Recent research advances achieve human-level accuracy for de-identifying free-text clinical notes on research datasets, but gaps remain in reproducing this in large real-world settings. This paper summarizes lessons learned from building a system used to de-identify over one billion real clinical notes, in a fully automated way, that was independently certified by multiple organizations for production use. A fully automated solution requires a very high level of accuracy that does not require manual review. A hybrid context-based model architecture is described, which outperforms a Named Entity Recogniton (NER) - only model by 10% on the i2b2-2014 benchmark. The proposed system makes 50%, 475%, and 575% fewer errors than the comparable AWS, Azure, and GCP services respectively while also outperforming ChatGPT by 33%. It exceeds 98% coverage of sensitive data across 7 European languages, without a need for fine tuning. A second set of described models enable data obfuscation -- replacing sensitive data with random surrogates -- while retaining name, date, gender, clinical, and format consistency. Both the practical need and the solution architecture that provides for reliable & linked anonymized documents are described.
The advancement of text-driven 3D content editing has been blessed by the progress from 2D generative diffusion models. However, a major obstacle hindering the widespread adoption of 3D content editing is its time-intensive processing. This challenge arises from the iterative and refining steps required to achieve consistent 3D outputs from 2D image-based generative models. Recent state-of-the-art methods typically require optimization time ranging from tens of minutes to several hours to edit a 3D scene using a single GPU. In this work, we propose that by incorporating correspondence regularization into diffusion models, the process of 3D editing can be significantly accelerated. This approach is inspired by the notion that the estimated samples during diffusion should be multiview-consistent during the diffusion generation process. By leveraging this multiview consistency, we can edit 3D content at a much faster speed. In most scenarios, our proposed technique brings a 10$\times$ speed-up compared to the baseline method and completes the editing of a 3D scene in 2 minutes with comparable quality.
Large Language Models produce sequences learned as statistical patterns from large corpora. In order not to reproduce corpus biases, after initial training models must be aligned with human values, preferencing certain continuations over others. Alignment, which can be viewed as the superimposition of normative structure onto a statistical model, reveals a conflicted and complex interrelationship between language and technology. This relationship shapes theories of language, linguistic practice and subjectivity, which are especially relevant to the current sophistication in artificially produced text. We examine this practice of structuration as a two-way interaction between users and models by analysing how ChatGPT4 redacts perceived `anomalous' language in fragments of Joyce's Ulysses and the new linguistic practice of prompt engineering. We then situate this alignment problem historically, revisiting earlier postwar linguistic debates which counterposed two views of meaning: as discrete structures, and as continuous probability distributions. We discuss the largely occluded work of the Moscow Linguistic School, which sought to reconcile this opposition. Our attention to the Moscow School and later related arguments by Searle and Kristeva casts the problem of alignment in a new light: as one involving attention to the social structuration of linguistic practice, including structuration of anomalies that, like the Joycean text, exist in defiance of expressive conventions. These debates around the communicative orientation toward language can help explain some of the contemporary behaviours and interdependencies that take place between users and LLMs.
We present Unified-IO 2, the first autoregressive multimodal model that is capable of understanding and generating image, text, audio, and action. To unify different modalities, we tokenize inputs and outputs -- images, text, audio, action, bounding boxes, etc., into a shared semantic space and then process them with a single encoder-decoder transformer model. Since training with such diverse modalities is challenging, we propose various architectural improvements to stabilize model training. We train our model from scratch on a large multimodal pre-training corpus from diverse sources with a multimodal mixture of denoisers objective. To learn an expansive set of skills, such as following multimodal instructions, we construct and finetune on an ensemble of 120 datasets with prompts and augmentations. With a single unified model, Unified-IO 2 achieves state-of-the-art performance on the GRIT benchmark and strong results in more than 35 benchmarks, including image generation and understanding, natural language understanding, video and audio understanding, and robotic manipulation. We release all our models to the research community.
Recent advances in vision-language models like Stable Diffusion have shown remarkable power in creative image synthesis and editing.However, most existing text-to-image editing methods encounter two obstacles: First, the text prompt needs to be carefully crafted to achieve good results, which is not intuitive or user-friendly. Second, they are insensitive to local edits and can irreversibly affect non-edited regions, leaving obvious editing traces. To tackle these problems, we propose a Zero-shot instructiON-guided local image Editing approach, termed ZONE. We first convert the editing intent from the user-provided instruction (e.g., ``make his tie blue") into specific image editing regions through InstructPix2Pix. We then propose a Region-IoU scheme for precise image layer extraction from an off-the-shelf segment model. We further develop an edge smoother based on FFT for seamless blending between the layer and the image.Our method allows for arbitrary manipulation of a specific region with a single instruction while preserving the rest. Extensive experiments demonstrate that our ZONE achieves remarkable local editing results and user-friendliness, outperforming state-of-the-art methods.
Recently, text-to-image (T2I) synthesis has undergone significant advancements, particularly with the emergence of Large Language Models (LLM) and their enhancement in Large Vision Models (LVM), greatly enhancing the instruction-following capabilities of traditional T2I models. Nevertheless, previous methods focus on improving generation quality but introduce unsafe factors into prompts. We explore that appending specific camera descriptions to prompts can enhance safety performance. Consequently, we propose a simple and safe prompt engineering method (SSP) to improve image generation quality by providing optimal camera descriptions. Specifically, we create a dataset from multi-datasets as original prompts. To select the optimal camera, we design an optimal camera matching approach and implement a classifier for original prompts capable of automatically matching. Appending camera descriptions to original prompts generates optimized prompts for further LVM image generation. Experiments demonstrate that SSP improves semantic consistency by an average of 16% compared to others and safety metrics by 48.9%.
Multimodal Person Reidentification is gaining popularity in the research community due to its effectiveness compared to counter-part unimodal frameworks. However, the bottleneck for multimodal deep learning is the need for a large volume of multimodal training examples. Data augmentation techniques such as cropping, flipping, rotation, etc. are often employed in the image domain to improve the generalization of deep learning models. Augmenting in other modalities than images, such as text, is challenging and requires significant computational resources and external data sources. In this study, we investigate the effectiveness of two computer vision data augmentation techniques: cutout and cutmix, for text augmentation in multi-modal person re-identification. Our approach merges these two augmentation strategies into one strategy called CutMixOut which involves randomly removing words or sub-phrases from a sentence (Cutout) and blending parts of two or more sentences to create diverse examples (CutMix) with a certain probability assigned to each operation. This augmentation was implemented at inference time without any prior training. Our results demonstrate that the proposed technique is simple and effective in improving the performance on multiple multimodal person re-identification benchmarks.
This study introduces MedGen, a comprehensive natural language processing (NLP) toolkit designed for medical text processing. MedGen is tailored for biomedical researchers and healthcare professionals with an easy-to-use, all-in-one solution that requires minimal programming expertise. It includes (1) Generative Functions: For the first time, MedGen includes four advanced generative functions: question answering, text summarization, text simplification, and machine translation; (2) Basic NLP Functions: MedGen integrates 12 essential NLP functions such as word tokenization and sentence segmentation; and (3) Query and Search Capabilities: MedGen provides user-friendly query and search functions on text corpora. We fine-tuned 32 domain-specific language models, evaluated them thoroughly on 24 established benchmarks and conducted manual reviews with clinicians. Additionally, we expanded our toolkit by introducing query and search functions, while also standardizing and integrating functions from third-party libraries. The toolkit, its models, and associated data are publicly available via https://github.com/Yale-LILY/MedGen.
The increasing use of tools and solutions based on Large Language Models (LLMs) for various tasks in the medical domain has become a prominent trend. Their use in this highly critical and sensitive domain has thus raised important questions about their robustness, especially in response to variations in input, and the reliability of the generated outputs. This study addresses these questions by constructing a textual dataset based on the ICD-10-CM code descriptions, widely used in US hospitals and containing many clinical terms, and their easily reproducible rephrasing. We then benchmarked existing embedding models, either generalist or specialized in the clinical domain, in a semantic search task where the goal was to correctly match the rephrased text to the original description. Our results showed that generalist models performed better than clinical models, suggesting that existing clinical specialized models are more sensitive to small changes in input that confuse them. The highlighted problem of specialized models may be due to the fact that they have not been trained on sufficient data, and in particular on datasets that are not diverse enough to have a reliable global language understanding, which is still necessary for accurate handling of medical documents.
Large-scale text-to-image (T2I) diffusion models have showcased incredible capabilities in generating coherent images based on textual descriptions, enabling vast applications in content generation. While recent advancements have introduced control over factors such as object localization, posture, and image contours, a crucial gap remains in our ability to control the interactions between objects in the generated content. Well-controlling interactions in generated images could yield meaningful applications, such as creating realistic scenes with interacting characters. In this work, we study the problems of conditioning T2I diffusion models with Human-Object Interaction (HOI) information, consisting of a triplet label (person, action, object) and corresponding bounding boxes. We propose a pluggable interaction control model, called InteractDiffusion that extends existing pre-trained T2I diffusion models to enable them being better conditioned on interactions. Specifically, we tokenize the HOI information and learn their relationships via interaction embeddings. A conditioning self-attention layer is trained to map HOI tokens to visual tokens, thereby conditioning the visual tokens better in existing T2I diffusion models. Our model attains the ability to control the interaction and location on existing T2I diffusion models, which outperforms existing baselines by a large margin in HOI detection score, as well as fidelity in FID and KID. Project page: https://jiuntian.github.io/interactdiffusion.