access request occurs, the system can, in real time, warn the user that the access may be audited. Then, at the close of a finite period, a selected subset of suspicious accesses are audited. This gives rise to an online problem in which one needs to determine 1) whether a warning should be triggered and 2) the likelihood that the data request event will be audited. In this paper, we formalize this auditing problem as a Signaling Audit Game (SAG), in which we model the interactions between an auditor and an attacker in the context of signaling and the usability cost is represented as a factor of the auditor's payoff. We study the properties of its Stackelberg equilibria and develop a scalable approach to compute its solution. We show that a strategic presentation of warnings adds value in that SAGs realize significantly higher utility for the auditor than systems without signaling. We illustrate the value of the proposed auditing model and the consistency of its advantages over existing baseline methods.

Chao Yan, Bo Li, Yevgeniy Vorobeychik et al.

For enhancing the privacy protections of databases, where the increasing amount of detailed personal data is stored and processed, multiple mechanisms have been developed, such as audit logging and alert triggers, which notify administrators about suspicious activities; however, the two main limitations in common are: 1) the volume of such alerts is often substantially greater than the capabilities of resource-constrained organizations, and 2) strategic attackers may disguise their actions or carefully choosing which records they touch, making incompetent the statistical detection models. For solving them, we introduce a novel approach to database auditing that explicitly accounts for adversarial behavior by 1) prioritizing the order in which types of alerts are investigated and 2) providing an upper bound on how much resource to allocate for each type. We model the interaction between a database auditor and potential attackers as a Stackelberg game in which the auditor chooses an auditing policy and attackers choose which records to target. A corresponding approach combining linear programming, column generation, and heuristic search is proposed to derive an auditing policy. For testing the policy-searching performance, a publicly available credit card application dataset are adopted, on which it shows that our methods produce high-quality mixed strategies as database audit policies, and our general approach significantly outperforms non-game-theoretic baselines.