PyHealth: A Python Library for Health Predictive Models

Despite the explosion of interest in healthcare AI research, the reproducibility and benchmarking of those research works are often limited due to the lack of standard benchmark datasets and diverse evaluation metrics. To address this reproducibility challenge, we develop PyHealth, an open-source Python toolbox for developing various predictive models on healthcare data. PyHealth consists of data preprocessing module, predictive modeling module, and evaluation module. The target users of PyHealth are both computer science researchers and healthcare data scientists. With PyHealth, they can conduct complex machine learning pipelines on healthcare datasets with fewer than ten lines of code. The data preprocessing module enables the transformation of complex healthcare datasets such as longitudinal electronic health records, medical images, continuous signals (e.g., electrocardiogram), and clinical notes into machine learning friendly formats. The predictive modeling module provides more than 30 machine learning models, including established ensemble trees and deep neural network-based approaches, via a unified but extendable API designed for both researchers and practitioners. The evaluation module provides various evaluation strategies (e.g., cross-validation and train-validation-test split) and predictive model metrics. With robustness and scalability in mind, best practices such as unit testing, continuous integration, code coverage, and interactive examples are introduced in the library's development. PyHealth can be installed through the Python Package Index (PyPI) or https://github.com/yzhao062/PyHealth .

STELAR: Spatio-temporal Tensor Factorization with Latent Epidemiological Regularization

Accurate prediction of the transmission of epidemic diseases such as COVID-19 is crucial for implementing effective mitigation measures. In this work, we develop a tensor method to predict the evolution of epidemic trends for many regions simultaneously. We construct a 3-way spatio-temporal tensor (location, attribute, time) of case counts and propose a nonnegative tensor factorization with latent epidemiological model regularization named STELAR. Unlike standard tensor factorization methods which cannot predict slabs ahead, STELAR enables long-term prediction by incorporating latent temporal regularization through a system of discrete-time difference equations of a widely adopted epidemiological model. We use latent instead of location/attribute-level epidemiological dynamics to capture common epidemic profile sub-types and improve collaborative learning and prediction. We conduct experiments using both county- and state-level COVID-19 data and show that our model can identify interesting latent patterns of the epidemic. Finally, we evaluate the predictive ability of our method and show superior performance compared to the baselines, achieving up to 21% lower root mean square error and 25% lower mean absolute error for county-level prediction.

A Benchmark Dataset for Understandable Medical Language Translation

In this paper, we introduce MedLane -- a new human-annotated Medical Language translation dataset, to align professional medical sentences with layperson-understandable expressions. The dataset contains 12,801 training samples, 1,015 validation samples, and 1,016 testing samples. We then evaluate one naive and six deep learning-based approaches on the MedLane dataset, including directly copying, a statistical machine translation approach Moses, four neural machine translation approaches (i.e., the proposed PMBERT-MT model, Seq2Seq and its two variants), and a modified text summarization model PointerNet. To compare the results, we utilize eleven metrics, including three new measures specifically designed for this task. Finally, we discuss the limitations of MedLane and baselines, and point out possible research directions for this task.

FLANNEL: Focal Loss Based Neural Network Ensemble for COVID-19 Detection

To test the possibility of differentiating chest x-ray images of COVID-19 against other pneumonia and healthy patients using deep neural networks. We construct the X-ray imaging data from two publicly available sources, which include 5508 chest x-ray images across 2874 patients with four classes: normal, bacterial pneumonia, non-COVID-19 viral pneumonia, and COVID-19. To identify COVID-19, we propose a Focal Loss Based Neural Ensemble Network (FLANNEL), a flexible module to ensemble several convolutional neural network (CNN) models and fuse with a focal loss for accurate COVID-19 detection on class imbalance data. FLANNEL consistently outperforms baseline models on COVID-19 identification task in all metrics. Compared with the best baseline, FLANNEL shows a higher macro-F1 score with 6% relative increase on Covid-19 identification task where it achieves 0.7833(0.07) in Precision, 0.8609(0.03) in Recall, and 0.8168(0.03) F1 score.

DeepRite: Deep Recurrent Inverse TreatmEnt Weighting for Adjusting Time-varying Confounding in Modern Longitudinal Observational Data

Counterfactual prediction is about predicting outcome of the unobserved situation from the data. For example, given patient is on drug A, what would be the outcome if she switch to drug B. Most of existing works focus on modeling counterfactual outcome based on static data. However, many applications have time-varying confounding effects such as multiple treatments over time. How to model such time-varying effects from longitudinal observational data? How to model complex high-dimensional dependency in the data? To address these challenges, we propose Deep Recurrent Inverse TreatmEnt weighting (DeepRite) by incorporating recurrent neural networks into two-phase adjustments for the existence of time-varying confounding in modern longitudinal data. In phase I cohort reweighting we fit one network for emitting time dependent inverse probabilities of treatment, use them to generate a pseudo balanced cohort. In phase II outcome progression, we input the adjusted data to the subsequent predictive network for making counterfactual predictions. We evaluate DeepRite on both synthetic data and a real data collected from sepsis patients in the intensive care units. DeepRite is shown to recover the ground truth from synthetic data, and estimate unbiased treatment effects from real data that can be better aligned with the standard guidelines for management of sepsis thanks to its applicability to create balanced cohorts.

UNITE: Uncertainty-based Health Risk Prediction Leveraging Multi-sourced Data

Successful health risk prediction demands accuracy and reliability of the model. Existing predictive models mainly depend on mining electronic health records (EHR) with advanced deep learning techniques to improve model accuracy. However, they all ignore the importance of publicly available online health data, especially socioeconomic status, environmental factors, and detailed demographic information for each location, which are all strong predictive signals and can definitely augment precision medicine. To achieve model reliability, the model needs to provide accurate prediction and uncertainty score of the prediction. However, existing uncertainty estimation approaches often failed in handling high-dimensional data, which are present in multi-sourced data. To fill the gap, we propose UNcertaInTy-based hEalth risk prediction (UNITE) model. Building upon an adaptive multimodal deep kernel and a stochastic variational inference module, UNITE provides accurate disease risk prediction and uncertainty estimation leveraging multi-sourced health data including EHR data, patient demographics, and public health data collected from the web. We evaluate UNITE on real-world disease risk prediction tasks: nonalcoholic fatty liver disease (NASH) and Alzheimer's disease (AD). UNITE achieves up to 0.841 in F1 score for AD detection, up to 0.609 in PR-AUC for NASH detection, and outperforms various state-of-the-art baselines by up to $19\%$ over the best baseline. We also show UNITE can model meaningful uncertainties and can provide evidence-based clinical support by clustering similar patients.

MolDesigner: Interactive Design of Efficacious Drugs with Deep Learning

The efficacy of a drug depends on its binding affinity to the therapeutic target and pharmacokinetics. Deep learning (DL) has demonstrated remarkable progress in predicting drug efficacy. We develop MolDesigner, a human-in-the-loop web user-interface (UI), to assist drug developers leverage DL predictions to design more effective drugs. A developer can draw a drug molecule in the interface. In the backend, more than 17 state-of-the-art DL models generate predictions on important indices that are crucial for a drug's efficacy. Based on these predictions, drug developers can edit the drug molecule and reiterate until satisfaction. MolDesigner can make predictions in real-time with a latency of less than a second.

MIMOSA: Multi-constraint Molecule Sampling for Molecule Optimization

Molecule optimization is a fundamental task for accelerating drug discovery, with the goal of generating new valid molecules that maximize multiple drug properties while maintaining similarity to the input molecule. Existing generative models and reinforcement learning approaches made initial success, but still face difficulties in simultaneously optimizing multiple drug properties. To address such challenges, we propose the MultI-constraint MOlecule SAmpling (MIMOSA) approach, a sampling framework to use input molecule as an initial guess and sample molecules from the target distribution. MIMOSA first pretrains two property agnostic graph neural networks (GNNs) for molecule topology and substructure-type prediction, where a substructure can be either atom or single ring. For each iteration, MIMOSA uses the GNNs' prediction and employs three basic substructure operations (add, replace, delete) to generate new molecules and associated weights. The weights can encode multiple constraints including similarity and drug property constraints, upon which we select promising molecules for next iteration. MIMOSA enables flexible encoding of multiple property- and similarity-constraints and can efficiently generate new molecules that satisfy various property constraints and achieved up to 49.6% relative improvement over the best baseline in terms of success rate.

SumGNN: Multi-typed Drug Interaction Prediction via Efficient Knowledge Graph Summarization

Thanks to the increasing availability of drug-drug interactions (DDI) datasets and large biomedical knowledge graphs (KGs), accurate detection of adverse DDI using machine learning models becomes possible. However, it remains largely an open problem how to effectively utilize large and noisy biomedical KG for DDI detection. Due to its sheer size and amount of noise in KGs, it is often less beneficial to directly integrate KGs with other smaller but higher quality data (e.g., experimental data). Most of existing approaches ignore KGs altogether. Some tries to directly integrate KGs with other data via graph neural networks with limited success. Furthermore most previous works focus on binary DDI prediction whereas the multi-typed DDI pharmacological effect prediction is more meaningful but harder task. To fill the gaps, we propose a new method SumGNN:~{\it knowledge summarization graph neural network}, which is enabled by a subgraph extraction module that can efficiently anchor on relevant subgraphs from a KG, a self-attention based subgraph summarization scheme to generate reasoning path within the subgraph, and a multi-channel knowledge and data integration module that utilizes massive external biomedical knowledge for significantly improved multi-typed DDI predictions. SumGNN outperforms the best baseline by up to 5.54\%, and performance gain is particularly significant in low data relation types. In addition, SumGNN provides interpretable prediction via the generated reasoning paths for each prediction.

Fast Graph Attention Networks Using Effective Resistance Based Graph Sparsification

The attention mechanism has demonstrated superior performance for inference over nodes in graph neural networks (GNNs), however, they result in a high computational burden during both training and inference. We propose FastGAT, a method to make attention based GNNs lightweight by using spectral sparsification to generate an optimal pruning of the input graph. This results in a per-epoch time that is almost linear in the number of graph nodes as opposed to quadratic. Further, we provide a re-formulation of a specific attention based GNN, Graph Attention Network (GAT) that interprets it as a graph convolution method using the random walk normalized graph Laplacian. Using this framework, we theoretically prove that spectral sparsification preserves the features computed by the GAT model, thereby justifying our FastGAT algorithm. We experimentally evaluate FastGAT on several large real world graph datasets for node classification tasks, FastGAT can dramatically reduce (up to 10x) the computational time and memory requirements, allowing the usage of attention based GNNs on large graphs.