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Aiyi Liu

Publications and source records attributed to Aiyi Liu.

12 recordsLinked to original sources

Toward Efficient Estimation of Regional Treatment Effects in Multi-Regional Clinical Trials

A multi-regional clinical trial (MRCT) is a single clinical trial conducted in multiple regions simultaneously under a common protocol, which may be used to support parallel submissions to multiple regulatory authorities. For a regional regulatory authority, treatment effects defined specifically for its own region are more relevant to consider than overall treatment effects based on all regions included in an MRCT. A regional treatment effect can be estimated consistently using local data from the region of interest; however, this approach is generally inefficient as it excludes data from other regions and ignores possible similarities between regions. On the other hand, simply pooling data across regions requires strong assumptions and may introduce bias when the required assumptions are not met. Here, we propose a simple and robust approach to estimating a regional treatment effect in a two-arm randomized MRCT. The proposed approach uses a working regression model to incorporate information from baseline covariates as well as data from other regions for improved efficiency. The model accounts for residual regional differences (after adjusting for measured covariates) using interaction terms that describe how the dependence of outcome on treatment and covariates may vary across regions. The adaptive lasso is used to identify null interactions and thus achieve selective borrowing of information from other regions. The resulting regional treatment effect estimator is consistent and asymptotically normal even when the working model is misspecified, and able to improve efficiency over local estimation when there are similarities between regions in the form of null interactions.

stat.ME

Copula-enhanced Vision Transformer for high myopia diagnosis through OU UWF fundus images

The advancement of AI-assisted myopia screening necessitates the joint diagnosis of both-eye (OU) high myopia (HM) status and the prediction of axial length (AL). This clinical requirement introduces a complex mixed-type (binary-continuous) multitask learning task with bi-domain (OU) image covariates, giving rise to two key challenges: i) capture the inter-ocular asymmetry of OU images within a cutting-edge foundation model; ii) model and estimate the conditional dependence structure among mixed-type multivariate responses given image covariates. We address the challenges by: i) imposing residual adapters on the Vision Transformer foundation model to capture the OU similarity and heterogeneity simultaneously; ii) developing a four-dimensional copula loss that is implementable in PyTorch based on a latent variable expression for the Gaussian copula likelihood, and proposing a computationally efficient fast Monte Carlo Expectation Maximization (fMCEM) algorithm to estimate copula parameters. We further formulate a specific overfitting problem called stronger covariance phenomenon in multitask learning. We reveal the disturbance of the phenomenon to estimation of copula parameters and theoretically demonstrate the numerical stability of the proposed fMCEM algorithm against the disturbance. The application to our annotated OU ultra-widefield fundus image dataset and simulation on synthetic data demonstrate that our method stably enhances the predictive capabilities on both classification and regression tasks.

cs.CV

An adaptive design for optimizing treatment assignment in randomized clinical trials

The treatment assignment mechanism in a randomized clinical trial can be optimized for statistical efficiency within a specified class of randomization mechanisms. Optimal designs of this type have been characterized in terms of the variances of potential outcomes conditional on baseline covariates. Approximating these optimal designs requires information about the conditional variance functions, which is often unavailable or unreliable at the design stage. As a practical solution to this dilemma, we propose a multi-stage adaptive design that allows the treatment assignment mechanism to be modified at interim analyses based on accruing information about the conditional variance functions. This adaptation has profound implications on the distribution of trial data, which need to be accounted for in treatment effect estimation. We consider a class of treatment effect estimators that are consistent and asymptotically normal, identify the most efficient estimator within this class, and approximate the most efficient estimator by substituting estimates of unknown quantities. Simulation results indicate that, when there is little or no prior information available, the proposed design can bring substantial efficiency gains over conventional one-stage designs based on the same prior information. The methodology is illustrated with real data from a completed trial in stroke.

stat.ME

Optimal Treatment Allocations Accounting for Population Differences

The treatment allocation mechanism in a randomized clinical trial can be optimized by maximizing the nonparametric efficiency bound for a specific measure of treatment effect. Optimal treatment allocations which may or may not depend on baseline covariates have been derived for a variety of effect measures focusing on the trial population, the patient population represented by the trial participants. Frequently, clinical trial data are used to estimate treatment effects in a target population that is related to but different from the trial population. This article provides optimal treatment allocations that account for the impact of such population differences. We consider three cases with different data configurations: transportation, generalization, and post-stratification. Our results indicate that, for general effect measures, optimal treatment allocations may depend on the covariate distribution in the target population but not on the configuration of data or information that describes the target covariate distribution. For estimating average treatment effects, there is a unique covariate-dependent allocation that achieves maximal efficiency regardless of the target covariate distribution and the associated data configuration.

stat.ME

OU-CoViT: Copula-Enhanced Bi-Channel Multi-Task Vision Transformers with Dual Adaptation for OU-UWF Images

Myopia screening using cutting-edge ultra-widefield (UWF) fundus imaging and joint modeling of multiple discrete and continuous clinical scores presents a promising new paradigm for multi-task problems in Ophthalmology. The bi-channel framework that arises from the Ophthalmic phenomenon of ``interocular asymmetries'' of both eyes (OU) calls for new employment on the SOTA transformer-based models. However, the application of copula models for multiple mixed discrete-continuous labels on deep learning (DL) is challenging. Moreover, the application of advanced large transformer-based models to small medical datasets is challenging due to overfitting and computational resource constraints. To resolve these challenges, we propose OU-CoViT: a novel Copula-Enhanced Bi-Channel Multi-Task Vision Transformers with Dual Adaptation for OU-UWF images, which can i) incorporate conditional correlation information across multiple discrete and continuous labels within a deep learning framework (by deriving the closed form of a novel Copula Loss); ii) take OU inputs subject to both high correlation and interocular asymmetries using a bi-channel model with dual adaptation; and iii) enable the adaptation of large vision transformer (ViT) models to small medical datasets. Solid experiments demonstrate that OU-CoViT significantly improves prediction performance compared to single-channel baseline models with empirical loss. Furthermore, the novel architecture of OU-CoViT allows generalizability and extensions of our dual adaptation and Copula Loss to various ViT variants and large DL models on small medical datasets. Our approach opens up new possibilities for joint modeling of heterogeneous multi-channel input and mixed discrete-continuous clinical scores in medical practices and has the potential to advance AI-assisted clinical decision-making in various medical domains beyond Ophthalmology.

cs.CV

OUCopula: Bi-Channel Multi-Label Copula-Enhanced Adapter-Based CNN for Myopia Screening Based on OU-UWF Images

Myopia screening using cutting-edge ultra-widefield (UWF) fundus imaging is potentially significant for ophthalmic outcomes. Current multidisciplinary research between ophthalmology and deep learning (DL) concentrates primarily on disease classification and diagnosis using single-eye images, largely ignoring joint modeling and prediction for Oculus Uterque (OU, both eyes). Inspired by the complex relationships between OU and the high correlation between the (continuous) outcome labels (Spherical Equivalent and Axial Length), we propose a framework of copula-enhanced adapter convolutional neural network (CNN) learning with OU UWF fundus images (OUCopula) for joint prediction of multiple clinical scores. We design a novel bi-channel multi-label CNN that can (1) take bi-channel image inputs subject to both high correlation and heterogeneity (by sharing the same backbone network and employing adapters to parameterize the channel-wise discrepancy), and (2) incorporate correlation information between continuous output labels (using a copula). Solid experiments show that OUCopula achieves satisfactory performance in myopia score prediction compared to backbone models. Moreover, OUCopula can far exceed the performance of models constructed for single-eye inputs. Importantly, our study also hints at the potential extension of the bi-channel model to a multi-channel paradigm and the generalizability of OUCopula across various backbone CNNs.

eess.IV

Low-rank Latent Matrix-factor Prediction Modeling for Generalized High-dimensional Matrix-variate Regression

Motivated by diagnosing the COVID-19 disease using 2D image biomarkers from computed tomography (CT) scans, we propose a novel latent matrix-factor regression model to predict responses that may come from an exponential distribution family, where covariates include high-dimensional matrix-variate biomarkers. A latent generalized matrix regression (LaGMaR) is formulated, where the latent predictor is a low-dimensional matrix factor score extracted from the low-rank signal of the matrix variate through a cutting-edge matrix factor model. Unlike the general spirit of penalizing vectorization plus the necessity of tuning parameters in the literature, instead, our prediction modeling in LaGMaR conducts dimension reduction that respects the geometry characteristic of intrinsic two-dimensional structure of the matrix covariate and thus avoids iteration. This greatly relieves the computation burden, and meanwhile maintains structural information so that the latent matrix factor feature can perfectly replace the intractable matrix-variate owing to high-dimensionality. The estimation procedure of LaGMaR is subtly derived by transforming the bilinear form matrix factor model onto a high-dimensional vector factor model, so that the method of principle components can be applied. We establish bilinear-form consistency of the estimated matrix coefficient of the latent predictor and consistency of prediction. The proposed approach can be implemented conveniently. Through simulation experiments, prediction capability of LaGMaR is shown to outperform existing penalized methods under diverse scenarios of generalized matrix regressions. Through the application to a real COVID-19 dataset, the proposed approach is shown to predict efficiently the COVID-19.

stat.AP

Distance-based regression analysis for measuring associations

Distance-based regression model, as a nonparametric multivariate method, has been widely used to detect the association between variations in a distance or dissimilarity matrix for outcomes and predictor variables of interest in genetic association studies, genomic analyses, and many other research areas. Based on it, a pseudo-$F$ statistic which partitions the variation in distance matrices is often constructed to achieve the aim. To the best of our knowledge, the statistical properties of the pseudo-$F$ statistic has not yet been well established in the literature. To fill this gap, we study the asymptotic null distribution of the pseudo-$F$ statistic and show that it is asymptotically equivalent to a mixture of chi-squared random variables. Given that the pseudo-$F$ test statistic has unsatisfactory power when the correlations of the response variables are large, we propose a square-root $F$-type test statistic which replaces the similarity matrix with its square root. The asymptotic null distribution of the new test statistic and power of both tests are also investigated. Simulation studies are conducted to validate the asymptotic distributions of the tests and demonstrate that the proposed test has more robust power than the pseudo-$F$ test. Both test statistics are exemplified with a gene expression dataset for a prostate cancer pathway. Keywords: Asymptotic distribution, Chi-squared-type mixture, Nonparametric test, Pseudo-$F$ test, Similarity matrix.

math.ST

Profile and Globe Tests of Mean Surfaces for Two-Sample Bivariate Functional Data

Multivariate functional data has received considerable attention but testing for equality of mean surfaces and its profile has limited progress. The existing literature has tested equality of either mean curves of univariate functional samples directly, or mean surfaces of bivariate functional data samples but turn into functional curves comparison again. In this paper, we aim to develop both the profile and globe tests of mean surfaces for two-sample bivariate functional data. We present valid approaches of tests by employing the idea of pooled projection and by developing a novel profile functional principal component analysis tool. The proposed methodology enjoys the merit of readily interpretability and implementation. Under mild conditions, we derive the asymptotic behaviors of test statistics under null and alternative hypotheses. Simulations show that the proposed tests have a good control of the type I error by the size and can detect difference in mean surfaces and its profile effectively in terms of power in finite samples. Finally, we apply the testing procedures to two real data sets associated with the precipitation change affected jointly by time and locations in the Midwest of USA, and the trends in human mortality from European period life tables.

stat.ME

An efficient and doubly robust empirical likelihood approach for estimating equations with missing data

This paper considers an empirical likelihood inference for parameters defined by general estimating equations, when data are missing at random. The efficiency of existing estimators depends critically on correctly specifying the conditional expectation of the estimating function given the observed components of the random observations. When the conditional expectation is not correctly specified, the efficiency of estimation can be severely compromised even if the propensity function (of missingness) is correctly specified. We propose an efficient estimator which enjoys the double-robustness property and can achieve the semiparametric efficiency bound within the class of the estimating functions that are generated by the estimating function of estimating equations, if both the propensity model and the regression model (of the conditional expectation) are specified correctly. Moreover, if the propensity model is specified correctly but the regression model is misspecified, the proposed estimator still achieves a semiparametric efficiency lower bound within a more general class of estimating functions. Simulation results suggest that the proposed estimators are robust against misspecification of the propensity model or regression model and outperform many existing competitors in the sense of having smaller mean-square errors. Moreover, using our approach for statistical inference requires neither resampling nor kernel smoothing. A real data example is used to illustrate the proposed approach.

stat.ME

The use of covariates and random effects in evaluating predictive biomarkers under a potential outcome framework

Predictive or treatment selection biomarkers are usually evaluated in a subgroup or regression analysis with focus on the treatment-by-marker interaction. Under a potential outcome framework (Huang, Gilbert and Janes [Biometrics 68 (2012) 687-696]), a predictive biomarker is considered a predictor for a desirable treatment benefit (defined by comparing potential outcomes for different treatments) and evaluated using familiar concepts in prediction and classification. However, the desired treatment benefit is unobservable because each patient can receive only one treatment in a typical study. Huang et al. overcome this problem by assuming monotonicity of potential outcomes, with one treatment dominating the other in all patients. Motivated by an HIV example that appears to violate the monotonicity assumption, we propose a different approach based on covariates and random effects for evaluating predictive biomarkers under the potential outcome framework. Under the proposed approach, the parameters of interest can be identified by assuming conditional independence of potential outcomes given observed covariates, and a sensitivity analysis can be performed by incorporating an unobserved random effect that accounts for any residual dependence. Application of this approach to the motivating example shows that baseline viral load and CD4 cell count are both useful as predictive biomarkers for choosing antiretroviral drugs for treatment-naive patients.

stat.AP

Nonparametric ROC Summary Statistics for Correlated Diagnostic Marker Data

We propose efficient nonparametric statistics to compare medical imaging modalities in multi-reader multi-test data and to compare markers in longitudinal ROC data. The proposed methods are based on the weighted area under the ROC curve which includes the area under the curve and the partial area under the curve as special cases. The methods maximize the local power for detecting the difference between imaging modalities. The asymptotic results of the proposed methods are developed under a complex correlation structure. Our simulation studies show that the proposed statistics result in much better powers than existing statistics. We applied the proposed statistics to an endometriosis diagnosis study.

stat.AP