arXiv subjects

Heejun Shin

Publications and source records attributed to Heejun Shin.

7 recordsLinked to original sources

arXiv2024

Treatment Effect Heterogeneity and Importance Measures for Multivariate Continuous Treatments

Estimating the joint effect of a multivariate, continuous exposure is crucial, particularly in environmental health where interest lies in simultaneously evaluating the impact of multiple environmental pollutants on health. We develop novel methodology that addresses two key issues for estimation of treatment effects of multivariate, continuous exposures. We use nonparametric Bayesian methodology that is flexible to ensure our approach can capture a wide range of data generating processes. Additionally, we allow the effect of the exposures to be heterogeneous with respect to covariates. Treatment effect heterogeneity has not been well explored in the causal inference literature for multivariate, continuous exposures, and therefore we introduce novel estimands that summarize the nature and extent of the heterogeneity, and propose estimation procedures for new estimands related to treatment effect heterogeneity. We provide theoretical support for the proposed models in the form of posterior contraction rates and show that it works well in simulated examples both with and without heterogeneity. Our approach is motivated by a study of the health effects of simultaneous exposure to the components of PM$_{2.5}$, where we find that the negative health effects of exposure to environmental pollutants are exacerbated by low socioeconomic status, race and age.

stat.ME↗

arXiv2024

Pretraining Vision-Language Model for Difference Visual Question Answering in Longitudinal Chest X-rays

Difference visual question answering (diff-VQA) is a challenging task that requires answering complex questions based on differences between a pair of images. This task is particularly important in reading chest X-ray images because radiologists often compare multiple images of the same patient taken at different times to track disease progression and changes in its severity in their clinical practice. However, previous works focused on designing specific network architectures for the diff-VQA task, missing opportunities to enhance the model's performance using a pretrained vision-language model (VLM). Here, we introduce a novel VLM called PLURAL, which is pretrained on natural and longitudinal chest X-ray data for the diff-VQA task. The model is developed using a step-by-step approach, starting with being pretrained on natural images and texts, followed by being trained using longitudinal chest X-ray data. The longitudinal data consist of pairs of X-ray images, along with question-answer sets and radiologist's reports that describe the changes in lung abnormalities and diseases over time. Our experimental results show that the PLURAL model outperforms state-of-the-art methods not only in diff-VQA for longitudinal X-rays but also in conventional VQA for a single X-ray image. Through extensive experiments, we demonstrate the effectiveness of the proposed VLM architecture and pretraining method in improving the model's performance.

cs.CV↗

arXiv2024

Generalizing Visual Question Answering from Synthetic to Human-Written Questions via a Chain of QA with a Large Language Model

Visual question answering (VQA) is a task where an image is given, and a series of questions are asked about the image. To build an efficient VQA algorithm, a large amount of QA data is required which is very expensive. Generating synthetic QA pairs based on templates is a practical way to obtain data. However, VQA models trained on those data do not perform well on complex, human-written questions. To address this issue, we propose a new method called {\it chain of QA for human-written questions} (CoQAH). CoQAH utilizes a sequence of QA interactions between a large language model and a VQA model trained on synthetic data to reason and derive logical answers for human-written questions. We tested the effectiveness of CoQAH on two types of human-written VQA datasets for 3D-rendered and chest X-ray images and found that it achieved state-of-the-art accuracy in both types of data. Notably, CoQAH outperformed general vision-language models, VQA models, and medical foundation models with no finetuning.

cs.CL↗

arXiv2023

Fast and accurate sparse-view CBCT reconstruction using meta-learned neural attenuation field and hash-encoding regularization

Cone beam computed tomography (CBCT) is an emerging medical imaging technique to visualize the internal anatomical structures of patients. During a CBCT scan, several projection images of different angles or views are collectively utilized to reconstruct a tomographic image. However, reducing the number of projections in a CBCT scan while preserving the quality of a reconstructed image is challenging due to the nature of an ill-posed inverse problem. Recently, a neural attenuation field (NAF) method was proposed by adopting a neural radiance field algorithm as a new way for CBCT reconstruction, demonstrating fast and promising results using only 50 views. However, decreasing the number of projections is still preferable to reduce potential radiation exposure, and a faster reconstruction time is required considering a typical scan time. In this work, we propose a fast and accurate sparse-view CBCT reconstruction (FACT) method to provide better reconstruction quality and faster optimization speed in the minimal number of view acquisitions ($<$ 50 views). In the FACT method, we meta-trained a neural network and a hash-encoder using a few scans (= 15), and a new regularization technique is utilized to reconstruct the details of an anatomical structure. In conclusion, we have shown that the FACT method produced better, and faster reconstruction results over the other conventional algorithms based on CBCT scans of different body parts (chest, head, and abdomen) and CT vendors (Siemens, Phillips, and GE).

eess.IV↗

arXiv2023

Partial identification and unmeasured confounding with multiple treatments and multiple outcomes

Estimating the health effects of multiple air pollutants is a crucial problem in public health, but one that is difficult due to unmeasured confounding bias. Motivated by this issue, we develop a framework for partial identification of causal effects in the presence of unmeasured confounding in settings with multiple treatments and multiple outcomes. Under a factor confounding assumption, we show that joint partial identification regions for multiple estimands can be more informative than considering partial identification for individual estimands one at a time. We show how assumptions related to the strength of confounding or magnitude of plausible effect sizes for one estimand can reduce the partial identification regions for other estimands. As a special case of this result, we explore how negative control assumptions reduce partial identification regions and discuss conditions under which point identification can be obtained. We develop novel computational approaches to finding partial identification regions under a variety of these assumptions. We then estimate the causal effect of PM$_{2.5}$ components on a variety of public health outcomes in the United States Medicare cohort, where we find that the detrimental effect of certain air pollutants are robust to the potential presence of unmeasured confounding bias.

stat.ME↗

arXiv2023

A spatial interference approach to account for mobility in air pollution studies with multivariate continuous treatments

We develop new methodology to improve our understanding of the causal effects of multivariate air pollution exposures on public health accounting for mobility. Typically, in environmental health studies, exposure to air pollution for an individual is assigned based on their residential address, though many people spend time in different regions with potentially different levels of air pollution. To account for this, we incorporate estimates of the mobility of individuals from cell phone mobility data to obtain a more accurate estimate of their air pollution exposure. We treat this as an interference problem, where individuals in one geographic region can be affected by exposures in other regions due to mobility into those areas. We propose policy-relevant estimands and derive expressions showing the extent of bias one would obtain by ignoring individuals' mobility. We additionally highlight the benefits of the proposed interference framework relative to a measurement error framework to account for mobility. Utilizing flexible Bayesian methodology we develop novel estimation strategies to estimate causal effects that account for this spatial spillover. Lastly, we use the proposed methodology to study the health effects of ambient air pollution on mortality among Medicare enrollees in the United States

stat.ME↗

arXiv2021

Improved inference for doubly robust estimators of heterogeneous treatment effects

We propose a doubly robust approach to characterizing treatment effect heterogeneity in observational studies. We develop a frequentist inferential procedure that utilizes posterior distributions for both the propensity score and outcome regression models to provide valid inference on the conditional average treatment effect even when high-dimensional or nonparametric models are used. We show that our approach leads to conservative inference in finite samples or under model misspecification, and provides a consistent variance estimator when both models are correctly specified. In simulations, we illustrate the utility of these results in difficult settings such as high-dimensional covariate spaces or highly flexible models for the propensity score and outcome regression. Lastly, we analyze environmental exposure data from NHANES to identify how the effects of these exposures vary by subject-level characteristics.

stat.ME↗