CT scans are promising in providing accurate, fast, and cheap screening and testing of COVID-19. In this paper, we build a publicly available COVID-CT dataset, containing 275 CT scans that are positive for COVID-19, to foster the research and development of deep learning methods which predict whether a person is affected with COVID-19 by analyzing his/her CTs. We train a deep convolutional neural network on this dataset and achieve an F1 of 0.85 which is a promising performance but yet to be further improved. The data and code are available at https://github.com/UCSD-AI4H/COVID-CT
Is it possible to develop an "AI Pathologist" to pass the board-certified examination of the American Board of Pathology? To achieve this goal, the first step is to create a visual question answering (VQA) dataset where the AI agent is presented with a pathology image together with a question and is asked to give the correct answer. Our work makes the first attempt to build such a dataset. Different from creating general-domain VQA datasets where the images are widely accessible and there are many crowdsourcing workers available and capable of generating question-answer pairs, developing a medical VQA dataset is much more challenging. First, due to privacy concerns, pathology images are usually not publicly available. Second, only well-trained pathologists can understand pathology images, but they barely have time to help create datasets for AI research. To address these challenges, we resort to pathology textbooks and online digital libraries. We develop a semi-automated pipeline to extract pathology images and captions from textbooks and generate question-answer pairs from captions using natural language processing. We collect 32,799 open-ended questions from 4,998 pathology images where each question is manually checked to ensure correctness. To our best knowledge, this is the first dataset for pathology VQA. Our dataset will be released publicly to promote research in medical VQA.
The International Classification of Diseases (ICD) is a list of classification codes for the diagnoses. Automatic ICD coding is in high demand as the manual coding can be labor-intensive and error-prone. It is a multi-label text classification task with extremely long-tailed label distribution, making it difficult to perform fine-grained classification on both frequent and zero-shot codes at the same time. In this paper, we propose a latent feature generation framework for generalized zero-shot ICD coding, where we aim to improve the prediction on codes that have no labeled data without compromising the performance on seen codes. Our framework generates pseudo features conditioned on the ICD code descriptions and exploits the ICD code hierarchical structure. To guarantee the semantic consistency between the generated features and real features, we reconstruct the keywords in the input documents that are related to the conditioned ICD codes. To the best of our knowledge, this works represents the first one that proposes an adversarial generative model for the generalized zero-shot learning on multi-label text classification. Extensive experiments demonstrate the effectiveness of our approach. On the public MIMIC-III dataset, our methods improve the F1 score from nearly 0 to 20.91% for the zero-shot codes, and increase the AUC score by 3% (absolute improvement) from previous state of the art. We also show that the framework improves the performance on few-shot codes.
Adversarial training is a useful approach to promote the learning of transferable representations across the source and target domains, which has been widely applied for domain adaptation (DA) tasks based on deep neural networks. Until very recently, existing adversarial domain adaptation (ADA) methods ignore the useful information from the label space, which is an important factor accountable for the complicated data distributions associated with different semantic classes. Especially, the inter-class semantic relationships have been rarely considered and discussed in the current work of transfer learning. In this paper, we propose a novel relationship-aware adversarial domain adaptation (RADA) algorithm, which first utilizes a single multi-class domain discriminator to enforce the learning of inter-class dependency structure during domain-adversarial training and then aligns this structure with the inter-class dependencies that are characterized from training the label predictor on the source domain. Specifically, we impose a regularization term to penalize the structure discrepancy between the inter-class dependencies respectively estimated from domain discriminator and label predictor. Through this alignment, our proposed method makes the ADA aware of class relationships. Empirical studies show that the incorporation of class relationships significantly improves the performance on benchmark datasets.
Briefness and comprehensiveness are necessary in order to give a lot of information concisely in explaining a black-box decision system. However, existing interpretable machine learning methods fail to consider briefness and comprehensiveness simultaneously, which may lead to redundant explanations. We propose a system-agnostic interpretable method that provides a brief but comprehensive explanation by adopting the inspiring information theoretic principle, information bottleneck principle. Using an information theoretic objective, VIBI selects instance-wise key features that are maximally compressed about an input (briefness), and informative about a decision made by a black-box on that input (comprehensive). The selected key features act as an information bottleneck that serves as a concise explanation for each black-box decision. We show that VIBI outperforms other interpretable machine learning methods in terms of both interpretability and fidelity evaluated by human and quantitative metrics.
Extractive summarization is very useful for physicians to better manage and digest Electronic Health Records (EHRs). However, the training of a supervised model requires disease-specific medical background and is thus very expensive. We studied how to utilize the intrinsic correlation between multiple EHRs to generate pseudo-labels and train a supervised model with no external annotation. Experiments on real-patient data validate that our model is effective in summarizing crucial disease-specific information for patients.
We study the problem of alleviating the instability issue in the GAN training procedure via new architecture design. The discrepancy between the minimax and maximin objective values could serve as a proxy for the difficulties that the alternating gradient descent encounters in the optimization of GANs. In this work, we give new results on the benefits of multi-generator architecture of GANs. We show that the minimax gap shrinks to $\epsilon$ as the number of generators increases with rate $\widetilde{O}(1/\epsilon)$. This improves over the best-known result of $\widetilde{O}(1/\epsilon^2)$. At the core of our techniques is a novel application of Shapley-Folkman lemma to the generic minimax problem, where in the literature the technique was only known to work when the objective function is restricted to the Lagrangian function of a constraint optimization problem. Our proposed Stackelberg GAN performs well experimentally in both synthetic and real-world datasets, improving Fr\'echet Inception Distance by $14.61\%$ over the previous multi-generator GANs on the benchmark datasets.
This study presents a multimodal machine learning model to predict ICD-10 diagnostic codes. We developed separate machine learning models that can handle data from different modalities, including unstructured text, semi-structured text and structured tabular data. We further employed an ensemble method to integrate all modality-specific models to generate ICD-10 codes. Key evidence was also extracted to make our prediction more convincing and explainable. We used the Medical Information Mart for Intensive Care III (MIMIC -III) dataset to validate our approach. For ICD code prediction, our best-performing model (micro-F1 = 0.7633, micro-AUC = 0.9541) significantly outperforms other baseline models including TF-IDF (micro-F1 = 0.6721, micro-AUC = 0.7879) and Text-CNN model (micro-F1 = 0.6569, micro-AUC = 0.9235). For interpretability, our approach achieves a Jaccard Similarity Coefficient (JSC) of 0.1806 on text data and 0.3105 on tabular data, where well-trained physicians achieve 0.2780 and 0.5002 respectively.
Biomedical named entity recognition (NER) is a fundamental task in text mining of medical documents and has many applications. Deep learning based approaches to this task have been gaining increasing attention in recent years as their parameters can be learned end-to-end without the need for hand-engineered features. However, these approaches rely on high-quality labeled data, which is expensive to obtain. To address this issue, we investigate how to use unlabeled text data to improve the performance of NER models. Specifically, we train a bidirectional language model (BiLM) on unlabeled data and transfer its weights to "pretrain" an NER model with the same architecture as the BiLM, which results in a better parameter initialization of the NER model. We evaluate our approach on four benchmark datasets for biomedical NER and show that it leads to a substantial improvement in the F1 scores compared with the state-of-the-art approaches. We also show that BiLM weight transfer leads to a faster model training and the pretrained model requires fewer training examples to achieve a particular F1 score.
Missing values widely exist in many real-world datasets, which hinders the performing of advanced data analytics. Properly filling these missing values is crucial but challenging, especially when the missing rate is high. Many approaches have been proposed for missing value imputation (MVI), but they are mostly heuristics-based, lacking a principled foundation and do not perform satisfactorily in practice. In this paper, we propose a probabilistic framework based on deep generative models for MVI. Under this framework, imputing the missing entries amounts to seeking a fixed-point solution between two conditional distributions defined on the missing entries and latent variables respectively. These distributions are parameterized by deep neural networks (DNNs) which possess high approximation power and can capture the nonlinear relationships between missing entries and the observed values. The learning of weight parameters of DNNs is performed by maximizing an approximation of the log-likelihood of observed values. We conducted extensive evaluation on 13 datasets and compared with 11 baselines methods, where our methods largely outperforms the baselines.