Benchmarking and Boosting Radiology Report Generation for 3D High-Resolution Medical Images

Automatic radiology report generation can significantly benefit the labor-intensive process of report writing by radiologists, especially for 3D radiographs like CT scans, which are crucial for broad clinical diagnostics yet underexplored compared to 2D radiographs. Existing methods often handle 3D volumes either slice-wise or with aggressive downsampling due to current GPU memory limitations, which results in a loss of the inherent 3D nature and critical details. To overcome these issues, we introduce a novel framework that efficiently and effectively generates radiology reports for high-resolution (HR) 3D volumes, based on large language models (LLMs). Specifically, our framework utilizes low-resolution (LR) visual tokens as queries to mine information from HR tokens, preserving detailed HR information while reducing computational costs by only processing HR informed LR visual queries. Further benefiting the field, we curate and release BIMCV-RG, a new dataset with 5,328 HR 3D volumes and paired reports, establishing the first benchmarks for report generation from 3D HR medical images. Our method consistently surpasses existing methods on this benchmark across three different settings: normal-resolution, high-resolution inputs, and zero-shot domain transfer, all at an acceptable computational cost, trainable on a single A100-80G.

A Staged Approach using Machine Learning and Uncertainty Quantification to Predict the Risk of Hip Fracture

Despite advancements in medical care, hip fractures impose a significant burden on individuals and healthcare systems. This paper focuses on the prediction of hip fracture risk in older and middle-aged adults, where falls and compromised bone quality are predominant factors. We propose a novel staged model that combines advanced imaging and clinical data to improve predictive performance. By using CNNs to extract features from hip DXA images, along with clinical variables, shape measurements, and texture features, our method provides a comprehensive framework for assessing fracture risk. A staged machine learning-based model was developed using two ensemble models: Ensemble 1 (clinical variables only) and Ensemble 2 (clinical variables and DXA imaging features). This staged approach used uncertainty quantification from Ensemble 1 to decide if DXA features are necessary for further prediction. Ensemble 2 exhibited the highest performance, achieving an AUC of 0.9541, an accuracy of 0.9195, a sensitivity of 0.8078, and a specificity of 0.9427. The staged model also performed well, with an AUC of 0.8486, an accuracy of 0.8611, a sensitivity of 0.5578, and a specificity of 0.9249, outperforming Ensemble 1, which had an AUC of 0.5549, an accuracy of 0.7239, a sensitivity of 0.1956, and a specificity of 0.8343. Furthermore, the staged model suggested that 54.49% of patients did not require DXA scanning. It effectively balanced accuracy and specificity, offering a robust solution when DXA data acquisition is not always feasible. Statistical tests confirmed significant differences between the models, highlighting the advantages of the advanced modeling strategies. Our staged approach could identify individuals at risk with a high accuracy but reduce the unnecessary DXA scanning. It has great promise to guide interventions to prevent hip fractures with reduced cost and radiation.

Electrocardiogram Instruction Tuning for Report Generation

Electrocardiogram (ECG) serves as the primary non-invasive diagnostic tool for cardiac conditions monitoring, are crucial in assisting clinicians. Recent studies have concentrated on classifying cardiac conditions using ECG data but have overlooked ECG report generation, which is not only time-consuming but also requires clinical expertise. To automate ECG report generation and ensure its versatility, we propose the Multimodal ECG Instruction Tuning (MEIT) framework, the \textit{first} attempt to tackle ECG report generation with LLMs and multimodal instructions. To facilitate future research, we establish a benchmark to evaluate MEIT with various LLMs backbones across two large-scale ECG datasets. Our approach uniquely aligns the representations of the ECG signal and the report, and we conduct extensive experiments to benchmark MEIT with nine open source LLMs, using more than 800,000 ECG reports. MEIT's results underscore the superior performance of instruction-tuned LLMs, showcasing their proficiency in quality report generation, zero-shot capabilities, and resilience to signal perturbation. These findings emphasize the efficacy of our MEIT framework and its potential for real-world clinical application.

Multi-View Variational Autoencoder for Missing Value Imputation in Untargeted Metabolomics

Background: Missing data is a common challenge in mass spectrometry-based metabolomics, which can lead to biased and incomplete analyses. The integration of whole-genome sequencing (WGS) data with metabolomics data has emerged as a promising approach to enhance the accuracy of data imputation in metabolomics studies. Method: In this study, we propose a novel method that leverages the information from WGS data and reference metabolites to impute unknown metabolites. Our approach utilizes a multi-view variational autoencoder to jointly model the burden score, polygenetic risk score (PGS), and linkage disequilibrium (LD) pruned single nucleotide polymorphisms (SNPs) for feature extraction and missing metabolomics data imputation. By learning the latent representations of both omics data, our method can effectively impute missing metabolomics values based on genomic information. Results: We evaluate the performance of our method on empirical metabolomics datasets with missing values and demonstrate its superiority compared to conventional imputation techniques. Using 35 template metabolites derived burden scores, PGS and LD-pruned SNPs, the proposed methods achieved r2-scores > 0.01 for 71.55% of metabolites. Conclusion: The integration of WGS data in metabolomics imputation not only improves data completeness but also enhances downstream analyses, paving the way for more comprehensive and accurate investigations of metabolic pathways and disease associations. Our findings offer valuable insights into the potential benefits of utilizing WGS data for metabolomics data imputation and underscore the importance of leveraging multi-modal data integration in precision medicine research.

FedAIoT: A Federated Learning Benchmark for Artificial Intelligence of Things

There is a significant relevance of federated learning (FL) in the realm of Artificial Intelligence of Things (AIoT). However, most existing FL works are not conducted on datasets collected from authentic IoT devices that capture unique modalities and inherent challenges of IoT data. In this work, we introduce FedAIoT, an FL benchmark for AIoT to fill this critical gap. FedAIoT includes eight datatsets collected from a wide range of IoT devices. These datasets cover unique IoT modalities and target representative applications of AIoT. FedAIoT also includes a unified end-to-end FL framework for AIoT that simplifies benchmarking the performance of the datasets. Our benchmark results shed light on the opportunities and challenges of FL for AIoT. We hope FedAIoT could serve as an invaluable resource to foster advancements in the important field of FL for AIoT. The repository of FedAIoT is maintained at https://github.com/AIoT-MLSys-Lab/FedAIoT.

Consistency of Lloyd's Algorithm Under Perturbations

In the context of unsupervised learning, Lloyd's algorithm is one of the most widely used clustering algorithms. It has inspired a plethora of work investigating the correctness of the algorithm under various settings with ground truth clusters. In particular, in 2016, Lu and Zhou have shown that the mis-clustering rate of Lloyd's algorithm on $n$ independent samples from a sub-Gaussian mixture is exponentially bounded after $O(\log(n))$ iterations, assuming proper initialization of the algorithm. However, in many applications, the true samples are unobserved and need to be learned from the data via pre-processing pipelines such as spectral methods on appropriate data matrices. We show that the mis-clustering rate of Lloyd's algorithm on perturbed samples from a sub-Gaussian mixture is also exponentially bounded after $O(\log(n))$ iterations under the assumptions of proper initialization and that the perturbation is small relative to the sub-Gaussian noise. In canonical settings with ground truth clusters, we derive bounds for algorithms such as $k$-means$++$ to find good initializations and thus leading to the correctness of clustering via the main result. We show the implications of the results for pipelines measuring the statistical significance of derived clusters from data such as SigClust. We use these general results to derive implications in providing theoretical guarantees on the misclustering rate for Lloyd's algorithm in a host of applications, including high-dimensional time series, multi-dimensional scaling, and community detection for sparse networks via spectral clustering.

Evaluating the Robustness to Instructions of Large Language Models

Recently, Instruction fine-tuning has risen to prominence as a potential method for enhancing the zero-shot capabilities of Large Language Models (LLMs) on novel tasks. This technique has shown an exceptional ability to boost the performance of moderately sized LLMs, sometimes even reaching performance levels comparable to those of much larger model variants. The focus is on the robustness of instruction-tuned LLMs to seen and unseen tasks. We conducted an exploration of six models including Alpaca, Vicuna, WizardLM, and Traditional Task-oriented Models(Flan-T5-XL/XXL, T0++) using real-world relation extraction datasets as case studies. We carried out a comprehensive evaluation of these instruction-following LLMs which have been tuned based on open-domain instructions and task-oriented instructions. The main discussion is their performance and robustness towards instructions. We have observed that in most cases, the model's performance in dealing with unfamiliar instructions tends to worsen significantly, and the robustness of the model for RE instructions deteriorates compared to QA. Further, we discovered that up until a certain parameter size threshold (3B), the performance of the FLAN-T5 model improves as the parameter count increases. The robustness of different scales of FLAN-T5 models to RE instruction is worse than the robustness to QA instruction.

CLCLSA: Cross-omics Linked embedding with Contrastive Learning and Self Attention for multi-omics integration with incomplete multi-omics data

Integration of heterogeneous and high-dimensional multi-omics data is becoming increasingly important in understanding genetic data. Each omics technique only provides a limited view of the underlying biological process and integrating heterogeneous omics layers simultaneously would lead to a more comprehensive and detailed understanding of diseases and phenotypes. However, one obstacle faced when performing multi-omics data integration is the existence of unpaired multi-omics data due to instrument sensitivity and cost. Studies may fail if certain aspects of the subjects are missing or incomplete. In this paper, we propose a deep learning method for multi-omics integration with incomplete data by Cross-omics Linked unified embedding with Contrastive Learning and Self Attention (CLCLSA). Utilizing complete multi-omics data as supervision, the model employs cross-omics autoencoders to learn the feature representation across different types of biological data. The multi-omics contrastive learning, which is used to maximize the mutual information between different types of omics, is employed before latent feature concatenation. In addition, the feature-level self-attention and omics-level self-attention are employed to dynamically identify the most informative features for multi-omics data integration. Extensive experiments were conducted on four public multi-omics datasets. The experimental results indicated that the proposed CLCLSA outperformed the state-of-the-art approaches for multi-omics data classification using incomplete multi-omics data.

ImageNomer: developing an fMRI and omics visualization tool to detect racial bias in functional connectivity

It can be difficult to identify trends and perform quality control in large, high-dimensional fMRI or omics datasets. To remedy this, we develop ImageNomer, a data visualization and analysis tool that allows inspection of both subject-level and cohort-level features. The tool allows visualization of phenotype correlation with functional connectivity (FC), partial connectivity (PC), dictionary components (PCA and our own method), and genomic data (single-nucleotide polymorphisms, SNPs). In addition, it allows visualization of weights from arbitrary ML models. ImageNomer is built with a Python backend and a Vue frontend. We validate ImageNomer using the Philadelphia Neurodevelopmental Cohort (PNC) dataset, which contains multitask fMRI and SNP data of healthy adolescents. Using correlation, greedy selection, or model weights, we find that a set of 10 FC features can explain 15% of variation in age, compared to 35% for the full 34,716 feature model. The four most significant FCs are either between bilateral default mode network (DMN) regions or spatially proximal subcortical areas. Additionally, we show that whereas both FC (fMRI) and SNPs (genomic) features can account for 10-15% of intelligence variation, this predictive ability disappears when controlling for race. We find that FC features can be used to predict race with 85% accuracy, compared to 78% accuracy for sex prediction. Using ImageNomer, this work casts doubt on the possibility of finding unbiased intelligence-related features in fMRI and SNPs of healthy adolescents.

Multi-view information fusion using multi-view variational autoencoders to predict proximal femoral strength

Background and aim: Hip fracture can be devastating. The proximal femoral strength can be computed by subject-specific finite element (FE) analysis (FEA) using quantitative CT images. The aim of this paper is to design a deep learning-based model for hip fracture prediction with multi-view information fusion. Method: We developed a multi-view variational autoencoder (MMVAE) for feature representation learning and designed the product of expert model (PoE) for multi-view information fusion.We performed genome-wide association studies (GWAS) to select the most relevant genetic features with proximal femoral strengths and integrated genetic features with DXA-derived imaging features and clinical variables for proximal femoral strength prediction. Results: The designed model achieved the mean absolute percentage error of 0.2050,0.0739 and 0.0852 for linear fall, nonlinear fall and nonlinear stance fracture load prediction, respectively. For linear fall and nonlinear stance fracture load prediction, integrating genetic and DXA-derived imaging features were beneficial; while for nonlinear fall fracture load prediction, integrating genetic features, DXA-derived imaging features as well as clinical variables, the model achieved the best performance. Conclusion: The proposed model is capable of predicting proximal femoral strengths using genetic features, DXA-derived imaging features as well as clinical variables. Compared to performing FEA using QCT images to calculate proximal femoral strengths, the presented method is time-efficient and cost effective, and radiation dosage is limited. From the technique perspective, the final models can be applied to other multi-view information integration tasks.