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Doudou Zhou

Publications and source records attributed to Doudou Zhou.

At least 37 records · Page 2Linked to original sources

Hierarchical Contrastive Learning for Multimodal Data

Multimodal representation learning is commonly built on a shared-private decomposition, treating latent information as either common to all modalities or specific to one. This binary view is often inadequate: many factors are shared by only subsets of modalities, and ignoring such partial sharing can over-align unrelated signals and obscure complementary information. We propose Hierarchical Contrastive Learning (HCL), a framework that learns globally shared, partially shared, and modality-specific representations within a unified model. HCL combines a hierarchical latent-variable formulation with structural sparsity and a structure-aware contrastive objective that aligns only modalities that genuinely share a latent factor. Under uncorrelated latent variables, we prove identifiability of the hierarchical decomposition, establish recovery guarantees for the loading matrices, and derive parameter estimation and excess-risk bounds for downstream prediction. Simulations show accurate recovery of hierarchical structure and effective selection of task-relevant components. On multimodal electronic health records, HCL yields more informative representations and consistently improves predictive performance.

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Representation learning to advance multi-institutional studies with electronic health record data from US and France

The widespread adoption of electronic health records has created new opportunities for translational clinical research, yet this promise remains constrained by fragmented data across privacy-siloed institutions and substantial heterogeneity in local coding practices. While privacy-preserving collaborative learning allows institutions to work together without sharing patient-level data, it does not address inconsistencies in how clinical concepts are represented across sites. We introduce a graph-based framework that addresses this gap by treating data harmonization as a scalable representation learning problem. Rather than relying on fixed standards or manual mappings, the framework integrates institution-specific summary statistics from health records, curated biomedical knowledge graphs, and semantic information derived from large language models to learn a shared semantic space. This joint learning approach aligns diverse, site-specific vocabularies while preserving patient privacy. Evaluated across seven institutions and two languages, the framework provides a robust, data-centric foundation for training and deploying clinical models across heterogeneous healthcare systems.

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From Hawkes Processes to Attention: Time-Modulated Mechanisms for Event Sequences

Marked Temporal Point Processes (MTPPs) arise naturally in medical, social, commercial, and financial domains. However, existing Transformer-based methods mostly inject temporal information only via positional encodings, relying on shared or parametric decay structures, which limits their ability to capture heterogeneous and type-specific temporal effects. Inspired by this observation, we derive a novel attention operator called Hawkes Attention from the multivariate Hawkes process theory for MTPP, using learnable per-type neural kernels to modulate query, key and value projections, thereby replacing the corresponding parts in the traditional attention. Benefited from the design, Hawkes Attention unifies event timing and content interaction, learning both the time-relevant behavior and type-specific excitation patterns from the data. The experimental results show that our method achieves better performance compared to the baselines. In addition to the general MTPP, our attention mechanism can also be easily applied to specific temporal structures, such as time series forecasting.

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Preference-based Centrality and Ranking in General Metric Spaces

Ranking or assessing centrality in multivariate and non-Euclidean data is difficult because there is no canonical order and many depth notions become computationally fragile in high-dimensional or structured settings. We introduce a preference-based notion of centrality defined through population proximity comparisons with respect to a random reference draw, yielding a metric-intrinsic statistical functional that is well-defined on general metric spaces. Because the induced pairwise preferences may be non-transitive, we map them to a coherent one-dimensional score via a Bradley--Terry--Luce cross-entropy projection, viewed as a calibrated aggregation device rather than a correctly specified model. We develop two finite-sample estimators a convex M-estimator and a fast spectral estimator based on a comparison operator, and establish identifiability and consistency under mild conditions. Simulations and real-data examples, including high-dimensional and functional observations, illustrate that the proposed scores provide stable, interpretable rankings aligned with the underlying preference centrality.

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Two-sample Testing with Block-wise Missingness in Multi-source Data

Multi-source and multi-modal datasets are increasingly common in scientific research, yet they often exhibit block-wise missingness, where entire modalities are systematically absent in some sources or no single source contains all modalities. This structured missingness poses major challenges for two-sample hypothesis testing. Standard approaches, such as imputation or complete-case analysis, may introduce bias or suffer efficiency loss, especially under missingness-not-at-random mechanisms. To address this challenge, we propose the Block-Pattern Enhanced Test, a general framework for constructing two-sample testing statistics that explicitly accounts for block-wise missingness. We show that the framework yields valid tests under a new condition allowing for missing-not-at-random mechanism. Building on this general framework, we further propose the Block-wise Rank In Similarity graph Edge-count (BRISE) test, which accommodate heterogeneous modalities using rank-based similarity graphs. Theoretically, we establish that the null distribution of BRISE converges to a $χ^2$ distribution, and that the test is consistent both in the standard asymptotic regime and in the high-dimensional low-sample-size setting under mild conditions. Simulation studies demonstrate that BRISE controls the type-I error rate and achieves strong power across a wide range of alternatives. Applications to two real-world datasets with block-wise missingness further illustrate the practical utility of the proposed method.

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Single Index Bandits: Generalized Linear Contextual Bandits with Unknown Reward Functions

Generalized linear bandits have been extensively studied due to their broad applicability in real-world online decision-making problems. However, these methods typically assume that the expected reward function is known to the users, an assumption that is often unrealistic in practice. Misspecification of this link function can lead to the failure of all existing algorithms. In this work, we address this critical limitation by introducing a new problem of generalized linear bandits with unknown reward functions, also known as single index bandits. We first consider the case where the unknown reward function is monotonically increasing, and propose two novel and efficient algorithms, STOR and ESTOR, that achieve decent regrets under standard assumptions. Notably, our ESTOR can obtain the nearly optimal regret bound $\tilde{O}_T(\sqrt{T})$ in terms of the time horizon $T$. We then extend our methods to the high-dimensional sparse setting and show that the same regret rate can be attained with the sparsity index. Next, we introduce GSTOR, an algorithm that is agnostic to general reward functions, and establish regret bounds under a Gaussian design assumption. Finally, we validate the efficiency and effectiveness of our algorithms through experiments on both synthetic and real-world datasets.

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Learning Sequential Decisions from Multiple Sources via Group-Robust Markov Decision Processes

We often collect data from multiple sites (e.g., hospitals) that share common structure but also exhibit heterogeneity. This paper aims to learn robust sequential decision-making policies from such offline, multi-site datasets. To model cross-site uncertainty, we study distributionally robust MDPs with a group-linear structure: all sites share a common feature map, and both the transition kernels and expected reward functions are linear in these shared features. We introduce feature-wise (d-rectangular) uncertainty sets, which preserve tractable robust Bellman recursions while maintaining key cross-site structure. Building on this, we then develop an offline algorithm based on pessimistic value iteration that includes: (i) per-site ridge regression for Bellman targets, (ii) feature-wise worst-case (row-wise minimization) aggregation, and (iii) a data-dependent pessimism penalty computed from the diagonals of the inverse design matrices. We further propose a cluster-level extension that pools similar sites to improve sample efficiency, guided by prior knowledge of site similarity. Under a robust partial coverage assumption, we prove a suboptimality bound for the resulting policy. Overall, our framework addresses multi-site learning with heterogeneous data sources and provides a principled approach to robust planning without relying on strong state-action rectangularity assumptions.

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Model-X Change-Point Detection of Conditional Distribution

The dynamic nature of many real-world systems can lead to temporal outcome model shifts, causing a deterioration in model accuracy and reliability over time. This requires change-point detection on the outcome models to guide model retraining and adjustments. However, inferring the change point of conditional models is more prone to loss of validity or power than classic detection problems for marginal distributions. This is due to both the temporal covariate shift and the complexity of the outcome model. Also, the existing method of conditional change points detection both have many limitations including linear assumption and low dimension prerequisite which sometimes is not suitable for real world application. To address these challenges, we propose a novel Model-X changE-point detectioN of conditional Distribution (MEND) method computationally enhanced with distillation function for simultaneous change-point detection and localization of the conditional outcome model. We extend and combine our model with neural network to accommodate complex nonlinear and high dimensional situation, which is proved to be valid in both simulation and real data. Theoretical validity of the proposed method is justified. Extensive simulation studies and two real-world examples demonstrate the statistical effectiveness and computational scalability of our method as well as its significant improvements over existing methods.

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A Common Pipeline for Harmonizing Electronic Health Record Data for Translational Research

Despite the growing availability of Electronic Health Record (EHR) data, researchers often face substantial barriers in effectively using these data for translational research due to their complexity, heterogeneity, and lack of standardized tools and documentation. To address this critical gap, we introduce PEHRT, a common pipeline for harmonizing EHR data for translational research. PEHRT is a comprehensive, ready-to-use resource that includes open-source code, visualization tools, and detailed documentation to streamline the process of preparing EHR data for analysis. The pipeline provides tools to harmonize structured and unstructured EHR data to standardized ontologies to ensure consistency across diverse coding systems. In the presence of unmapped or heterogeneous local codes, PEHRT further leverages representation learning and pre-trained language models to generate robust embeddings that capture semantic relationships across sites to mitigate heterogeneity and enable integrative downstream analyses. PEHRT also supports cross-institutional co-training through shared representations, allowing participating sites to collaboratively refine embeddings and enhance generalizability without sharing individual-level data. The framework is data model-agnostic and can be seamlessly deployed across diverse healthcare systems to produce interoperable, research-ready datasets. By lowering the technical barriers to EHR-based research, PEHRT empowers investigators to transform raw clinical data into reproducible, analysis-ready resources for discovery and innovation.

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A Trainable Centrality Framework for Modern Data

Measuring how central or typical a data point is underpins robust estimation, ranking, and outlier detection, but classical depth notions become expensive and unstable in high dimensions and are hard to extend beyond Euclidean data. We introduce Fused Unified centrality Score Estimation (FUSE), a neural centrality framework that operates on top of arbitrary representations. FUSE combines a global head, trained from pairwise distance-based comparisons to learn an anchor-free centrality score, with a local head, trained by denoising score matching to approximate a smoothed log-density potential. A single parameter between 0 and 1 interpolates between these calibrated signals, yielding depth-like centrality from different views via one forward pass. Across synthetic distributions, real images, time series, and text data, and standard outlier detection benchmarks, FUSE recovers meaningful classical ordering, reveals multi-scale geometric structures, and attains competitive performance with strong classical baselines while remaining simple and efficient.

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RELEAP: Reinforcement-Enhanced Label-Efficient Active Phenotyping for Electronic Health Records

Objective: Electronic health record (EHR) phenotyping often relies on noisy proxy labels, which undermine the reliability of downstream risk prediction. Active learning can reduce annotation costs, but most rely on fixed heuristics and do not ensure that phenotype refinement improves prediction performance. Our goal was to develop a framework that directly uses downstream prediction performance as feedback to guide phenotype correction and sample selection under constrained labeling budgets. Materials and Methods: We propose Reinforcement-Enhanced Label-Efficient Active Phenotyping (RELEAP), a reinforcement learning-based active learning framework. RELEAP adaptively integrates multiple querying strategies and, unlike prior methods, updates its policy based on feedback from downstream models. We evaluated RELEAP on a de-identified Duke University Health System (DUHS) cohort (2014-2024) for incident lung cancer risk prediction, using logistic regression and penalized Cox survival models. Performance was benchmarked against noisy-label baselines and single-strategy active learning. Results: RELEAP consistently outperformed all baselines. Logistic AUC increased from 0.774 to 0.805 and survival C-index from 0.718 to 0.752. Using downstream performance as feedback, RELEAP produced smoother and more stable gains than heuristic methods under the same labeling budget. Discussion: By linking phenotype refinement to prediction outcomes, RELEAP learns which samples most improve downstream discrimination and calibration, offering a more principled alternative to fixed active learning rules. Conclusion: RELEAP optimizes phenotype correction through downstream feedback, offering a scalable, label-efficient paradigm that reduces manual chart review and enhances the reliability of EHR-based risk prediction.

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Asymptotic Distribution-free Change-point Detection for Modern Data Based on a New Ranking Scheme

Change-point detection (CPD) involves identifying distributional changes in a sequence of independent observations. Among nonparametric methods, rank-based methods are attractive due to their robustness and effectiveness and have been extensively studied for univariate data. However, they are not well explored for high-dimensional or non-Euclidean data. This paper proposes a new method, Rank INduced by Graph Change-Point Detection (RING-CPD), which utilizes graph-induced ranks to handle high-dimensional and non-Euclidean data. The new method is asymptotically distribution-free under the null hypothesis, and an analytic $p$-value approximation is provided for easy type-I error control. Simulation studies show that RING-CPD effectively detects change points across a wide range of alternatives and is also robust to heavy-tailed distribution and outliers. The new method is illustrated by the detection of seizures in a functional connectivity network dataset, changes of digit images, and travel pattern changes in the New York City Taxi dataset.

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Inference of Dependency Knowledge Graph for Electronic Health Records

The effective analysis of high-dimensional Electronic Health Record (EHR) data, with substantial potential for healthcare research, presents notable methodological challenges. Employing predictive modeling guided by a knowledge graph (KG), which enables efficient feature selection, can enhance both statistical efficiency and interpretability. While various methods have emerged for constructing KGs, existing techniques often lack statistical certainty concerning the presence of links between entities, especially in scenarios where the utilization of patient-level EHR data is limited due to privacy concerns. In this paper, we propose the first inferential framework for deriving a sparse KG with statistical guarantee based on the dynamic log-linear topic model proposed by \cite{arora2016latent}. Within this model, the KG embeddings are estimated by performing singular value decomposition on the empirical pointwise mutual information matrix, offering a scalable solution. We then establish entrywise asymptotic normality for the KG low-rank estimator, enabling the recovery of sparse graph edges with controlled type I error. Our work uniquely addresses the under-explored domain of statistical inference about non-linear statistics under the low-rank temporal dependent models, a critical gap in existing research. We validate our approach through extensive simulation studies and then apply the method to real-world EHR data in constructing clinical KGs and generating clinical feature embeddings.

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Wasserstein Transfer Learning

Transfer learning is a powerful paradigm for leveraging knowledge from source domains to enhance learning in a target domain. However, traditional transfer learning approaches often focus on scalar or multivariate data within Euclidean spaces, limiting their applicability to complex data structures such as probability distributions. To address this limitation, we introduce a novel transfer learning framework for regression models whose outputs are probability distributions residing in the Wasserstein space. When the informative subset of transferable source domains is known, we propose an estimator with provable asymptotic convergence rates, quantifying the impact of domain similarity on transfer efficiency. For cases where the informative subset is unknown, we develop a data-driven transfer learning procedure designed to mitigate negative transfer. The proposed methods are supported by rigorous theoretical analysis and are validated through extensive simulations and real-world applications. The code is available at https://github.com/h7nian/WaTL

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SIM-Shapley: A Stable and Computationally Efficient Approach to Shapley Value Approximation

Explainable artificial intelligence (XAI) is essential for trustworthy machine learning (ML), particularly in high-stakes domains such as healthcare and finance. Shapley value (SV) methods provide a principled framework for feature attribution in complex models but incur high computational costs, limiting their scalability in high-dimensional settings. We propose Stochastic Iterative Momentum for Shapley Value Approximation (SIM-Shapley), a stable and efficient SV approximation method inspired by stochastic optimization. We analyze variance theoretically, prove linear $Q$-convergence, and demonstrate improved empirical stability and low bias in practice on real-world datasets. In our numerical experiments, SIM-Shapley reduces computation time by up to 85% relative to state-of-the-art baselines while maintaining comparable feature attribution quality. Beyond feature attribution, our stochastic mini-batch iterative framework extends naturally to a broader class of sample average approximation problems, offering a new avenue for improving computational efficiency with stability guarantees. Code is publicly available at https://github.com/nliulab/SIM-Shapley.

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Automated Hierarchical Graph Construction for Multi-source Electronic Health Records

Electronic Health Records (EHRs), comprising diverse clinical data such as diagnoses, medications, and laboratory results, hold great promise for translational research. EHR-derived data have advanced disease prevention, improved clinical trial recruitment, and generated real-world evidence. Synthesizing EHRs across institutions enables large-scale, generalizable studies that capture rare diseases and population diversity, but remains hindered by the heterogeneity of medical codes, institution-specific terminologies, and the absence of standardized data structures. These barriers limit the interpretability, comparability, and scalability of EHR-based analyses, underscoring the need for robust methods to harmonize and extract meaningful insights from distributed, heterogeneous data. To address this, we propose MASH (Multi-source Automated Structured Hierarchy), a fully automated framework that aligns medical codes across institutions using neural optimal transport and constructs hierarchical graphs with learned hyperbolic embeddings. During training, MASH integrates information from pre-trained language models, co-occurrence patterns, textual descriptions, and supervised labels to capture semantic and hierarchical relationships among medical concepts more effectively. Applied to real-world EHR data, including diagnosis, medication, and laboratory codes, MASH produces interpretable hierarchical graphs that facilitate the navigation and understanding of heterogeneous clinical data. Notably, it generates the first automated hierarchies for unstructured local laboratory codes, establishing foundational references for downstream applications.

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WISE: A Weighted Similarity Aggregation Test for Serial Independence

We propose a nonparametric test for serial independence that aggregates pairwise similarities of observations with lag-dependent weights. The resulting statistic is powerful to general forms of temporal dependence, including nonlinear and uncorrelated alternatives, and applies to ultra-high-dimensional and non-Euclidean data. We derive asymptotic normality under both permutation and population nulls, and establish consistency in classical large-sample and high-dimension-low-sample-size (HDLSS) regimes. The test therefore provides the first theoretical power guarantees for serial independence in the HDLSS setting. Simulations demonstrate accurate size and strong power against a wide range of alternatives, showing significant power improvement over existing methods under various high-dimensional time series models. An application to spatio-temporal data illustrates the method's utility for non-Euclidean observations.

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Latent Factor Point Processes for Patient Representation in Electronic Health Records

Electronic health records (EHR) contain valuable longitudinal patient-level information, yet most statistical methods reduce the irregular timing of EHR codes into simple counts, thereby discarding rich temporal structure. Existing temporal models often impose restrictive parametric assumptions or are tailored to code level rather than patient-level tasks. We propose the latent factor point process model, which represents code occurrences as a high-dimensional point process whose conditional intensity is driven by a low dimensional latent Poisson process. This low-rank structure reflects the clinical reality that thousands of codes are governed by a small number of underlying disease processes, while enabling statistically efficient estimation in high dimensions. Building on this model, we introduce the Fourier-Eigen embedding, a patient representation constructed from the spectral density matrix of the observed process. We establish theoretical guarantees showing that these embeddings efficiently capture subgroup-specific temporal patterns for downstream classification and clustering. Simulations and an application to an Alzheimer's disease EHR cohort demonstrate the practical advantages of our approach in uncovering clinically meaningful heterogeneity.

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