Reconsidering Explicit Longitudinal Mammography Alignment for Enhanced Breast Cancer Risk Prediction

Regular mammography screening is essential for early breast cancer detection. Deep learning-based risk prediction methods have sparked interest to adjust screening intervals for high-risk groups. While early methods focused only on current mammograms, recent approaches leverage the temporal aspect of screenings to track breast tissue changes over time, requiring spatial alignment across different time points. Two main strategies for this have emerged: explicit feature alignment through deformable registration and implicit learned alignment using techniques like transformers, with the former providing more control. However, the optimal approach for explicit alignment in mammography remains underexplored. In this study, we provide insights into where explicit alignment should occur (input space vs. representation space) and if alignment and risk prediction should be jointly optimized. We demonstrate that jointly learning explicit alignment in representation space while optimizing risk estimation performance, as done in the current state-of-the-art approach, results in a trade-off between alignment quality and predictive performance and show that image-level alignment is superior to representation-level alignment, leading to better deformation field quality and enhanced risk prediction accuracy. The code is available at https://github.com/sot176/Longitudinal_Mammogram_Alignment.git.

Aggregation of Dependent Expert Distributions in Multimodal Variational Autoencoders

Multimodal learning with variational autoencoders (VAEs) requires estimating joint distributions to evaluate the evidence lower bound (ELBO). Current methods, the product and mixture of experts, aggregate single-modality distributions assuming independence for simplicity, which is an overoptimistic assumption. This research introduces a novel methodology for aggregating single-modality distributions by exploiting the principle of consensus of dependent experts (CoDE), which circumvents the aforementioned assumption. Utilizing the CoDE method, we propose a novel ELBO that approximates the joint likelihood of the multimodal data by learning the contribution of each subset of modalities. The resulting CoDE-VAE model demonstrates better performance in terms of balancing the trade-off between generative coherence and generative quality, as well as generating more precise log-likelihood estimations. CoDE-VAE further minimizes the generative quality gap as the number of modalities increases. In certain cases, it reaches a generative quality similar to that of unimodal VAEs, which is a desirable property that is lacking in most current methods. Finally, the classification accuracy achieved by CoDE-VAE is comparable to that of state-of-the-art multimodal VAE models.

From Colors to Classes: Emergence of Concepts in Vision Transformers

Vision Transformers (ViTs) are increasingly utilized in various computer vision tasks due to their powerful representation capabilities. However, it remains understudied how ViTs process information layer by layer. Numerous studies have shown that convolutional neural networks (CNNs) extract features of increasing complexity throughout their layers, which is crucial for tasks like domain adaptation and transfer learning. ViTs, lacking the same inductive biases as CNNs, can potentially learn global dependencies from the first layers due to their attention mechanisms. Given the increasing importance of ViTs in computer vision, there is a need to improve the layer-wise understanding of ViTs. In this work, we present a novel, layer-wise analysis of concepts encoded in state-of-the-art ViTs using neuron labeling. Our findings reveal that ViTs encode concepts with increasing complexity throughout the network. Early layers primarily encode basic features such as colors and textures, while later layers represent more specific classes, including objects and animals. As the complexity of encoded concepts increases, the number of concepts represented in each layer also rises, reflecting a more diverse and specific set of features. Additionally, different pretraining strategies influence the quantity and category of encoded concepts, with finetuning to specific downstream tasks generally reducing the number of encoded concepts and shifting the concepts to more relevant categories.

Natural Language Processing for Electronic Health Records in Scandinavian Languages: Norwegian, Swedish, and Danish

Background: Clinical natural language processing (NLP) refers to the use of computational methods for extracting, processing, and analyzing unstructured clinical text data, and holds a huge potential to transform healthcare in various clinical tasks. Objective: The study aims to perform a systematic review to comprehensively assess and analyze the state-of-the-art NLP methods for the mainland Scandinavian clinical text. Method: A literature search was conducted in various online databases including PubMed, ScienceDirect, Google Scholar, ACM digital library, and IEEE Xplore between December 2022 and February 2024. Further, relevant references to the included articles were also used to solidify our search. The final pool includes articles that conducted clinical NLP in the mainland Scandinavian languages and were published in English between 2010 and 2024. Results: Out of the 113 articles, 18% (n=21) focus on Norwegian clinical text, 64% (n=72) on Swedish, 10% (n=11) on Danish, and 8% (n=9) focus on more than one language. Generally, the review identified positive developments across the region despite some observable gaps and disparities between the languages. There are substantial disparities in the level of adoption of transformer-based models. In essential tasks such as de-identification, there is significantly less research activity focusing on Norwegian and Danish compared to Swedish text. Further, the review identified a low level of sharing resources such as data, experimentation code, pre-trained models, and rate of adaptation and transfer learning in the region. Conclusion: The review presented a comprehensive assessment of the state-of-the-art Clinical NLP for electronic health records (EHR) text in mainland Scandinavian languages and, highlighted the potential barriers and challenges that hinder the rapid advancement of the field in the region.

REPEAT: Improving Uncertainty Estimation in Representation Learning Explainability

Incorporating uncertainty is crucial to provide trustworthy explanations of deep learning models. Recent works have demonstrated how uncertainty modeling can be particularly important in the unsupervised field of representation learning explainable artificial intelligence (R-XAI). Current R-XAI methods provide uncertainty by measuring variability in the importance score. However, they fail to provide meaningful estimates of whether a pixel is certainly important or not. In this work, we propose a new R-XAI method called REPEAT that addresses the key question of whether or not a pixel is \textit{certainly} important. REPEAT leverages the stochasticity of current R-XAI methods to produce multiple estimates of importance, thus considering each pixel in an image as a Bernoulli random variable that is either important or unimportant. From these Bernoulli random variables we can directly estimate the importance of a pixel and its associated certainty, thus enabling users to determine certainty in pixel importance. Our extensive evaluation shows that REPEAT gives certainty estimates that are more intuitive, better at detecting out-of-distribution data, and more concise.

Explaining time series models using frequency masking

Time series data is fundamentally important for describing many critical domains such as healthcare, finance, and climate, where explainable models are necessary for safe automated decision-making. To develop eXplainable AI (XAI) in these domains therefore implies explaining salient information in the time series. Current methods for obtaining saliency maps assumes localized information in the raw input space. In this paper, we argue that the salient information of a number of time series is more likely to be localized in the frequency domain. We propose FreqRISE, which uses masking based methods to produce explanations in the frequency and time-frequency domain, which shows the best performance across a number of tasks.

Generalized Cauchy-Schwarz Divergence and Its Deep Learning Applications

Divergence measures play a central role in machine learning and become increasingly essential in deep learning. However, valid and computationally efficient divergence measures for multiple (more than two) distributions are scarcely investigated. This becomes particularly crucial in areas where the simultaneous management of multiple distributions is both unavoidable and essential. Examples include clustering, multi-source domain adaptation or generalization, and multi-view learning, among others. Although calculating the mean of pairwise distances between any two distributions serves as a common way to quantify the total divergence among multiple distributions, it is crucial to acknowledge that this approach is not straightforward and requires significant computational resources. In this study, we introduce a new divergence measure for multiple distributions named the generalized Cauchy-Schwarz divergence (GCSD), which is inspired by the classic Cauchy-Schwarz divergence. Additionally, we provide a closed-form sample estimator based on kernel density estimation, making it convenient and straightforward to use in various machine-learning applications. Finally, we apply the proposed GCSD to two challenging machine learning tasks, namely deep learning-based clustering and the problem of multi-source domain adaptation. The experimental results showcase the impressive performance of GCSD in both tasks, highlighting its potential application in machine-learning areas that involve quantifying multiple distributions.

Cauchy-Schwarz Divergence Information Bottleneck for Regression

The information bottleneck (IB) approach is popular to improve the generalization, robustness and explainability of deep neural networks. Essentially, it aims to find a minimum sufficient representation $\mathbf{t}$ by striking a trade-off between a compression term $I(\mathbf{x};\mathbf{t})$ and a prediction term $I(y;\mathbf{t})$, where $I(\cdot;\cdot)$ refers to the mutual information (MI). MI is for the IB for the most part expressed in terms of the Kullback-Leibler (KL) divergence, which in the regression case corresponds to prediction based on mean squared error (MSE) loss with Gaussian assumption and compression approximated by variational inference. In this paper, we study the IB principle for the regression problem and develop a new way to parameterize the IB with deep neural networks by exploiting favorable properties of the Cauchy-Schwarz (CS) divergence. By doing so, we move away from MSE-based regression and ease estimation by avoiding variational approximations or distributional assumptions. We investigate the improved generalization ability of our proposed CS-IB and demonstrate strong adversarial robustness guarantees. We demonstrate its superior performance on six real-world regression tasks over other popular deep IB approaches. We additionally observe that the solutions discovered by CS-IB always achieve the best trade-off between prediction accuracy and compression ratio in the information plane. The code is available at \url{https://github.com/SJYuCNEL/Cauchy-Schwarz-Information-Bottleneck}.

View it like a radiologist: Shifted windows for deep learning augmentation of CT images

Deep learning has the potential to revolutionize medical practice by automating and performing important tasks like detecting and delineating the size and locations of cancers in medical images. However, most deep learning models rely on augmentation techniques that treat medical images as natural images. For contrast-enhanced Computed Tomography (CT) images in particular, the signals producing the voxel intensities have physical meaning, which is lost during preprocessing and augmentation when treating such images as natural images. To address this, we propose a novel preprocessing and intensity augmentation scheme inspired by how radiologists leverage multiple viewing windows when evaluating CT images. Our proposed method, window shifting, randomly places the viewing windows around the region of interest during training. This approach improves liver lesion segmentation performance and robustness on images with poorly timed contrast agent. Our method outperforms classical intensity augmentations as well as the intensity augmentation pipeline of the popular nn-UNet on multiple datasets.

On the Effects of Self-supervision and Contrastive Alignment in Deep Multi-view Clustering

Self-supervised learning is a central component in recent approaches to deep multi-view clustering (MVC). However, we find large variations in the development of self-supervision-based methods for deep MVC, potentially slowing the progress of the field. To address this, we present DeepMVC, a unified framework for deep MVC that includes many recent methods as instances. We leverage our framework to make key observations about the effect of self-supervision, and in particular, drawbacks of aligning representations with contrastive learning. Further, we prove that contrastive alignment can negatively influence cluster separability, and that this effect becomes worse when the number of views increases. Motivated by our findings, we develop several new DeepMVC instances with new forms of self-supervision. We conduct extensive experiments and find that (i) in line with our theoretical findings, contrastive alignments decreases performance on datasets with many views; (ii) all methods benefit from some form of self-supervision; and (iii) our new instances outperform previous methods on several datasets. Based on our results, we suggest several promising directions for future research. To enhance the openness of the field, we provide an open-source implementation of DeepMVC, including recent models and our new instances. Our implementation includes a consistent evaluation protocol, facilitating fair and accurate evaluation of methods and components.