Phenome-wide causal proteomics enhance systemic lupus erythematosus flare prediction: A study in Asian populations

Objective: Systemic lupus erythematosus (SLE) is a complex autoimmune disease characterized by unpredictable flares. This study aimed to develop a novel proteomics-based risk prediction model specifically for Asian SLE populations to enhance personalized disease management and early intervention. Methods: A longitudinal cohort study was conducted over 48 weeks, including 139 SLE patients monitored every 12 weeks. Patients were classified into flare (n = 53) and non-flare (n = 86) groups. Baseline plasma samples underwent data-independent acquisition (DIA) proteomics analysis, and phenome-wide Mendelian randomization (PheWAS) was performed to evaluate causal relationships between proteins and clinical predictors. Logistic regression (LR) and random forest (RF) models were used to integrate proteomic and clinical data for flare risk prediction. Results: Five proteins (SAA1, B4GALT5, GIT2, NAA15, and RPIA) were significantly associated with SLE Disease Activity Index-2K (SLEDAI-2K) scores and 1-year flare risk, implicating key pathways such as B-cell receptor signaling and platelet degranulation. SAA1 demonstrated causal effects on flare-related clinical markers, including hemoglobin and red blood cell counts. A combined model integrating clinical and proteomic data achieved the highest predictive accuracy (AUC = 0.769), surpassing individual models. SAA1 was highlighted as a priority biomarker for rapid flare discrimination. Conclusion: The integration of proteomic and clinical data significantly improves flare prediction in Asian SLE patients. The identification of key proteins and their causal relationships with flare-related clinical markers provides valuable insights for proactive SLE management and personalized therapeutic approaches.

Revisiting Adaptive Cellular Recognition Under Domain Shifts: A Contextual Correspondence View

Cellular nuclei recognition serves as a fundamental and essential step in the workflow of digital pathology. However, with disparate source organs and staining procedures among histology image clusters, the scanned tiles inherently conform to a non-uniform data distribution, which induces deteriorated promises for general cross-cohort usages. Despite the latest efforts leveraging domain adaptation to mitigate distributional discrepancy, those methods are subjected to modeling the morphological characteristics of each cell individually, disregarding the hierarchical latent structure and intrinsic contextual correspondences across the tumor micro-environment. In this work, we identify the importance of implicit correspondences across biological contexts for exploiting domain-invariant pathological composition and thereby propose to exploit the dependence over various biological structures for domain adaptive cellular recognition. We discover those high-level correspondences via unsupervised contextual modeling and use them as bridges to facilitate adaptation over diverse organs and stains. In addition, to further exploit the rich spatial contexts embedded amongst nuclear communities, we propose self-adaptive dynamic distillation to secure instance-aware trade-offs across different model constituents. The proposed method is extensively evaluated on a broad spectrum of cross-domain settings under miscellaneous data distribution shifts and outperforms the state-of-the-art methods by a substantial margin. Code is available at https://github.com/camwew/CellularRecognition_DA_CC.

LoSA: Long-Short-range Adapter for Scaling End-to-End Temporal Action Localization

Temporal Action Localization (TAL) involves localizing and classifying action snippets in an untrimmed video. The emergence of large video foundation models has led RGB-only video backbones to outperform previous methods needing both RGB and optical flow modalities. Leveraging these large models is often limited to training only the TAL head due to the prohibitively large GPU memory required to adapt the video backbone for TAL. To overcome this limitation, we introduce LoSA, the first memory-and-parameter-efficient backbone adapter designed specifically for TAL to handle untrimmed videos. LoSA specializes for TAL by introducing Long-Short-range Adapters that adapt the intermediate layers of the video backbone over different temporal ranges. These adapters run parallel to the video backbone to significantly reduce memory footprint. LoSA also includes Long-Short-range Fusion that strategically combines the output of these adapters from the video backbone layers to enhance the video features provided to the TAL head. Experiments show that LoSA significantly outperforms all existing methods on standard TAL benchmarks, THUMOS-14 and ActivityNet-v1.3, by scaling end-to-end backbone adaptation to billion-parameter-plus models like VideoMAEv2~(ViT-g) and leveraging them beyond head-only transfer learning.

Seeing Unseen: Discover Novel Biomedical Concepts via Geometry-Constrained Probabilistic Modeling

Machine learning holds tremendous promise for transforming the fundamental practice of scientific discovery by virtue of its data-driven nature. With the ever-increasing stream of research data collection, it would be appealing to autonomously explore patterns and insights from observational data for discovering novel classes of phenotypes and concepts. However, in the biomedical domain, there are several challenges inherently presented in the cumulated data which hamper the progress of novel class discovery. The non-i.i.d. data distribution accompanied by the severe imbalance among different groups of classes essentially leads to ambiguous and biased semantic representations. In this work, we present a geometry-constrained probabilistic modeling treatment to resolve the identified issues. First, we propose to parameterize the approximated posterior of instance embedding as a marginal von MisesFisher distribution to account for the interference of distributional latent bias. Then, we incorporate a suite of critical geometric properties to impose proper constraints on the layout of constructed embedding space, which in turn minimizes the uncontrollable risk for unknown class learning and structuring. Furthermore, a spectral graph-theoretic method is devised to estimate the number of potential novel classes. It inherits two intriguing merits compared to existent approaches, namely high computational efficiency and flexibility for taxonomy-adaptive estimation. Extensive experiments across various biomedical scenarios substantiate the effectiveness and general applicability of our method.

Shifting to Machine Supervision: Annotation-Efficient Semi and Self-Supervised Learning for Automatic Medical Image Segmentation and Classification

Advancements in clinical treatment and research are limited by supervised learning techniques that rely on large amounts of annotated data, an expensive task requiring many hours of clinical specialists' time. In this paper, we propose using self-supervised and semi-supervised learning. These techniques perform an auxiliary task that is label-free, scaling up machine-supervision is easier compared with fully-supervised techniques. This paper proposes S4MI (Self-Supervision and Semi-Supervision for Medical Imaging), our pipeline to leverage advances in self and semi-supervision learning. We benchmark them on three medical imaging datasets to analyze their efficacy for classification and segmentation. This advancement in self-supervised learning with 10% annotation performed better than 100% annotation for the classification of most datasets. The semi-supervised approach yielded favorable outcomes for segmentation, outperforming the fully-supervised approach by using 50% fewer labels in all three datasets.

A Framework for Automated Measurement of Responsible AI Harms in Generative AI Applications

We present a framework for the automated measurement of responsible AI (RAI) metrics for large language models (LLMs) and associated products and services. Our framework for automatically measuring harms from LLMs builds on existing technical and sociotechnical expertise and leverages the capabilities of state-of-the-art LLMs, such as GPT-4. We use this framework to run through several case studies investigating how different LLMs may violate a range of RAI-related principles. The framework may be employed alongside domain-specific sociotechnical expertise to create measurements for new harm areas in the future. By implementing this framework, we aim to enable more advanced harm measurement efforts and further the responsible use of LLMs.

Enhancing Medical Image Segmentation: Optimizing Cross-Entropy Weights and Post-Processing with Autoencoders

The task of medical image segmentation presents unique challenges, necessitating both localized and holistic semantic understanding to accurately delineate areas of interest, such as critical tissues or aberrant features. This complexity is heightened in medical image segmentation due to the high degree of inter-class similarities, intra-class variations, and possible image obfuscation. The segmentation task further diversifies when considering the study of histopathology slides for autoimmune diseases like dermatomyositis. The analysis of cell inflammation and interaction in these cases has been less studied due to constraints in data acquisition pipelines. Despite the progressive strides in medical science, we lack a comprehensive collection of autoimmune diseases. As autoimmune diseases globally escalate in prevalence and exhibit associations with COVID-19, their study becomes increasingly essential. While there is existing research that integrates artificial intelligence in the analysis of various autoimmune diseases, the exploration of dermatomyositis remains relatively underrepresented. In this paper, we present a deep-learning approach tailored for Medical image segmentation. Our proposed method outperforms the current state-of-the-art techniques by an average of 12.26% for U-Net and 12.04% for U-Net++ across the ResNet family of encoders on the dermatomyositis dataset. Furthermore, we probe the importance of optimizing loss function weights and benchmark our methodology on three challenging medical image segmentation tasks

Taxonomy Adaptive Cross-Domain Adaptation in Medical Imaging via Optimization Trajectory Distillation

The success of automated medical image analysis depends on large-scale and expert-annotated training sets. Unsupervised domain adaptation (UDA) has been raised as a promising approach to alleviate the burden of labeled data collection. However, they generally operate under the closed-set adaptation setting assuming an identical label set between the source and target domains, which is over-restrictive in clinical practice where new classes commonly exist across datasets due to taxonomic inconsistency. While several methods have been presented to tackle both domain shifts and incoherent label sets, none of them take into account the common characteristics of the two issues and consider the learning dynamics along network training. In this work, we propose optimization trajectory distillation, a unified approach to address the two technical challenges from a new perspective. It exploits the low-rank nature of gradient space and devises a dual-stream distillation algorithm to regularize the learning dynamics of insufficiently annotated domain and classes with the external guidance obtained from reliable sources. Our approach resolves the issue of inadequate navigation along network optimization, which is the major obstacle in the taxonomy adaptive cross-domain adaptation scenario. We evaluate the proposed method extensively on several tasks towards various endpoints with clinical and open-world significance. The results demonstrate its effectiveness and improvements over previous methods.

Rule By Example: Harnessing Logical Rules for Explainable Hate Speech Detection

Classic approaches to content moderation typically apply a rule-based heuristic approach to flag content. While rules are easily customizable and intuitive for humans to interpret, they are inherently fragile and lack the flexibility or robustness needed to moderate the vast amount of undesirable content found online today. Recent advances in deep learning have demonstrated the promise of using highly effective deep neural models to overcome these challenges. However, despite the improved performance, these data-driven models lack transparency and explainability, often leading to mistrust from everyday users and a lack of adoption by many platforms. In this paper, we present Rule By Example (RBE): a novel exemplar-based contrastive learning approach for learning from logical rules for the task of textual content moderation. RBE is capable of providing rule-grounded predictions, allowing for more explainable and customizable predictions compared to typical deep learning-based approaches. We demonstrate that our approach is capable of learning rich rule embedding representations using only a few data examples. Experimental results on 3 popular hate speech classification datasets show that RBE is able to outperform state-of-the-art deep learning classifiers as well as the use of rules in both supervised and unsupervised settings while providing explainable model predictions via rule-grounding.

Rethinking Multimodal Content Moderation from an Asymmetric Angle with Mixed-modality

There is a rapidly growing need for multimodal content moderation (CM) as more and more content on social media is multimodal in nature. Existing unimodal CM systems may fail to catch harmful content that crosses modalities (e.g., memes or videos), which may lead to severe consequences. In this paper, we present a novel CM model, Asymmetric Mixed-Modal Moderation (AM3), to target multimodal and unimodal CM tasks. Specifically, to address the asymmetry in semantics between vision and language, AM3 has a novel asymmetric fusion architecture that is designed to not only fuse the common knowledge in both modalities but also to exploit the unique information in each modality. Unlike previous works that focus on fusing the two modalities while overlooking the intrinsic difference between the information conveyed in multimodality and in unimodality (asymmetry in modalities), we propose a novel cross-modality contrastive loss to learn the unique knowledge that only appears in multimodality. This is critical as some harmful intent may only be conveyed through the intersection of both modalities. With extensive experiments, we show that AM3 outperforms all existing state-of-the-art methods on both multimodal and unimodal CM benchmarks.