arXiv subjects

Bradley A. Malin

Publications and source records attributed to Bradley A. Malin.

At least 37 records · Page 2Linked to original sources

arXiv2025

Differential Confounding Privacy and Inverse Composition

Differential privacy (DP) has become the gold standard for privacy-preserving data analysis, but its applicability can be limited in scenarios involving complex dependencies between sensitive information and datasets. To address this, we introduce \textit{differential confounding privacy} (DCP), a specialized form of the Pufferfish privacy (PP) framework that generalizes DP by accounting for broader relationships between sensitive information and datasets. DCP adopts the $(ε, δ)$-indistinguishability framework to quantify privacy loss. We show that while DCP mechanisms retain privacy guarantees under composition, they lack the graceful compositional properties of DP. To overcome this, we propose an \textit{Inverse Composition (IC)} framework, where a leader-follower model optimally designs a privacy strategy to achieve target guarantees without relying on worst-case privacy proofs, such as sensitivity calculation. Experimental results validate IC's effectiveness in managing privacy budgets and ensuring rigorous privacy guarantees under composition.

cs.CR↗

arXiv2025

Role and Use of Race in AI/ML Models Related to Health

The role and use of race within health-related artificial intelligence and machine learning (AI/ML) models has sparked increasing attention and controversy. Despite the complexity and breadth of related issues, a robust and holistic framework to guide stakeholders in their examination and resolution remains lacking. This perspective provides a broad-based, systematic, and cross-cutting landscape analysis of race-related challenges, structured around the AI/ML lifecycle and framed through "points to consider" to support inquiry and decision-making.

cs.CY↗

arXiv2025

Towards Statistical Factuality Guarantee for Large Vision-Language Models

Advancements in Large Vision-Language Models (LVLMs) have demonstrated promising performance in a variety of vision-language tasks involving image-conditioned free-form text generation. However, growing concerns about hallucinations in LVLMs, where the generated text is inconsistent with the visual context, are becoming a major impediment to deploying these models in applications that demand guaranteed reliability. In this paper, we introduce a framework to address this challenge, ConfLVLM, which is grounded on conformal prediction to achieve finite-sample distribution-free statistical guarantees on the factuality of LVLM output. This framework treats an LVLM as a hypothesis generator, where each generated text detail (or claim) is considered an individual hypothesis. It then applies a statistical hypothesis testing procedure to verify each claim using efficient heuristic uncertainty measures to filter out unreliable claims before returning any responses to users. We conduct extensive experiments covering three representative application domains, including general scene understanding, medical radiology report generation, and document understanding. Remarkably, ConfLVLM reduces the error rate of claims generated by LLaVa-1.5 for scene descriptions from 87.8\% to 10.0\% by filtering out erroneous claims with a 95.3\% true positive rate. Our results further demonstrate that ConfLVLM is highly flexible, and can be applied to any black-box LVLMs paired with any uncertainty measure for any image-conditioned free-form text generation task while providing a rigorous guarantee on controlling the risk of hallucination.

cs.LG↗

arXiv2024

Implementing Trust in Non-Small Cell Lung Cancer Diagnosis with a Conformalized Uncertainty-Aware AI Framework in Whole-Slide Images

Ensuring trustworthiness is fundamental to the development of artificial intelligence (AI) that is considered societally responsible, particularly in cancer diagnostics, where a misdiagnosis can have dire consequences. Current digital pathology AI models lack systematic solutions to address trustworthiness concerns arising from model limitations and data discrepancies between model deployment and development environments. To address this issue, we developed TRUECAM, a framework designed to ensure both data and model trustworthiness in non-small cell lung cancer subtyping with whole-slide images. TRUECAM integrates 1) a spectral-normalized neural Gaussian process for identifying out-of-scope inputs and 2) an ambiguity-guided elimination of tiles to filter out highly ambiguous regions, addressing data trustworthiness, as well as 3) conformal prediction to ensure controlled error rates. We systematically evaluated the framework across multiple large-scale cancer datasets, leveraging both task-specific and foundation models, illustrate that an AI model wrapped with TRUECAM significantly outperforms models that lack such guidance, in terms of classification accuracy, robustness, interpretability, and data efficiency, while also achieving improvements in fairness. These findings highlight TRUECAM as a versatile wrapper framework for digital pathology AI models with diverse architectural designs, promoting their responsible and effective applications in real-world settings.

eess.IV↗

arXiv2024

Catalysts of Conversation: Examining Interaction Dynamics Between Topic Initiators and Commentors in Alzheimer's Disease Online Communities

Informal caregivers (e.g.,family members or friends) of people living with Alzheimers Disease and Related Dementias (ADRD) face substantial challenges and often seek informational or emotional support through online communities. Understanding the factors that drive engagement within these platforms is crucial, as it can enhance their long-term value for caregivers by ensuring that these communities effectively meet their needs. This study investigated the user interaction dynamics within two large, popular ADRD communities, TalkingPoint and ALZConnected, focusing on topic initiator engagement, initial post content, and the linguistic patterns of comments at the thread level. Using analytical methods such as propensity score matching, topic modeling, and predictive modeling, we found that active topic initiator engagement drives higher comment volumes, and reciprocal replies from topic initiators encourage further commentor engagement at the community level. Practical caregiving topics prompt more re-engagement of topic initiators, while emotional support topics attract more comments from other commentors. Additionally, the linguistic complexity and emotional tone of a comment influence its likelihood of receiving replies from topic initiators. These findings highlight the importance of fostering active and reciprocal engagement and providing effective strategies to enhance sustainability in ADRD caregiving and broader health-related online communities.

cs.CY↗

arXiv2024

Do You Know What You Are Talking About? Characterizing Query-Knowledge Relevance For Reliable Retrieval Augmented Generation

Language models (LMs) are known to suffer from hallucinations and misinformation. Retrieval augmented generation (RAG) that retrieves verifiable information from an external knowledge corpus to complement the parametric knowledge in LMs provides a tangible solution to these problems. However, the generation quality of RAG is highly dependent on the relevance between a user's query and the retrieved documents. Inaccurate responses may be generated when the query is outside of the scope of knowledge represented in the external knowledge corpus or if the information in the corpus is out-of-date. In this work, we establish a statistical framework that assesses how well a query can be answered by an RAG system by capturing the relevance of knowledge. We introduce an online testing procedure that employs goodness-of-fit (GoF) tests to inspect the relevance of each user query to detect out-of-knowledge queries with low knowledge relevance. Additionally, we develop an offline testing framework that examines a collection of user queries, aiming to detect significant shifts in the query distribution which indicates the knowledge corpus is no longer sufficiently capable of supporting the interests of the users. We demonstrate the capabilities of these strategies through a systematic evaluation on eight question-answering (QA) datasets, the results of which indicate that the new testing framework is an efficient solution to enhance the reliability of existing RAG systems.

cs.CL↗

arXiv2024

Environment Scan of Generative AI Infrastructure for Clinical and Translational Science

This study reports a comprehensive environmental scan of the generative AI (GenAI) infrastructure in the national network for clinical and translational science across 36 institutions supported by the Clinical and Translational Science Award (CTSA) Program led by the National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health (NIH) at the United States. With the rapid advancement of GenAI technologies, including large language models (LLMs), healthcare institutions face unprecedented opportunities and challenges. This research explores the current status of GenAI integration, focusing on stakeholder roles, governance structures, and ethical considerations by administering a survey among leaders of health institutions (i.e., representing academic medical centers and health systems) to assess the institutional readiness and approach towards GenAI adoption. Key findings indicate a diverse range of institutional strategies, with most organizations in the experimental phase of GenAI deployment. The study highlights significant variations in governance models, with a strong preference for centralized decision-making but notable gaps in workforce training and ethical oversight. Moreover, the results underscore the need for a more coordinated approach to GenAI governance, emphasizing collaboration among senior leaders, clinicians, information technology staff, and researchers. Our analysis also reveals concerns regarding GenAI bias, data security, and stakeholder trust, which must be addressed to ensure the ethical and effective implementation of GenAI technologies. This study offers valuable insights into the challenges and opportunities of GenAI integration in healthcare, providing a roadmap for institutions aiming to leverage GenAI for improved quality of care and operational efficiency.

cs.CY↗

arXiv2024

A Game-Theoretic Approach to Privacy-Utility Tradeoff in Sharing Genomic Summary Statistics

The advent of online genomic data-sharing services has sought to enhance the accessibility of large genomic datasets by allowing queries about genetic variants, such as summary statistics, aiding care providers in distinguishing between spurious genomic variations and those with clinical significance. However, numerous studies have demonstrated that even sharing summary genomic information exposes individual members of such datasets to a significant privacy risk due to membership inference attacks. While several approaches have emerged that reduce privacy risks by adding noise or reducing the amount of information shared, these typically assume non-adaptive attacks that use likelihood ratio test (LRT) statistics. We propose a Bayesian game-theoretic framework for optimal privacy-utility tradeoff in the sharing of genomic summary statistics. Our first contribution is to prove that a very general Bayesian attacker model that anchors our game-theoretic approach is more powerful than the conventional LRT-based threat models in that it induces worse privacy loss for the defender who is modeled as a von Neumann-Morgenstern (vNM) decision-maker. We show this to be true even when the attacker uses a non-informative subjective prior. Next, we present an analytically tractable approach to compare the Bayesian attacks with arbitrary subjective priors and the Neyman-Pearson optimal LRT attacks under the Gaussian mechanism common in differential privacy frameworks. Finally, we propose an approach for approximating Bayes-Nash equilibria of the game using deep neural network generators to implicitly represent player mixed strategies. Our experiments demonstrate that the proposed game-theoretic framework yields both stronger attacks and stronger defense strategies than the state of the art.

cs.CR↗

arXiv2024

Leveraging Generative AI for Clinical Evidence Summarization Needs to Ensure Trustworthiness

Evidence-based medicine promises to improve the quality of healthcare by empowering medical decisions and practices with the best available evidence. The rapid growth of medical evidence, which can be obtained from various sources, poses a challenge in collecting, appraising, and synthesizing the evidential information. Recent advancements in generative AI, exemplified by large language models, hold promise in facilitating the arduous task. However, developing accountable, fair, and inclusive models remains a complicated undertaking. In this perspective, we discuss the trustworthiness of generative AI in the context of automated summarization of medical evidence.

cs.AI↗

arXiv2024

SAC3: Reliable Hallucination Detection in Black-Box Language Models via Semantic-aware Cross-check Consistency

Hallucination detection is a critical step toward understanding the trustworthiness of modern language models (LMs). To achieve this goal, we re-examine existing detection approaches based on the self-consistency of LMs and uncover two types of hallucinations resulting from 1) question-level and 2) model-level, which cannot be effectively identified through self-consistency check alone. Building upon this discovery, we propose a novel sampling-based method, i.e., semantic-aware cross-check consistency (SAC3) that expands on the principle of self-consistency checking. Our SAC3 approach incorporates additional mechanisms to detect both question-level and model-level hallucinations by leveraging advances including semantically equivalent question perturbation and cross-model response consistency checking. Through extensive and systematic empirical analysis, we demonstrate that SAC3 outperforms the state of the art in detecting both non-factual and factual statements across multiple question-answering and open-domain generation benchmarks.

cs.CL↗

arXiv2023

Learning From Peers: A Survey of Perception and Utilization of Online Peer Support Among Informal Dementia Caregivers

Informal dementia caregivers are those who care for a person living with dementia (PLWD) without receiving payment (e.g., family members, friends, or other unpaid caregivers). These informal caregivers are subject to substantial mental, physical, and financial burdens. Online communities enable these caregivers to exchange caregiving strategies and communicate experiences with other caregivers whom they generally do not know in real life. Research has demonstrated the benefits of peer support in online communities, but they are limited in focusing merely on caregivers who are already online users. In this paper, we designed and administered a survey to investigate the perception and utilization of online peer support from 140 informal dementia caregivers (with 100 online-community caregivers). Our findings show that the behavior to access any online community is only significantly associated with their belief in the value of online peer support (p = 0.006). Moreover, 33 (83%) of the 40 non-online-community caregivers had a belief score above 24, a score assigned when a neutral option is selected for each belief question. The reasons most articulated for not accessing any online community were no time to do so (14; 10%), and insufficient online information searching skills (9; 6%). Our findings suggest that online peer support is valuable, but practical strategies are needed to assist informal dementia caregivers who have limited time or searching skills.

cs.CY↗

arXiv2023

Risk of re-identification for shared clinical speech recordings

Large, curated datasets are required to leverage speech-based tools in healthcare. These are costly to produce, resulting in increased interest in data sharing. As speech can potentially identify speakers (i.e., voiceprints), sharing recordings raises privacy concerns. We examine the re-identification risk for speech recordings, without reference to demographic or metadata, using a state-of-the-art speaker recognition system. We demonstrate that the risk is inversely related to the number of comparisons an adversary must consider, i.e., the search space. Risk is high for a small search space but drops as the search space grows ($precision >0.85$ for $<1*10^{6}$ comparisons, $precision <0.5$ for $>3*10^{6}$ comparisons). Next, we show that the nature of a speech recording influences re-identification risk, with non-connected speech (e.g., vowel prolongation) being harder to identify. Our findings suggest that speaker recognition systems can be used to re-identify participants in specific circumstances, but in practice, the re-identification risk appears low.

eess.AS↗

arXiv2023

Split Learning for Distributed Collaborative Training of Deep Learning Models in Health Informatics

Deep learning continues to rapidly evolve and is now demonstrating remarkable potential for numerous medical prediction tasks. However, realizing deep learning models that generalize across healthcare organizations is challenging. This is due, in part, to the inherent siloed nature of these organizations and patient privacy requirements. To address this problem, we illustrate how split learning can enable collaborative training of deep learning models across disparate and privately maintained health datasets, while keeping the original records and model parameters private. We introduce a new privacy-preserving distributed learning framework that offers a higher level of privacy compared to conventional federated learning. We use several biomedical imaging and electronic health record (EHR) datasets to show that deep learning models trained via split learning can achieve highly similar performance to their centralized and federated counterparts while greatly improving computational efficiency and reducing privacy risks.

cs.LG↗

arXiv2023

Enabling Trade-offs in Privacy and Utility in Genomic Data Beacons and Summary Statistics

The collection and sharing of genomic data are becoming increasingly commonplace in research, clinical, and direct-to-consumer settings. The computational protocols typically adopted to protect individual privacy include sharing summary statistics, such as allele frequencies, or limiting query responses to the presence/absence of alleles of interest using web-services called Beacons. However, even such limited releases are susceptible to likelihood-ratio-based membership-inference attacks. Several approaches have been proposed to preserve privacy, which either suppress a subset of genomic variants or modify query responses for specific variants (e.g., adding noise, as in differential privacy). However, many of these approaches result in a significant utility loss, either suppressing many variants or adding a substantial amount of noise. In this paper, we introduce optimization-based approaches to explicitly trade off the utility of summary data or Beacon responses and privacy with respect to membership-inference attacks based on likelihood-ratios, combining variant suppression and modification. We consider two attack models. In the first, an attacker applies a likelihood-ratio test to make membership-inference claims. In the second model, an attacker uses a threshold that accounts for the effect of the data release on the separation in scores between individuals in the dataset and those who are not. We further introduce highly scalable approaches for approximately solving the privacy-utility tradeoff problem when information is either in the form of summary statistics or presence/absence queries. Finally, we show that the proposed approaches outperform the state of the art in both utility and privacy through an extensive evaluation with public datasets.

cs.CR↗

arXiv2022

A Multifaceted Benchmarking of Synthetic Electronic Health Record Generation Models

Synthetic health data have the potential to mitigate privacy concerns when sharing data to support biomedical research and the development of innovative healthcare applications. Modern approaches for data generation based on machine learning, generative adversarial networks (GAN) methods in particular, continue to evolve and demonstrate remarkable potential. Yet there is a lack of a systematic assessment framework to benchmark methods as they emerge and determine which methods are most appropriate for which use cases. In this work, we introduce a generalizable benchmarking framework to appraise key characteristics of synthetic health data with respect to utility and privacy metrics. We apply the framework to evaluate synthetic data generation methods for electronic health records (EHRs) data from two large academic medical centers with respect to several use cases. The results illustrate that there is a utility-privacy tradeoff for sharing synthetic EHR data. The results further indicate that no method is unequivocally the best on all criteria in each use case, which makes it evident why synthetic data generation methods need to be assessed in context.

cs.LG↗

arXiv2022

Dynamically Adjusting Case Reporting Policy to Maximize Privacy and Utility in the Face of a Pandemic

Supporting public health research and the public's situational awareness during a pandemic requires continuous dissemination of infectious disease surveillance data. Legislation, such as the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and recent state-level regulations, permits sharing de-identified person-level data; however, current de-identification approaches are limited. namely, they are inefficient, relying on retrospective disclosure risk assessments, and do not flex with changes in infection rates or population demographics over time. In this paper, we introduce a framework to dynamically adapt de-identification for near-real time sharing of person-level surveillance data. The framework leverages a simulation mechanism, capable of application at any geographic level, to forecast the re-identification risk of sharing the data under a wide range of generalization policies. The estimates inform weekly, prospective policy selection to maintain the proportion of records corresponding to a group size less than 11 (PK11) at or below 0.1. Fixing the policy at the start of each week facilitates timely dataset updates and supports sharing granular date information. We use August 2020 through October 2021 case data from Johns Hopkins University and the Centers for Disease Control and Prevention to demonstrate the framework's effectiveness in maintaining the PK!1 threshold of 0.01. When sharing COVID-19 county-level case data across all US counties, the framework's approach meets the threshold for 96.2% of daily data releases, while a policy based on current de-identification techniques meets the threshold for 32.3%. Periodically adapting the data publication policies preserves privacy while enhancing public health utility through timely updates and sharing epidemiologically critical features.

cs.CR↗

arXiv2021

Defending Against Membership Inference Attacks on Beacon Services

Large genomic datasets are now created through numerous activities, including recreational genealogical investigations, biomedical research, and clinical care. At the same time, genomic data has become valuable for reuse beyond their initial point of collection, but privacy concerns often hinder access. Over the past several years, Beacon services have emerged to broaden accessibility to such data. These services enable users to query for the presence of a particular minor allele in a private dataset, information that can help care providers determine if genomic variation is spurious or has some known clinical indication. However, various studies have shown that even this limited access model can leak if individuals are members in the underlying dataset. Several approaches for mitigating this vulnerability have been proposed, but they are limited in that they 1) typically rely on heuristics and 2) offer probabilistic privacy guarantees, but neglect utility. In this paper, we present a novel algorithmic framework to ensure privacy in a Beacon service setting with a minimal number of query response flips (e.g., changing a positive response to a negative). Specifically, we represent this problem as combinatorial optimization in both the batch setting (where queries arrive all at once), as well as the online setting (where queries arrive sequentially). The former setting has been the primary focus in prior literature, whereas real Beacons allow sequential queries, motivating the latter investigation. We present principled algorithms in this framework with both privacy and, in some cases, worst-case utility guarantees. Moreover, through an extensive experimental evaluation, we show that the proposed approaches significantly outperform the state of the art in terms of privacy and utility.

cs.CR↗

arXiv2021

Blending Knowledge in Deep Recurrent Networks for Adverse Event Prediction at Hospital Discharge

Deep learning architectures have an extremely high-capacity for modeling complex data in a wide variety of domains. However, these architectures have been limited in their ability to support complex prediction problems using insurance claims data, such as readmission at 30 days, mainly due to data sparsity issue. Consequently, classical machine learning methods, especially those that embed domain knowledge in handcrafted features, are often on par with, and sometimes outperform, deep learning approaches. In this paper, we illustrate how the potential of deep learning can be achieved by blending domain knowledge within deep learning architectures to predict adverse events at hospital discharge, including readmissions. More specifically, we introduce a learning architecture that fuses a representation of patient data computed by a self-attention based recurrent neural network, with clinically relevant features. We conduct extensive experiments on a large claims dataset and show that the blended method outperforms the standard machine learning approaches.

cs.LG↗