Aligning Large Language Models for Enhancing Psychiatric Interviews through Symptom Delineation and Summarization

Recent advancements in Large Language Models (LLMs) have accelerated their usage in various domains. Given the fact that psychiatric interviews are goal-oriented and structured dialogues between the professional interviewer and the interviewee, it is one of the most underexplored areas where LLMs can contribute substantial value. Here, we explore the use of LLMs for enhancing psychiatric interviews, by analyzing counseling data from North Korean defectors with traumatic events and mental health issues. Specifically, we investigate whether LLMs can (1) delineate the part of the conversation that suggests psychiatric symptoms and name the symptoms, and (2) summarize stressors and symptoms, based on the interview dialogue transcript. Here, the transcript data was labeled by mental health experts for training and evaluation of LLMs. Our experimental results show that appropriately prompted LLMs can achieve high performance on both the symptom delineation task and the summarization task. This research contributes to the nascent field of applying LLMs to psychiatric interview and demonstrates their potential effectiveness in aiding mental health practitioners.

Improving Visual Prompt Tuning for Self-supervised Vision Transformers

Visual Prompt Tuning (VPT) is an effective tuning method for adapting pretrained Vision Transformers (ViTs) to downstream tasks. It leverages extra learnable tokens, known as prompts, which steer the frozen pretrained ViTs. Although VPT has demonstrated its applicability with supervised vision transformers, it often underperforms with self-supervised ones. Through empirical observations, we deduce that the effectiveness of VPT hinges largely on the ViT blocks with which the prompt tokens interact. Specifically, VPT shows improved performance on image classification tasks for MAE and MoCo v3 when the prompt tokens are inserted into later blocks rather than the first block. These observations suggest that there exists an optimal location of blocks for the insertion of prompt tokens. Unfortunately, identifying the optimal blocks for prompts within each self-supervised ViT for diverse future scenarios is a costly process. To mitigate this problem, we propose a simple yet effective method that learns a gate for each ViT block to adjust its intervention into the prompt tokens. With our method, prompt tokens are selectively influenced by blocks that require steering for task adaptation. Our method outperforms VPT variants in FGVC and VTAB image classification and ADE20K semantic segmentation. The code is available at https://github.com/ryongithub/GatedPromptTuning.

Probabilistic Concept Bottleneck Models

Interpretable models are designed to make decisions in a human-interpretable manner. Representatively, Concept Bottleneck Models (CBM) follow a two-step process of concept prediction and class prediction based on the predicted concepts. CBM provides explanations with high-level concepts derived from concept predictions; thus, reliable concept predictions are important for trustworthiness. In this study, we address the ambiguity issue that can harm reliability. While the existence of a concept can often be ambiguous in the data, CBM predicts concepts deterministically without considering this ambiguity. To provide a reliable interpretation against this ambiguity, we propose Probabilistic Concept Bottleneck Models (ProbCBM). By leveraging probabilistic concept embeddings, ProbCBM models uncertainty in concept prediction and provides explanations based on the concept and its corresponding uncertainty. This uncertainty enhances the reliability of the explanations. Furthermore, as class uncertainty is derived from concept uncertainty in ProbCBM, we can explain class uncertainty by means of concept uncertainty. Code is publicly available at https://github.com/ejkim47/prob-cbm.

Anti-Adversarially Manipulated Attributions for Weakly Supervised Semantic Segmentation and Object Localization

Obtaining accurate pixel-level localization from class labels is a crucial process in weakly supervised semantic segmentation and object localization. Attribution maps from a trained classifier are widely used to provide pixel-level localization, but their focus tends to be restricted to a small discriminative region of the target object. An AdvCAM is an attribution map of an image that is manipulated to increase the classification score produced by a classifier before the final softmax or sigmoid layer. This manipulation is realized in an anti-adversarial manner, so that the original image is perturbed along pixel gradients in directions opposite to those used in an adversarial attack. This process enhances non-discriminative yet class-relevant features, which make an insufficient contribution to previous attribution maps, so that the resulting AdvCAM identifies more regions of the target object. In addition, we introduce a new regularization procedure that inhibits the incorrect attribution of regions unrelated to the target object and the excessive concentration of attributions on a small region of the target object. Our method achieves a new state-of-the-art performance in weakly and semi-supervised semantic segmentation, on both the PASCAL VOC 2012 and MS COCO 2014 datasets. In weakly supervised object localization, it achieves a new state-of-the-art performance on the CUB-200-2011 and ImageNet-1K datasets.

Bridging the Gap between Classification and Localization for Weakly Supervised Object Localization

Weakly supervised object localization aims to find a target object region in a given image with only weak supervision, such as image-level labels. Most existing methods use a class activation map (CAM) to generate a localization map; however, a CAM identifies only the most discriminative parts of a target object rather than the entire object region. In this work, we find the gap between classification and localization in terms of the misalignment of the directions between an input feature and a class-specific weight. We demonstrate that the misalignment suppresses the activation of CAM in areas that are less discriminative but belong to the target object. To bridge the gap, we propose a method to align feature directions with a class-specific weight. The proposed method achieves a state-of-the-art localization performance on the CUB-200-2011 and ImageNet-1K benchmarks.

Weakly Supervised Semantic Segmentation using Out-of-Distribution Data

Weakly supervised semantic segmentation (WSSS) methods are often built on pixel-level localization maps obtained from a classifier. However, training on class labels only, classifiers suffer from the spurious correlation between foreground and background cues (e.g. train and rail), fundamentally bounding the performance of WSSS. There have been previous endeavors to address this issue with additional supervision. We propose a novel source of information to distinguish foreground from the background: Out-of-Distribution (OoD) data, or images devoid of foreground object classes. In particular, we utilize the hard OoDs that the classifier is likely to make false-positive predictions. These samples typically carry key visual features on the background (e.g. rail) that the classifiers often confuse as foreground (e.g. train), so these cues let classifiers correctly suppress spurious background cues. Acquiring such hard OoDs does not require an extensive amount of annotation efforts; it only incurs a few additional image-level labeling costs on top of the original efforts to collect class labels. We propose a method, W-OoD, for utilizing the hard OoDs. W-OoD achieves state-of-the-art performance on Pascal VOC 2012.

Robust End-to-End Focal Liver Lesion Detection using Unregistered Multiphase Computed Tomography Images

The computer-aided diagnosis of focal liver lesions (FLLs) can help improve workflow and enable correct diagnoses; FLL detection is the first step in such a computer-aided diagnosis. Despite the recent success of deep-learning-based approaches in detecting FLLs, current methods are not sufficiently robust for assessing misaligned multiphase data. By introducing an attention-guided multiphase alignment in feature space, this study presents a fully automated, end-to-end learning framework for detecting FLLs from multiphase computed tomography (CT) images. Our method is robust to misaligned multiphase images owing to its complete learning-based approach, which reduces the sensitivity of the model's performance to the quality of registration and enables a standalone deployment of the model in clinical practice. Evaluation on a large-scale dataset with 280 patients confirmed that our method outperformed previous state-of-the-art methods and significantly reduced the performance degradation for detecting FLLs using misaligned multiphase CT images. The robustness of the proposed method can enhance the clinical adoption of the deep-learning-based computer-aided detection system.

XProtoNet: Diagnosis in Chest Radiography with Global and Local Explanations

Automated diagnosis using deep neural networks in chest radiography can help radiologists detect life-threatening diseases. However, existing methods only provide predictions without accurate explanations, undermining the trustworthiness of the diagnostic methods. Here, we present XProtoNet, a globally and locally interpretable diagnosis framework for chest radiography. XProtoNet learns representative patterns of each disease from X-ray images, which are prototypes, and makes a diagnosis on a given X-ray image based on the patterns. It predicts the area where a sign of the disease is likely to appear and compares the features in the predicted area with the prototypes. It can provide a global explanation, the prototype, and a local explanation, how the prototype contributes to the prediction of a single image. Despite the constraint for interpretability, XProtoNet achieves state-of-the-art classification performance on the public NIH chest X-ray dataset.

Anti-Adversarially Manipulated Attributions for Weakly and Semi-Supervised Semantic Segmentation

Weakly supervised semantic segmentation produces a pixel-level localization from a classifier, but it is likely to restrict its focus to a small discriminative region of the target object. AdvCAM is an attribution map of an image that is manipulated to increase the classification score. This manipulation is realized in an anti-adversarial manner, which perturbs the images along pixel gradients in the opposite direction from those used in an adversarial attack. It forces regions initially considered not to be discriminative to become involved in subsequent classifications, and produces attribution maps that successively identify more regions of the target object. In addition, we introduce a new regularization procedure that inhibits the incorrect attribution of regions unrelated to the target object and limits the attributions of the regions that already have high scores. On PASCAL VOC 2012 test images, we achieve mIoUs of 68.0 and 76.9 for weakly and semi-supervised semantic segmentation respectively, which represent a new state-of-the-art.