AUDIT: Audio Editing by Following Instructions with Latent Diffusion Models

Audio editing is applicable for various purposes, such as adding background sound effects, replacing a musical instrument, and repairing damaged audio. Recently, some diffusion-based methods achieved zero-shot audio editing by using a diffusion and denoising process conditioned on the text description of the output audio. However, these methods still have some problems: 1) they have not been trained on editing tasks and cannot ensure good editing effects; 2) they can erroneously modify audio segments that do not require editing; 3) they need a complete description of the output audio, which is not always available or necessary in practical scenarios. In this work, we propose AUDIT, an instruction-guided audio editing model based on latent diffusion models. Specifically, AUDIT has three main design features: 1) we construct triplet training data (instruction, input audio, output audio) for different audio editing tasks and train a diffusion model using instruction and input (to be edited) audio as conditions and generating output (edited) audio; 2) it can automatically learn to only modify segments that need to be edited by comparing the difference between the input and output audio; 3) it only needs edit instructions instead of full target audio descriptions as text input. AUDIT achieves state-of-the-art results in both objective and subjective metrics for several audio editing tasks (e.g., adding, dropping, replacement, inpainting, super-resolution). Demo samples are available at https://audit-demo.github.io/.

Identifying Symptoms of Delirium from Clinical Narratives Using Natural Language Processing

Delirium is an acute decline or fluctuation in attention, awareness, or other cognitive function that can lead to serious adverse outcomes. Despite the severe outcomes, delirium is frequently unrecognized and uncoded in patients' electronic health records (EHRs) due to its transient and diverse nature. Natural language processing (NLP), a key technology that extracts medical concepts from clinical narratives, has shown great potential in studies of delirium outcomes and symptoms. To assist in the diagnosis and phenotyping of delirium, we formed an expert panel to categorize diverse delirium symptoms, composed annotation guidelines, created a delirium corpus with diverse delirium symptoms, and developed NLP methods to extract delirium symptoms from clinical notes. We compared 5 state-of-the-art transformer models including 2 models (BERT and RoBERTa) from the general domain and 3 models (BERT_MIMIC, RoBERTa_MIMIC, and GatorTron) from the clinical domain. GatorTron achieved the best strict and lenient F1 scores of 0.8055 and 0.8759, respectively. We conducted an error analysis to identify challenges in annotating delirium symptoms and developing NLP systems. To the best of our knowledge, this is the first large language model-based delirium symptom extraction system. Our study lays the foundation for the future development of computable phenotypes and diagnosis methods for delirium.

DAE-Talker: High Fidelity Speech-Driven Talking Face Generation with Diffusion Autoencoder

While recent research has made significant progress in speech-driven talking face generation, the quality of the generated video still lags behind that of real recordings. One reason for this is the use of handcrafted intermediate representations like facial landmarks and 3DMM coefficients, which are designed based on human knowledge and are insufficient to precisely describe facial movements. Additionally, these methods require an external pretrained model for extracting these representations, whose performance sets an upper bound on talking face generation. To address these limitations, we propose a novel method called DAE-Talker that leverages data-driven latent representations obtained from a diffusion autoencoder (DAE). DAE contains an image encoder that encodes an image into a latent vector and a DDIM image decoder that reconstructs the image from it. We train our DAE on talking face video frames and then extract their latent representations as the training target for a Conformer-based speech2latent model. This allows DAE-Talker to synthesize full video frames and produce natural head movements that align with the content of speech, rather than relying on a predetermined head pose from a template video. We also introduce pose modelling in speech2latent for pose controllability. Additionally, we propose a novel method for generating continuous video frames with the DDIM image decoder trained on individual frames, eliminating the need for modelling the joint distribution of consecutive frames directly. Our experiments show that DAE-Talker outperforms existing popular methods in lip-sync, video fidelity, and pose naturalness. We also conduct ablation studies to analyze the effectiveness of the proposed techniques and demonstrate the pose controllability of DAE-Talker.

HiFace: High-Fidelity 3D Face Reconstruction by Learning Static and Dynamic Details

3D Morphable Models (3DMMs) demonstrate great potential for reconstructing faithful and animatable 3D facial surfaces from a single image. The facial surface is influenced by the coarse shape, as well as the static detail (e,g., person-specific appearance) and dynamic detail (e.g., expression-driven wrinkles). Previous work struggles to decouple the static and dynamic details through image-level supervision, leading to reconstructions that are not realistic. In this paper, we aim at high-fidelity 3D face reconstruction and propose HiFace to explicitly model the static and dynamic details. Specifically, the static detail is modeled as the linear combination of a displacement basis, while the dynamic detail is modeled as the linear interpolation of two displacement maps with polarized expressions. We exploit several loss functions to jointly learn the coarse shape and fine details with both synthetic and real-world datasets, which enable HiFace to reconstruct high-fidelity 3D shapes with animatable details. Extensive quantitative and qualitative experiments demonstrate that HiFace presents state-of-the-art reconstruction quality and faithfully recovers both the static and dynamic details. Our project page can be found at https://project-hiface.github.io

Clinical Concept and Relation Extraction Using Prompt-based Machine Reading Comprehension

Objective: To develop a natural language processing system that solves both clinical concept extraction and relation extraction in a unified prompt-based machine reading comprehension (MRC) architecture with good generalizability for cross-institution applications. Methods: We formulate both clinical concept extraction and relation extraction using a unified prompt-based MRC architecture and explore state-of-the-art transformer models. We compare our MRC models with existing deep learning models for concept extraction and end-to-end relation extraction using two benchmark datasets developed by the 2018 National NLP Clinical Challenges (n2c2) challenge (medications and adverse drug events) and the 2022 n2c2 challenge (relations of social determinants of health [SDoH]). We also evaluate the transfer learning ability of the proposed MRC models in a cross-institution setting. We perform error analyses and examine how different prompting strategies affect the performance of MRC models. Results and Conclusion: The proposed MRC models achieve state-of-the-art performance for clinical concept and relation extraction on the two benchmark datasets, outperforming previous non-MRC transformer models. GatorTron-MRC achieves the best strict and lenient F1-scores for concept extraction, outperforming previous deep learning models on the two datasets by 1%~3% and 0.7%~1.3%, respectively. For end-to-end relation extraction, GatorTron-MRC and BERT-MIMIC-MRC achieve the best F1-scores, outperforming previous deep learning models by 0.9%~2.4% and 10%-11%, respectively. For cross-institution evaluation, GatorTron-MRC outperforms traditional GatorTron by 6.4% and 16% for the two datasets, respectively. The proposed method is better at handling nested/overlapped concepts, extracting relations, and has good portability for cross-institute applications.

Contextualized Medication Information Extraction Using Transformer-based Deep Learning Architectures

Objective: To develop a natural language processing (NLP) system to extract medications and contextual information that help understand drug changes. This project is part of the 2022 n2c2 challenge. Materials and methods: We developed NLP systems for medication mention extraction, event classification (indicating medication changes discussed or not), and context classification to classify medication changes context into 5 orthogonal dimensions related to drug changes. We explored 6 state-of-the-art pretrained transformer models for the three subtasks, including GatorTron, a large language model pretrained using >90 billion words of text (including >80 billion words from >290 million clinical notes identified at the University of Florida Health). We evaluated our NLP systems using annotated data and evaluation scripts provided by the 2022 n2c2 organizers. Results:Our GatorTron models achieved the best F1-scores of 0.9828 for medication extraction (ranked 3rd), 0.9379 for event classification (ranked 2nd), and the best micro-average accuracy of 0.9126 for context classification. GatorTron outperformed existing transformer models pretrained using smaller general English text and clinical text corpora, indicating the advantage of large language models. Conclusion: This study demonstrated the advantage of using large transformer models for contextual medication information extraction from clinical narratives.

DR-VIDAL -- Doubly Robust Variational Information-theoretic Deep Adversarial Learning for Counterfactual Prediction and Treatment Effect Estimation on Real World Data

Determining causal effects of interventions onto outcomes from real-world, observational (non-randomized) data, e.g., treatment repurposing using electronic health records, is challenging due to underlying bias. Causal deep learning has improved over traditional techniques for estimating individualized treatment effects (ITE). We present the Doubly Robust Variational Information-theoretic Deep Adversarial Learning (DR-VIDAL), a novel generative framework that combines two joint models of treatment and outcome, ensuring an unbiased ITE estimation even when one of the two is misspecified. DR-VIDAL integrates: (i) a variational autoencoder (VAE) to factorize confounders into latent variables according to causal assumptions; (ii) an information-theoretic generative adversarial network (Info-GAN) to generate counterfactuals; (iii) a doubly robust block incorporating treatment propensities for outcome predictions. On synthetic and real-world datasets (Infant Health and Development Program, Twin Birth Registry, and National Supported Work Program), DR-VIDAL achieves better performance than other non-generative and generative methods. In conclusion, DR-VIDAL uniquely fuses causal assumptions, VAE, Info-GAN, and doubly robustness into a comprehensive, performant framework. Code is available at: https://github.com/Shantanu48114860/DR-VIDAL-AMIA-22 under MIT license.

Video4MRI: An Empirical Study on Brain Magnetic Resonance Image Analytics with CNN-based Video Classification Frameworks

To address the problem of medical image recognition, computer vision techniques like convolutional neural networks (CNN) are frequently used. Recently, 3D CNN-based models dominate the field of magnetic resonance image (MRI) analytics. Due to the high similarity between MRI data and videos, we conduct extensive empirical studies on video recognition techniques for MRI classification to answer the questions: (1) can we directly use video recognition models for MRI classification, (2) which model is more appropriate for MRI, (3) are the common tricks like data augmentation in video recognition still useful for MRI classification? Our work suggests that advanced video techniques benefit MRI classification. In this paper, four datasets of Alzheimer's and Parkinson's disease recognition are utilized in experiments, together with three alternative video recognition models and data augmentation techniques that are frequently applied to video tasks. In terms of efficiency, the results reveal that the video framework performs better than 3D-CNN models by 5% - 11% with 50% - 66% less trainable parameters. This report pushes forward the potential fusion of 3D medical imaging and video understanding research.

A Study on ReLU and Softmax in Transformer

The Transformer architecture consists of self-attention and feed-forward networks (FFNs) which can be viewed as key-value memories according to previous works. However, FFN and traditional memory utilize different activation functions (i.e., ReLU and Softmax respectively), which makes them not equivalent. In this paper, we first rebuild the connections between FFN and key-value memory by conducting extensive studies on ReLU and Softmax, and find they are equivalent when adding an additional layer normalization module on Softmax. In addition, ReLU outperforms Softmax on both FFN and key-value memory when the number of value slots is large. We analyze the reasons and then explore this good property of ReLU on the self-attention network where the original Softmax activation performs poorly on long input sequences. We then propose a full ReLU architecture named ReLUFormer which performs better than the baseline Transformer on long sequence tasks such as document translation. This paper sheds light on the following points: 1) Softmax and ReLU use different normalization methods over elements which lead to different variances of results, and ReLU is good at dealing with a large number of key-value slots; 2) FFN and key-value memory are equivalent, and thus the Transformer can be viewed as a memory network where FFNs and self-attention networks are both key-value memories.

Regeneration Learning: A Learning Paradigm for Data Generation

Machine learning methods for conditional data generation usually build a mapping from source conditional data X to target data Y. The target Y (e.g., text, speech, music, image, video) is usually high-dimensional and complex, and contains information that does not exist in source data, which hinders effective and efficient learning on the source-target mapping. In this paper, we present a learning paradigm called regeneration learning for data generation, which first generates Y' (an abstraction/representation of Y) from X and then generates Y from Y'. During training, Y' is obtained from Y through either handcrafted rules or self-supervised learning and is used to learn X-->Y' and Y'-->Y. Regeneration learning extends the concept of representation learning to data generation tasks, and can be regarded as a counterpart of traditional representation learning, since 1) regeneration learning handles the abstraction (Y') of the target data Y for data generation while traditional representation learning handles the abstraction (X') of source data X for data understanding; 2) both the processes of Y'-->Y in regeneration learning and X-->X' in representation learning can be learned in a self-supervised way (e.g., pre-training); 3) both the mappings from X to Y' in regeneration learning and from X' to Y in representation learning are simpler than the direct mapping from X to Y. We show that regeneration learning can be a widely-used paradigm for data generation (e.g., text generation, speech recognition, speech synthesis, music composition, image generation, and video generation) and can provide valuable insights into developing data generation methods.