arXiv subjects

Hong Yu

Publications and source records attributed to Hong Yu.

At least 109 records · Page 6Linked to original sources

arXiv2022

Associations Between Natural Language Processing (NLP) Enriched Social Determinants of Health and Suicide Death among US Veterans

Importance: Social determinants of health (SDOH) are known to be associated with increased risk of suicidal behaviors, but few studies utilized SDOH from unstructured electronic health record (EHR) notes. Objective: To investigate associations between suicide and recent SDOH, identified using structured and unstructured data. Design: Nested case-control study. Setting: EHR data from the US Veterans Health Administration (VHA). Participants: 6,122,785 Veterans who received care in the US VHA between October 1, 2010, and September 30, 2015. Exposures: Occurrence of SDOH over a maximum span of two years compared with no occurrence of SDOH. Main Outcomes and Measures: Cases of suicide deaths were matched with 4 controls on birth year, cohort entry date, sex, and duration of follow-up. We developed an NLP system to extract SDOH from unstructured notes. Structured data, NLP on unstructured data, and combining them yielded six, eight and nine SDOH respectively. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were estimated using conditional logistic regression. Results: In our cohort, 8,821 Veterans committed suicide during 23,725,382 person-years of follow-up (incidence rate 37.18/100,000 person-years). Our cohort was mostly male (92.23%) and white (76.99%). Across the five common SDOH as covariates, NLP-extracted SDOH, on average, covered 80.03% of all SDOH occurrences. All SDOH, measured by structured data and NLP, were significantly associated with increased risk of suicide. The SDOH with the largest effects was legal problems (aOR=2.66, 95% CI=.46-2.89), followed by violence (aOR=2.12, 95% CI=1.98-2.27). NLP-extracted and structured SDOH were also associated with suicide. Conclusions and Relevance: NLP-extracted SDOH were always significantly associated with increased risk of suicide among Veterans, suggesting the potential of NLP in public health studies.

cs.CL↗

arXiv2022

Enhancing the prediction of disease outcomes using electronic health records and pretrained deep learning models

Question: Can an encoder-decoder architecture pretrained on a large dataset of longitudinal electronic health records improves patient outcome predictions? Findings: In this prognostic study of 6.8 million patients, our denoising sequence-to-sequence prediction model of multiple outcomes outperformed state-of-the-art models scuh pretrained BERT on a broad range of patient outcomes, including intentional self-harm and pancreatic cancer. Meaning: Deep bidirectional and autoregressive representation improves patient outcome prediction.

cs.AI↗

arXiv2022

Multi-label Few-shot ICD Coding as Autoregressive Generation with Prompt

Automatic International Classification of Diseases (ICD) coding aims to assign multiple ICD codes to a medical note with an average of 3,000+ tokens. This task is challenging due to the high-dimensional space of multi-label assignment (155,000+ ICD code candidates) and the long-tail challenge - Many ICD codes are infrequently assigned yet infrequent ICD codes are important clinically. This study addresses the long-tail challenge by transforming this multi-label classification task into an autoregressive generation task. Specifically, we first introduce a novel pretraining objective to generate free text diagnoses and procedure using the SOAP structure, the medical logic physicians use for note documentation. Second, instead of directly predicting the high dimensional space of ICD codes, our model generates the lower dimension of text descriptions, which then infer ICD codes. Third, we designed a novel prompt template for multi-label classification. We evaluate our Generation with Prompt model with the benchmark of all code assignment (MIMIC-III-full) and few shot ICD code assignment evaluation benchmark (MIMIC-III-few). Experiments on MIMIC-III-few show that our model performs with a marco F1 30.2, which substantially outperforms the previous MIMIC-III-full SOTA model (marco F1 4.3) and the model specifically designed for few/zero shot setting (marco F1 18.7). Finally, we design a novel ensemble learner, a cross attention reranker with prompts, to integrate previous SOTA and our best few-shot coding predictions. Experiments on MIMIC-III-full show that our ensemble learner substantially improves both macro and micro F1, from 10.4 to 14.6 and from 58.2 to 59.1, respectively.

cs.CL↗

arXiv2022

An Automatic SOAP Classification System Using Weakly Supervision And Transfer Learning

In this paper, we introduce a comprehensive framework for developing a machine learning-based SOAP (Subjective, Objective, Assessment, and Plan) classification system without manually SOAP annotated training data or with less manually SOAP annotated training data. The system is composed of the following two parts: 1) Data construction, 2) A neural network-based SOAP classifier, and 3) Transfer learning framework. In data construction, since a manual construction of a large size training dataset is expensive, we propose a rule-based weak labeling method utilizing the structured information of an EHR note. Then, we present a SOAP classifier composed of a pre-trained language model and bi-directional long-short term memory with conditional random field (Bi-LSTM-CRF). Finally, we propose a transfer learning framework that re-uses the trained parameters of the SOAP classifier trained with the weakly labeled dataset for datasets collected from another hospital. The proposed weakly label-based learning model successfully performed SOAP classification (89.99 F1-score) on the notes collected from the target hospital. Otherwise, in the notes collected from other hospitals and departments, the performance dramatically decreased. Meanwhile, we verified that the transfer learning framework is advantageous for inter-hospital adaptation of the model increasing the models' performance in every cases. In particular, the transfer learning approach was more efficient when the manually annotated data size was smaller. We showed that SOAP classification models trained with our weakly labeling algorithm can perform SOAP classification without manually annotated data on the EHR notes from the same hospital. The transfer learning framework helps SOAP classification model's inter-hospital migration with a minimal size of the manually annotated dataset.

cs.CL↗

arXiv2022

Extracting Biomedical Factual Knowledge Using Pretrained Language Model and Electronic Health Record Context

Language Models (LMs) have performed well on biomedical natural language processing applications. In this study, we conducted some experiments to use prompt methods to extract knowledge from LMs as new knowledge Bases (LMs as KBs). However, prompting can only be used as a low bound for knowledge extraction, and perform particularly poorly on biomedical domain KBs. In order to make LMs as KBs more in line with the actual application scenarios of the biomedical domain, we specifically add EHR notes as context to the prompt to improve the low bound in the biomedical domain. We design and validate a series of experiments for our Dynamic-Context-BioLAMA task. Our experiments show that the knowledge possessed by those language models can distinguish the correct knowledge from the noise knowledge in the EHR notes, and such distinguishing ability can also be used as a new metric to evaluate the amount of knowledge possessed by the model.

cs.IR↗

arXiv2022

Knowledge Injected Prompt Based Fine-tuning for Multi-label Few-shot ICD Coding

Automatic International Classification of Diseases (ICD) coding aims to assign multiple ICD codes to a medical note with average length of 3,000+ tokens. This task is challenging due to a high-dimensional space of multi-label assignment (tens of thousands of ICD codes) and the long-tail challenge: only a few codes (common diseases) are frequently assigned while most codes (rare diseases) are infrequently assigned. This study addresses the long-tail challenge by adapting a prompt-based fine-tuning technique with label semantics, which has been shown to be effective under few-shot setting. To further enhance the performance in medical domain, we propose a knowledge-enhanced longformer by injecting three domain-specific knowledge: hierarchy, synonym, and abbreviation with additional pretraining using contrastive learning. Experiments on MIMIC-III-full, a benchmark dataset of code assignment, show that our proposed method outperforms previous state-of-the-art method in 14.5% in marco F1 (from 10.3 to 11.8, P<0.001). To further test our model on few-shot setting, we created a new rare diseases coding dataset, MIMIC-III-rare50, on which our model improves marco F1 from 17.1 to 30.4 and micro F1 from 17.2 to 32.6 compared to previous method.

cs.CL↗

arXiv2022

MedJEx: A Medical Jargon Extraction Model with Wiki's Hyperlink Span and Contextualized Masked Language Model Score

This paper proposes a new natural language processing (NLP) application for identifying medical jargon terms potentially difficult for patients to comprehend from electronic health record (EHR) notes. We first present a novel and publicly available dataset with expert-annotated medical jargon terms from 18K+ EHR note sentences ($MedJ$). Then, we introduce a novel medical jargon extraction ($MedJEx$) model which has been shown to outperform existing state-of-the-art NLP models. First, MedJEx improved the overall performance when it was trained on an auxiliary Wikipedia hyperlink span dataset, where hyperlink spans provide additional Wikipedia articles to explain the spans (or terms), and then fine-tuned on the annotated MedJ data. Secondly, we found that a contextualized masked language model score was beneficial for detecting domain-specific unfamiliar jargon terms. Moreover, our results show that training on the auxiliary Wikipedia hyperlink span datasets improved six out of eight biomedical named entity recognition benchmark datasets. Both MedJ and MedJEx are publicly available.

cs.CL↗

arXiv2022

Advanced Conditional Variational Autoencoders (A-CVAE): Towards interpreting open-domain conversation generation via disentangling latent feature representation

Currently end-to-end deep learning based open-domain dialogue systems remain black box models, making it easy to generate irrelevant contents with data-driven models. Specifically, latent variables are highly entangled with different semantics in the latent space due to the lack of priori knowledge to guide the training. To address this problem, this paper proposes to harness the generative model with a priori knowledge through a cognitive approach involving mesoscopic scale feature disentanglement. Particularly, the model integrates the macro-level guided-category knowledge and micro-level open-domain dialogue data for the training, leveraging the priori knowledge into the latent space, which enables the model to disentangle the latent variables within the mesoscopic scale. Besides, we propose a new metric for open-domain dialogues, which can objectively evaluate the interpretability of the latent space distribution. Finally, we validate our model on different datasets and experimentally demonstrate that our model is able to generate higher quality and more interpretable dialogues than other models.

cs.CL↗

arXiv2022

Hyperspectral image reconstruction for spectral camera based on ghost imaging via sparsity constraints using V-DUnet

Spectral camera based on ghost imaging via sparsity constraints (GISC spectral camera) obtains three-dimensional (3D) hyperspectral information with two-dimensional (2D) compressive measurements in a single shot, which has attracted much attention in recent years. However, its imaging quality and real-time performance of reconstruction still need to be further improved. Recently, deep learning has shown great potential in improving the reconstruction quality and reconstruction speed for computational imaging. When applying deep learning into GISC spectral camera, there are several challenges need to be solved: 1) how to deal with the large amount of 3D hyperspectral data, 2) how to reduce the influence caused by the uncertainty of the random reference measurements, 3) how to improve the reconstructed image quality as far as possible. In this paper, we present an end-to-end V-DUnet for the reconstruction of 3D hyperspectral data in GISC spectral camera. To reduce the influence caused by the uncertainty of the measurement matrix and enhance the reconstructed image quality, both differential ghost imaging results and the detected measurements are sent into the network's inputs. Compared with compressive sensing algorithm, such as PICHCS and TwIST, it not only significantly improves the imaging quality with high noise immunity, but also speeds up the reconstruction time by more than two orders of magnitude.

eess.IV↗

arXiv2022

Label-enhanced Prototypical Network with Contrastive Learning for Multi-label Few-shot Aspect Category Detection

Multi-label aspect category detection allows a given review sentence to contain multiple aspect categories, which is shown to be more practical in sentiment analysis and attracting increasing attention. As annotating large amounts of data is time-consuming and labor-intensive, data scarcity occurs frequently in real-world scenarios, which motivates multi-label few-shot aspect category detection. However, research on this problem is still in infancy and few methods are available. In this paper, we propose a novel label-enhanced prototypical network (LPN) for multi-label few-shot aspect category detection. The highlights of LPN can be summarized as follows. First, it leverages label description as auxiliary knowledge to learn more discriminative prototypes, which can retain aspect-relevant information while eliminating the harmful effect caused by irrelevant aspects. Second, it integrates with contrastive learning, which encourages that the sentences with the same aspect label are pulled together in embedding space while simultaneously pushing apart the sentences with different aspect labels. In addition, it introduces an adaptive multi-label inference module to predict the aspect count in the sentence, which is simple yet effective. Extensive experimental results on three datasets demonstrate that our proposed model LPN can consistently achieve state-of-the-art performance.

cs.CL↗

arXiv2022

A Simple Meta-learning Paradigm for Zero-shot Intent Classification with Mixture Attention Mechanism

Zero-shot intent classification is a vital and challenging task in dialogue systems, which aims to deal with numerous fast-emerging unacquainted intents without annotated training data. To obtain more satisfactory performance, the crucial points lie in two aspects: extracting better utterance features and strengthening the model generalization ability. In this paper, we propose a simple yet effective meta-learning paradigm for zero-shot intent classification. To learn better semantic representations for utterances, we introduce a new mixture attention mechanism, which encodes the pertinent word occurrence patterns by leveraging the distributional signature attention and multi-layer perceptron attention simultaneously. To strengthen the transfer ability of the model from seen classes to unseen classes, we reformulate zero-shot intent classification with a meta-learning strategy, which trains the model by simulating multiple zero-shot classification tasks on seen categories, and promotes the model generalization ability with a meta-adapting procedure on mimic unseen categories. Extensive experiments on two real-world dialogue datasets in different languages show that our model outperforms other strong baselines on both standard and generalized zero-shot intent classification tasks.

cs.CL↗

arXiv2022

Learning as Conversation: Dialogue Systems Reinforced for Information Acquisition

We propose novel AI-empowered chat bots for learning as conversation where a user does not read a passage but gains information and knowledge through conversation with a teacher bot. Our information-acquisition-oriented dialogue system employs a novel adaptation of reinforced self-play so that the system can be transferred to various domains without in-domain dialogue data, and can carry out conversations both informative and attentive to users. Our extensive subjective and objective evaluations on three large public data corpora demonstrate the effectiveness of our system to deliver knowledge-intensive and attentive conversations and help end users substantially gain knowledge without reading passages. Our code and datasets are publicly available for follow-up research.

cs.CL↗

arXiv2022

TransBTSV2: Towards Better and More Efficient Volumetric Segmentation of Medical Images

Transformer, benefiting from global (long-range) information modeling using self-attention mechanism, has been successful in natural language processing and computer vision recently. Convolutional Neural Networks, capable of capturing local features, are difficult to model explicit long-distance dependencies from global feature space. However, both local and global features are crucial for dense prediction tasks, especially for 3D medical image segmentation. In this paper, we present the further attempt to exploit Transformer in 3D CNN for 3D medical image volumetric segmentation and propose a novel network named TransBTSV2 based on the encoder-decoder structure. Different from TransBTS, the proposed TransBTSV2 is not limited to brain tumor segmentation (BTS) but focuses on general medical image segmentation, providing a stronger and more efficient 3D baseline for volumetric segmentation of medical images. As a hybrid CNN-Transformer architecture, TransBTSV2 can achieve accurate segmentation of medical images without any pre-training, possessing the strong inductive bias as CNNs and powerful global context modeling ability as Transformer. With the proposed insight to redesign the internal structure of Transformer block and the introduced Deformable Bottleneck Module to capture shape-aware local details, a highly efficient architecture is achieved with superior performance. Extensive experimental results on four medical image datasets (BraTS 2019, BraTS 2020, LiTS 2017 and KiTS 2019) demonstrate that TransBTSV2 achieves comparable or better results compared to the state-of-the-art methods for the segmentation of brain tumor, liver tumor as well as kidney tumor. Code will be publicly available at https://github.com/Wenxuan-1119/TransBTS.

eess.IV↗

arXiv2022

ScAN: Suicide Attempt and Ideation Events Dataset

Suicide is an important public health concern and one of the leading causes of death worldwide. Suicidal behaviors, including suicide attempts (SA) and suicide ideations (SI), are leading risk factors for death by suicide. Information related to patients' previous and current SA and SI are frequently documented in the electronic health record (EHR) notes. Accurate detection of such documentation may help improve surveillance and predictions of patients' suicidal behaviors and alert medical professionals for suicide prevention efforts. In this study, we first built Suicide Attempt and Ideation Events (ScAN) dataset, a subset of the publicly available MIMIC III dataset spanning over 12k+ EHR notes with 19k+ annotated SA and SI events information. The annotations also contain attributes such as method of suicide attempt. We also provide a strong baseline model ScANER (Suicide Attempt and Ideation Events Retriever), a multi-task RoBERTa-based model with a retrieval module to extract all the relevant suicidal behavioral evidences from EHR notes of an hospital-stay and, and a prediction module to identify the type of suicidal behavior (SA and SI) concluded during the patient's stay at the hospital. ScANER achieved a macro-weighted F1-score of 0.83 for identifying suicidal behavioral evidences and a macro F1-score of 0.78 and 0.60 for classification of SA and SI for the patient's hospital-stay, respectively. ScAN and ScANER are publicly available.

cs.LG↗

arXiv2022

Caption Feature Space Regularization for Audio Captioning

Audio captioning aims at describing the content of audio clips with human language. Due to the ambiguity of audio, different people may perceive the same audio differently, resulting in caption disparities (i.e., one audio may correlate to several captions with diverse semantics). For that, general audio captioning models achieve the one-to-many training by randomly selecting a correlated caption as the ground truth for each audio. However, it leads to a significant variation in the optimization directions and weakens the model stability. To eliminate this negative effect, in this paper, we propose a two-stage framework for audio captioning: (i) in the first stage, via the contrastive learning, we construct a proxy feature space to reduce the distances between captions correlated to the same audio, and (ii) in the second stage, the proxy feature space is utilized as additional supervision to encourage the model to be optimized in the direction that benefits all the correlated captions. We conducted extensive experiments on two datasets using four commonly used encoder and decoder architectures. Experimental results demonstrate the effectiveness of the proposed method. The code is available at https://github.com/PRIS-CV/Caption-Feature-Space-Regularization.

cs.SD↗

arXiv2022

Attention guided global enhancement and local refinement network for semantic segmentation

The encoder-decoder architecture is widely used as a lightweight semantic segmentation network. However, it struggles with a limited performance compared to a well-designed Dilated-FCN model for two major problems. First, commonly used upsampling methods in the decoder such as interpolation and deconvolution suffer from a local receptive field, unable to encode global contexts. Second, low-level features may bring noises to the network decoder through skip connections for the inadequacy of semantic concepts in early encoder layers. To tackle these challenges, a Global Enhancement Method is proposed to aggregate global information from high-level feature maps and adaptively distribute them to different decoder layers, alleviating the shortage of global contexts in the upsampling process. Besides, a Local Refinement Module is developed by utilizing the decoder features as the semantic guidance to refine the noisy encoder features before the fusion of these two (the decoder features and the encoder features). Then, the two methods are integrated into a Context Fusion Block, and based on that, a novel Attention guided Global enhancement and Local refinement Network (AGLN) is elaborately designed. Extensive experiments on PASCAL Context, ADE20K, and PASCAL VOC 2012 datasets have demonstrated the effectiveness of the proposed approach. In particular, with a vanilla ResNet-101 backbone, AGLN achieves the state-of-the-art result (56.23% mean IoU) on the PASCAL Context dataset. The code is available at https://github.com/zhasen1996/AGLN.

cs.CV↗

arXiv2022

Category Guided Attention Network for Brain Tumor Segmentation in MRI

Objective: Magnetic resonance imaging (MRI) has been widely used for the analysis and diagnosis of brain diseases. Accurate and automatic brain tumor segmentation is of paramount importance for radiation treatment. However, low tissue contrast in tumor regions makes it a challenging task.Approach: We propose a novel segmentation network named Category Guided Attention U-Net (CGA U-Net). In this model, we design a Supervised Attention Module (SAM) based on the attention mechanism, which can capture more accurate and stable long-range dependency in feature maps without introducing much computational cost. Moreover, we propose an intra-class update approach to reconstruct feature maps by aggregating pixels of the same category. Main results: Experimental results on the BraTS 2019 datasets show that the proposed method outperformers the state-of-the-art algorithms in both segmentation performance and computational complexity. Significance: The CGA U-Net can effectively capture the global semantic information in the MRI image by using the SAM module, while significantly reducing the computational cost. Code is available at https://github.com/delugewalker/CGA-U-Net.

eess.IV↗

arXiv2021

TransBTS: Multimodal Brain Tumor Segmentation Using Transformer

Transformer, which can benefit from global (long-range) information modeling using self-attention mechanisms, has been successful in natural language processing and 2D image classification recently. However, both local and global features are crucial for dense prediction tasks, especially for 3D medical image segmentation. In this paper, we for the first time exploit Transformer in 3D CNN for MRI Brain Tumor Segmentation and propose a novel network named TransBTS based on the encoder-decoder structure. To capture the local 3D context information, the encoder first utilizes 3D CNN to extract the volumetric spatial feature maps. Meanwhile, the feature maps are reformed elaborately for tokens that are fed into Transformer for global feature modeling. The decoder leverages the features embedded by Transformer and performs progressive upsampling to predict the detailed segmentation map. Extensive experimental results on both BraTS 2019 and 2020 datasets show that TransBTS achieves comparable or higher results than previous state-of-the-art 3D methods for brain tumor segmentation on 3D MRI scans. The source code is available at https://github.com/Wenxuan-1119/TransBTS

cs.CV↗