Embedding algorithms are increasingly used to represent clinical concepts in healthcare for improving machine learning tasks such as clinical phenotyping and disease prediction. Recent studies have adapted state-of-the-art bidirectional encoder representations from transformers (BERT) architecture to structured electronic health records (EHR) data for the generation of contextualized concept embeddings, yet do not fully incorporate temporal data across multiple clinical domains. Therefore we developed a new BERT adaptation, CEHR-BERT, to incorporate temporal information using a hybrid approach by augmenting the input to BERT using artificial time tokens, incorporating time, age, and concept embeddings, and introducing a new second learning objective for visit type. CEHR-BERT was trained on a subset of Columbia University Irving Medical Center-York Presbyterian Hospital's clinical data, which includes 2.4M patients, spanning over three decades, and tested using 4-fold cross-validation on the following prediction tasks: hospitalization, death, new heart failure (HF) diagnosis, and HF readmission. Our experiments show that CEHR-BERT outperformed existing state-of-the-art clinical BERT adaptations and baseline models across all 4 prediction tasks in both ROC-AUC and PR-AUC. CEHR-BERT also demonstrated strong transfer learning capability, as our model trained on only 5% of data outperformed comparison models trained on the entire data set. Ablation studies to better understand the contribution of each time component showed incremental gains with every element, suggesting that CEHR-BERT's incorporation of artificial time tokens, time and age embeddings with concept embeddings, and the addition of the second learning objective represents a promising approach for future BERT-based clinical embeddings.
Pre-trained models have achieved state-of-the-art results in various Natural Language Processing (NLP) tasks. Recent works such as T5 and GPT-3 have shown that scaling up pre-trained language models can improve their generalization abilities. Particularly, the GPT-3 model with 175 billion parameters shows its strong task-agnostic zero-shot/few-shot learning capabilities. Despite their success, these large-scale models are trained on plain texts without introducing knowledge such as linguistic knowledge and world knowledge. In addition, most large-scale models are trained in an auto-regressive way. As a result, this kind of traditional fine-tuning approach demonstrates relatively weak performance when solving downstream language understanding tasks. In order to solve the above problems, we propose a unified framework named ERNIE 3.0 for pre-training large-scale knowledge enhanced models. It fuses auto-regressive network and auto-encoding network, so that the trained model can be easily tailored for both natural language understanding and generation tasks with zero-shot learning, few-shot learning or fine-tuning. We trained the model with 10 billion parameters on a 4TB corpus consisting of plain texts and a large-scale knowledge graph. Empirical results show that the model outperforms the state-of-the-art models on 54 Chinese NLP tasks, and its English version achieves the first place on the SuperGLUE benchmark (July 3, 2021), surpassing the human performance by +0.8% (90.6% vs. 89.8%).
Recent studies have demonstrated that pre-trained cross-lingual models achieve impressive performance on downstream cross-lingual tasks. This improvement stems from the learning of a large amount of monolingual and parallel corpora. While it is generally acknowledged that parallel corpora are critical for improving the model performance, existing methods are often constrained by the size of parallel corpora, especially for the low-resource languages. In this paper, we propose ERNIE-M, a new training method that encourages the model to align the representation of multiple languages with monolingual corpora, to break the constraint of parallel corpus size on the model performance. Our key insight is to integrate the idea of back translation in the pre-training process. We generate pseudo-parallel sentences pairs on a monolingual corpus to enable the learning of semantic alignment between different languages, which enhances the semantic modeling of cross-lingual models. Experimental results show that ERNIE-M outperforms existing cross-lingual models and delivers new state-of-the-art results on various cross-lingual downstream tasks. The codes and pre-trained models will be made publicly available.
In recent years, building change detection methods have made great progress by introducing deep learning, but they still suffer from the problem of the extracted features not being discriminative enough, resulting in incomplete regions and irregular boundaries. To tackle this problem, we propose a dual task constrained deep Siamese convolutional network (DTCDSCN) model, which contains three sub-networks: a change detection network and two semantic segmentation networks. DTCDSCN can accomplish both change detection and semantic segmentation at the same time, which can help to learn more discriminative object-level features and obtain a complete change detection map. Furthermore, we introduce a dual attention module (DAM) to exploit the interdependencies between channels and spatial positions, which improves the feature representation. We also improve the focal loss function to suppress the sample imbalance problem. The experimental results obtained with the WHU building dataset show that the proposed method is effective for building change detection and achieves a state-of-the-art performance in terms of four metrics: precision, recall, F1-score, and intersection over union.