A Novel ICD Coding Framework Based on Associated and Hierarchical Code Description Distillation

ICD(International Classification of Diseases) coding involves assigning ICD codes to patients visit based on their medical notes. ICD coding is a challenging multilabel text classification problem due to noisy medical document inputs. Recent advancements in automated ICD coding have enhanced performance by integrating additional data and knowledge bases with the encoding of medical notes and codes. However, most of them ignore the code hierarchy, leading to improper code assignments. To address these problems, we propose a novel framework based on associated and hierarchical code description distillation (AHDD) for better code representation learning and avoidance of improper code assignment.we utilize the code description and the hierarchical structure inherent to the ICD codes. Therefore, in this paper, we leverage the code description and the hierarchical structure inherent to the ICD codes. The code description is also applied to aware the attention layer and output layer. Experimental results on the benchmark dataset show the superiority of the proposed framework over several state-of-the-art baselines.

Cluster-Induced Mask Transformers for Effective Opportunistic Gastric Cancer Screening on Non-contrast CT Scans

Gastric cancer is the third leading cause of cancer-related mortality worldwide, but no guideline-recommended screening test exists. Existing methods can be invasive, expensive, and lack sensitivity to identify early-stage gastric cancer. In this study, we explore the feasibility of using a deep learning approach on non-contrast CT scans for gastric cancer detection. We propose a novel cluster-induced Mask Transformer that jointly segments the tumor and classifies abnormality in a multi-task manner. Our model incorporates learnable clusters that encode the texture and shape prototypes of gastric cancer, utilizing self- and cross-attention to interact with convolutional features. In our experiments, the proposed method achieves a sensitivity of 85.0% and specificity of 92.6% for detecting gastric tumors on a hold-out test set consisting of 100 patients with cancer and 148 normal. In comparison, two radiologists have an average sensitivity of 73.5% and specificity of 84.3%. We also obtain a specificity of 97.7% on an external test set with 903 normal cases. Our approach performs comparably to established state-of-the-art gastric cancer screening tools like blood testing and endoscopy, while also being more sensitive in detecting early-stage cancer. This demonstrates the potential of our approach as a novel, non-invasive, low-cost, and accurate method for opportunistic gastric cancer screening.

Unified Multimodal Model with Unlikelihood Training for Visual Dialog

The task of visual dialog requires a multimodal chatbot to answer sequential questions from humans about image content. Prior work performs the standard likelihood training for answer generation on the positive instances (involving correct answers). However, the likelihood objective often leads to frequent and dull outputs and fails to exploit the useful knowledge from negative instances (involving incorrect answers). In this paper, we propose a Unified Multimodal Model with UnLikelihood Training, named UniMM-UL, to tackle this problem. First, to improve visual dialog understanding and generation by multi-task learning, our model extends ViLBERT from only supporting answer discrimination to holding both answer discrimination and answer generation seamlessly by different attention masks. Specifically, in order to make the original discriminative model compatible with answer generation, we design novel generative attention masks to implement the autoregressive Masked Language Modeling (autoregressive MLM) task. And to attenuate the adverse effects of the likelihood objective, we exploit unlikelihood training on negative instances to make the model less likely to generate incorrect answers. Then, to utilize dense annotations, we adopt different fine-tuning methods for both generating and discriminating answers, rather than just for discriminating answers as in the prior work. Finally, on the VisDial dataset, our model achieves the best generative results (69.23 NDCG score). And our model also yields comparable discriminative results with the state-of-the-art in both single-model and ensemble settings (75.92 and 76.17 NDCG scores).

A Speaker-aware Parallel Hierarchical Attentive Encoder-Decoder Model for Multi-turn Dialogue Generation

This paper presents a novel open-domain dialogue generation model emphasizing the differentiation of speakers in multi-turn conversations. Differing from prior work that solely relies on the content of conversation history to generate a response, we argue that capturing relative social relations among utterances (i.e., generated by either the same speaker or different persons) benefits the machine capturing fine-grained context information from a conversation history to improve context coherence in the generated response. Given that, we propose a speaker-aware Parallel Hierarchical Attentive Encoder-Decoder (PHAED) model that aims to model each utterance with the awareness of its speaker and contextual associations with the same speaker's previous messages. Specifically, in a conversation involving two speakers, we regard the utterances from one speaker as responses and those from the other as queries. After understanding queries via our encoder with inner-query and inter-query encodings, our decoder reuses the hidden states of previously generated responses, instead of reconstructing these by the encoder, to generate a new response. Our empirical results show that PHAED outperforms the state-of-the-art in both automatic and human evaluations. Furthermore, our ablation study shows that dialogue models with speaker tokens can generally decrease the possibility of generating non-coherent responses regarding the conversation context.

Byzantine-Robust Federated Learning via Credibility Assessment on Non-IID Data

Federated learning is a novel framework that enables resource-constrained edge devices to jointly learn a model, which solves the problem of data protection and data islands. However, standard federated learning is vulnerable to Byzantine attacks, which will cause the global model to be manipulated by the attacker or fail to converge. On non-iid data, the current methods are not effective in defensing against Byzantine attacks. In this paper, we propose a Byzantine-robust framework for federated learning via credibility assessment on non-iid data (BRCA). Credibility assessment is designed to detect Byzantine attacks by combing adaptive anomaly detection model and data verification. Specially, an adaptive mechanism is incorporated into the anomaly detection model for the training and prediction of the model. Simultaneously, a unified update algorithm is given to guarantee that the global model has a consistent direction. On non-iid data, our experiments demonstrate that the BRCA is more robust to Byzantine attacks compared with conventional methods