Xianfeng Jiao

Liantao Ma, Chaohe Zhang, Junyi Gao et al.

Objective: Peritoneal Dialysis (PD) is one of the most widely used life-supporting therapies for patients with End-Stage Renal Disease (ESRD). Predicting mortality risk and identifying modifiable risk factors based on the Electronic Medical Records (EMR) collected along with the follow-up visits are of great importance for personalized medicine and early intervention. Here, our objective is to develop a deep learning model for a real-time, individualized, and interpretable mortality prediction model - AICare. Method and Materials: Our proposed model consists of a multi-channel feature extraction module and an adaptive feature importance recalibration module. AICare explicitly identifies the key features that strongly indicate the outcome prediction for each patient to build the health status embedding individually. This study has collected 13,091 clinical follow-up visits and demographic data of 656 PD patients. To verify the application universality, this study has also collected 4,789 visits of 1,363 hemodialysis dialysis (HD) as an additional experiment dataset to test the prediction performance, which will be discussed in the Appendix. Results: 1) Experiment results show that AICare achieves 81.6%/74.3% AUROC and 47.2%/32.5% AUPRC for the 1-year mortality prediction task on PD/HD dataset respectively, which outperforms the state-of-the-art comparative deep learning models. 2) This study first provides a comprehensive elucidation of the relationship between the causes of mortality in patients with PD and clinical features based on an end-to-end deep learning model. 3) This study first reveals the pattern of variation in the importance of each feature in the mortality prediction based on built-in interpretability. 4) We develop a practical AI-Doctor interaction system to visualize the trajectory of patients' health status and risk indicators.

Zhongzhi Chen, Xingwu Sun, Xianfeng Jiao et al.

Despite the great success of large language models (LLMs) in various tasks, they suffer from generating hallucinations. We introduce Truth Forest, a method that enhances truthfulness in LLMs by uncovering hidden truth representations using multi-dimensional orthogonal probes. Specifically, it creates multiple orthogonal bases for modeling truth by incorporating orthogonal constraints into the probes. Moreover, we introduce Random Peek, a systematic technique considering an extended range of positions within the sequence, reducing the gap between discerning and generating truth features in LLMs. By employing this approach, we improved the truthfulness of Llama-2-7B from 40.8\% to 74.5\% on TruthfulQA. Likewise, significant improvements are observed in fine-tuned models. We conducted a thorough analysis of truth features using probes. Our visualization results show that orthogonal probes capture complementary truth-related features, forming well-defined clusters that reveal the inherent structure of the dataset.