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Asad Aali

Publications and source records attributed to Asad Aali.

23 records · Page 2Linked to original sources

A dataset and benchmark for hospital course summarization with adapted large language models

Brief hospital course (BHC) summaries are clinical documents that summarize a patient's hospital stay. While large language models (LLMs) depict remarkable capabilities in automating real-world tasks, their capabilities for healthcare applications such as synthesizing BHCs from clinical notes have not been shown. We introduce a novel pre-processed dataset, the MIMIC-IV-BHC, encapsulating clinical note and brief hospital course (BHC) pairs to adapt LLMs for BHC synthesis. Furthermore, we introduce a benchmark of the summarization performance of two general-purpose LLMs and three healthcare-adapted LLMs. Using clinical notes as input, we apply prompting-based (using in-context learning) and fine-tuning-based adaptation strategies to three open-source LLMs (Clinical-T5-Large, Llama2-13B, FLAN-UL2) and two proprietary LLMs (GPT-3.5, GPT-4). We evaluate these LLMs across multiple context-length inputs using natural language similarity metrics. We further conduct a clinical study with five clinicians, comparing clinician-written and LLM-generated BHCs across 30 samples, focusing on their potential to enhance clinical decision-making through improved summary quality. We observe that the Llama2-13B fine-tuned LLM outperforms other domain-adapted models given quantitative evaluation metrics of BLEU and BERT-Score. GPT-4 with in-context learning shows more robustness to increasing context lengths of clinical note inputs than fine-tuned Llama2-13B. Despite comparable quantitative metrics, the reader study depicts a significant preference for summaries generated by GPT-4 with in-context learning compared to both Llama2-13B fine-tuned summaries and the original summaries, highlighting the need for qualitative clinical evaluation.

cs.CL↗

Ambient Diffusion Posterior Sampling: Solving Inverse Problems with Diffusion Models Trained on Corrupted Data

We provide a framework for solving inverse problems with diffusion models learned from linearly corrupted data. Firstly, we extend the Ambient Diffusion framework to enable training directly from measurements corrupted in the Fourier domain. Subsequently, we train diffusion models for MRI with access only to Fourier subsampled multi-coil measurements at acceleration factors R= 2,4,6,8. Secondly, we propose Ambient Diffusion Posterior Sampling (A-DPS), a reconstruction algorithm that leverages generative models pre-trained on one type of corruption (e.g. image inpainting) to perform posterior sampling on measurements from a different forward process (e.g. image blurring). For MRI reconstruction in high acceleration regimes, we observe that A-DPS models trained on subsampled data are better suited to solving inverse problems than models trained on fully sampled data. We also test the efficacy of A-DPS on natural image datasets (CelebA, FFHQ, and AFHQ) and show that A-DPS can sometimes outperform models trained on clean data for several image restoration tasks in both speed and performance.

cs.CV↗

Splitwiser: Efficient LM inference with constrained resources

Efficient inference of LLMs remains a crucial challenge, with two main phases: a compute-intensive prompt computation and a memory-intensive token generation. Despite existing batching and scheduling techniques, token generation phases fail to fully utilize compute resources, especially when compared to prompt computation phases. To address these challenges, we propose Splitwiser, a methodology that splits the two phases of an LLM inference request onto the same GPU, thereby reducing overhead and improving memory access and cache utilization. By eliminating the need to transfer data across devices, Splitwiser aims to minimize network-related overheads. In this report, we describe the basic structure of our proposed pipeline while sharing preliminary results and analysis. We implement our proposed multiprocessing design on two widely-used and independent LLM architectures: Huggingface and vLLM. We open-source our code for the respective implementations: 1) Huggingface (https://github.com/asad-aali/splitwiser), and 2) vLLM (https://github.com/adney11/vllm-sysml).

cs.AR↗

Adapted Large Language Models Can Outperform Medical Experts in Clinical Text Summarization

Analyzing vast textual data and summarizing key information from electronic health records imposes a substantial burden on how clinicians allocate their time. Although large language models (LLMs) have shown promise in natural language processing (NLP), their effectiveness on a diverse range of clinical summarization tasks remains unproven. In this study, we apply adaptation methods to eight LLMs, spanning four distinct clinical summarization tasks: radiology reports, patient questions, progress notes, and doctor-patient dialogue. Quantitative assessments with syntactic, semantic, and conceptual NLP metrics reveal trade-offs between models and adaptation methods. A clinical reader study with ten physicians evaluates summary completeness, correctness, and conciseness; in a majority of cases, summaries from our best adapted LLMs are either equivalent (45%) or superior (36%) compared to summaries from medical experts. The ensuing safety analysis highlights challenges faced by both LLMs and medical experts, as we connect errors to potential medical harm and categorize types of fabricated information. Our research provides evidence of LLMs outperforming medical experts in clinical text summarization across multiple tasks. This suggests that integrating LLMs into clinical workflows could alleviate documentation burden, allowing clinicians to focus more on patient care.

cs.CL↗

Solving Inverse Problems with Score-Based Generative Priors learned from Noisy Data

We present SURE-Score: an approach for learning score-based generative models using training samples corrupted by additive Gaussian noise. When a large training set of clean samples is available, solving inverse problems via score-based (diffusion) generative models trained on the underlying fully-sampled data distribution has recently been shown to outperform end-to-end supervised deep learning. In practice, such a large collection of training data may be prohibitively expensive to acquire in the first place. In this work, we present an approach for approximately learning a score-based generative model of the clean distribution, from noisy training data. We formulate and justify a novel loss function that leverages Stein's unbiased risk estimate to jointly denoise the data and learn the score function via denoising score matching, while using only the noisy samples. We demonstrate the generality of SURE-Score by learning priors and applying posterior sampling to ill-posed inverse problems in two practical applications from different domains: compressive wireless multiple-input multiple-output channel estimation and accelerated 2D multi-coil magnetic resonance imaging reconstruction, where we demonstrate competitive reconstruction performance when learning at signal-to-noise ratio values of 0 and 10 dB, respectively.

cs.LG↗