arXiv subjects

Jiaying Lu

Publications and source records attributed to Jiaying Lu.

At least 37 records · Page 2Linked to original sources

arXiv2025

Towards Synthesizing Normative Data for Cognitive Assessments Using Generative Multimodal Large Language Models

Cognitive assessments require normative data as essential benchmarks for evaluating individual performance. Hence, developing new cognitive tests based on novel image stimuli is challenging due to the lack of readily available normative data. Traditional data collection methods are costly, time-consuming, and infrequently updated, limiting their practical utility. Recent advancements in generative multimodal large language models (MLLMs) offer a new approach to generate synthetic normative data from existing cognitive test images. We investigated the feasibility of using MLLMs, specifically GPT-4o and GPT-4o-mini, to synthesize normative textual responses for established image-based cognitive assessments, such as the "Cookie Theft" picture description task. Two distinct prompting strategies-naive prompts with basic instructions and advanced prompts enriched with contextual guidance-were evaluated. Responses were analyzed using embeddings to assess their capacity to distinguish diagnostic groups and demographic variations. Performance metrics included BLEU, ROUGE, BERTScore, and an LLM-as-a-judge evaluation. Advanced prompting strategies produced synthetic responses that more effectively distinguished between diagnostic groups and captured demographic diversity compared to naive prompts. Superior models generated responses exhibiting higher realism and diversity. BERTScore emerged as the most reliable metric for contextual similarity assessment, while BLEU was less effective for evaluating creative outputs. The LLM-as-a-judge approach provided promising preliminary validation results. Our study demonstrates that generative multimodal LLMs, guided by refined prompting methods, can feasibly generate robust synthetic normative data for existing cognitive tests, thereby laying the groundwork for developing novel image-based cognitive assessments without the traditional limitations.

cs.LG↗

arXiv2025

HypKG: Hypergraph-based Knowledge Graph Contextualization for Precision Healthcare

Knowledge graphs (KGs) are important products of the semantic web, which are widely used in various application domains. Healthcare is one of such domains where KGs are intensively used, due to the high requirement for knowledge accuracy and interconnected nature of healthcare data. However, KGs storing general factual information often lack the ability to account for important contexts of the knowledge such as the status of specific patients, which are crucial in precision healthcare. Meanwhile, electronic health records (EHRs) provide rich personal data, including various diagnoses and medications, which provide natural contexts for general KGs. In this paper, we propose HypKG, a framework that integrates patient information from EHRs into KGs to generate contextualized knowledge representations for accurate healthcare predictions. Using advanced entity-linking techniques, we connect relevant knowledge from general KGs with patient information from EHRs, and then utilize a hypergraph model to "contextualize" the knowledge with the patient information. Finally, we employ hypergraph transformers guided by downstream prediction tasks to jointly learn proper contextualized representations for both KGs and patients, fully leveraging existing knowledge in KGs and patient contexts in EHRs. In experiments using a large biomedical KG and two real-world EHR datasets, HypKG demonstrates significant improvements in healthcare prediction tasks across multiple evaluation metrics. Additionally, by integrating external contexts, HypKG can learn to adjust the representations of entities and relations in KG, potentially improving the quality and real-world utility of knowledge.

cs.AI↗

arXiv2025

Measuring Spiritual Values and Bias of Large Language Models

Large language models (LLMs) have become integral tool for users from various backgrounds. LLMs, trained on vast corpora, reflect the linguistic and cultural nuances embedded in their pre-training data. However, the values and perspectives inherent in this data can influence the behavior of LLMs, leading to potential biases. As a result, the use of LLMs in contexts involving spiritual or moral values necessitates careful consideration of these underlying biases. Our work starts with verification of our hypothesis by testing the spiritual values of popular LLMs. Experimental results show that LLMs' spiritual values are quite diverse, as opposed to the stereotype of atheists or secularists. We then investigate how different spiritual values affect LLMs in social-fairness scenarios e.g., hate speech identification). Our findings reveal that different spiritual values indeed lead to different sensitivity to different hate target groups. Furthermore, we propose to continue pre-training LLMs on spiritual texts, and empirical results demonstrate the effectiveness of this approach in mitigating spiritual bias.

cs.CL↗

arXiv2025

KERAP: A Knowledge-Enhanced Reasoning Approach for Accurate Zero-shot Diagnosis Prediction Using Multi-agent LLMs

Medical diagnosis prediction plays a critical role in disease detection and personalized healthcare. While machine learning (ML) models have been widely adopted for this task, their reliance on supervised training limits their ability to generalize to unseen cases, particularly given the high cost of acquiring large, labeled datasets. Large language models (LLMs) have shown promise in leveraging language abilities and biomedical knowledge for diagnosis prediction. However, they often suffer from hallucinations, lack structured medical reasoning, and produce useless outputs. To address these challenges, we propose KERAP, a knowledge graph (KG)-enhanced reasoning approach that improves LLM-based diagnosis prediction through a multi-agent architecture. Our framework consists of a linkage agent for attribute mapping, a retrieval agent for structured knowledge extraction, and a prediction agent that iteratively refines diagnosis predictions. Experimental results demonstrate that KERAP enhances diagnostic reliability efficiently, offering a scalable and interpretable solution for zero-shot medical diagnosis prediction.

cs.AI↗

arXiv2025

Early Risk Prediction of Pediatric Cardiac Arrest from Electronic Health Records via Multimodal Fused Transformer

Early prediction of pediatric cardiac arrest (CA) is critical for timely intervention in high-risk intensive care settings. We introduce PedCA-FT, a novel transformer-based framework that fuses tabular view of EHR with the derived textual view of EHR to fully unleash the interactions of high-dimensional risk factors and their dynamics. By employing dedicated transformer modules for each modality view, PedCA-FT captures complex temporal and contextual patterns to produce robust CA risk estimates. Evaluated on a curated pediatric cohort from the CHOA-CICU database, our approach outperforms ten other artificial intelligence models across five key performance metrics and identifies clinically meaningful risk factors. These findings underscore the potential of multimodal fusion techniques to enhance early CA detection and improve patient care.

cs.LG↗

arXiv2025

Large Language Model Empowered Privacy-Protected Framework for PHI Annotation in Clinical Notes

The de-identification of private information in medical data is a crucial process to mitigate the risk of confidentiality breaches, particularly when patient personal details are not adequately removed before the release of medical records. Although rule-based and learning-based methods have been proposed, they often struggle with limited generalizability and require substantial amounts of annotated data for effective performance. Recent advancements in large language models (LLMs) have shown significant promise in addressing these issues due to their superior language comprehension capabilities. However, LLMs present challenges, including potential privacy risks when using commercial LLM APIs and high computational costs for deploying open-source LLMs locally. In this work, we introduce LPPA, an LLM-empowered Privacy-Protected PHI Annotation framework for clinical notes, targeting the English language. By fine-tuning LLMs locally with synthetic notes, LPPA ensures strong privacy protection and high PHI annotation accuracy. Extensive experiments demonstrate LPPA's effectiveness in accurately de-identifying private information, offering a scalable and efficient solution for enhancing patient privacy protection.

cs.CR↗

arXiv2025

Continuous Cardiac Arrest Prediction in ICU using PPG Foundation Model

Non-invasive patient monitoring for tracking and predicting adverse acute health events is an emerging area of research. We pursue in-hospital cardiac arrest (IHCA) prediction using only single-channel finger photoplethysmography (PPG) signals. Our proposed two-stage model Feature Extractor-Aggregator Network (FEAN) leverages powerful representations from pre-trained PPG foundation models (PPG-GPT of size up to 1 Billion) stacked with sequential classification models. We propose two FEAN variants ("1H", "FH") which use the latest one-hour and (max) 24-hour history to make decisions respectively. Our study is the first to present IHCA prediction results in ICU patients using only unimodal (continuous PPG signal) waveform deep representations. With our best model, we obtain an average of 0.79 AUROC over 24~h prediction window before CA event onset with our model peaking performance at 0.82 one hour before CA. We also provide a comprehensive analysis of our model through architectural tuning and PaCMAP visualization of patient health trajectory in latent space.

cs.LG↗

arXiv2025

A Review on Knowledge Graphs for Healthcare: Resources, Applications, and Promises

This comprehensive review aims to provide an overview of the current state of Healthcare Knowledge Graphs (HKGs), including their construction, utilization models, and applications across various healthcare and biomedical research domains. We thoroughly analyzed existing literature on HKGs, covering their construction methodologies, utilization techniques, and applications in basic science research, pharmaceutical research and development, clinical decision support, and public health. The review encompasses both model-free and model-based utilization approaches and the integration of HKGs with large language models (LLMs). We searched Google Scholar for relevant papers on HKGs and classified them into the following topics: HKG construction, HKG utilization, and their downstream applications in various domains. We also discussed their special challenges and the promise for future work. The review highlights the potential of HKGs to significantly impact biomedical research and clinical practice by integrating vast amounts of biomedical knowledge from multiple domains. The synergy between HKGs and LLMs offers promising opportunities for constructing more comprehensive knowledge graphs and improving the accuracy of healthcare applications. HKGs have emerged as a powerful tool for structuring medical knowledge, with broad applications across biomedical research, clinical decision-making, and public health. This survey serves as a roadmap for future research and development in the field of HKGs, highlighting the potential of combining knowledge graphs with advanced machine learning models for healthcare transformation.

cs.AI↗

arXiv2025

Dynamic Token Reduction during Generation for Vision Language Models

Vision-Language Models (VLMs) have achieved notable success in multimodal tasks but face practical limitations due to the quadratic complexity of decoder attention mechanisms and autoregressive generation. Existing methods like FASTV and VTW have achieved notable results in reducing redundant visual tokens, but these approaches focus on pruning tokens in a single forward pass without systematically analyzing the redundancy of visual tokens throughout the entire generation process. In this paper, we introduce a dynamic pruning strategy tailored for VLMs, namedDynamic Rate (DyRate), which progressively adjusts the compression rate during generation. Our analysis of the distribution of attention reveals that the importance of visual tokens decreases throughout the generation process, inspiring us to adopt a more aggressive compression rate. By integrating a lightweight predictor based on attention distribution, our approach enables flexible adjustment of pruning rates based on the attention distribution. Our experimental results demonstrate that our method not only reduces computational demands but also maintains the quality of responses.

cs.CV↗

arXiv2025

Mining Social Determinants of Health for Heart Failure Patient 30-Day Readmission via Large Language Model

Heart Failure (HF) affects millions of Americans and leads to high readmission rates, posing significant healthcare challenges. While Social Determinants of Health (SDOH) such as socioeconomic status and housing stability play critical roles in health outcomes, they are often underrepresented in structured EHRs and hidden in unstructured clinical notes. This study leverages advanced large language models (LLMs) to extract SDOHs from clinical text and uses logistic regression to analyze their association with HF readmissions. By identifying key SDOHs (e.g. tobacco usage, limited transportation) linked to readmission risk, this work also offers actionable insights for reducing readmissions and improving patient care.

cs.LG↗

arXiv2024

Beyond Efficiency: A Systematic Survey of Resource-Efficient Large Language Models

The burgeoning field of Large Language Models (LLMs), exemplified by sophisticated models like OpenAI's ChatGPT, represents a significant advancement in artificial intelligence. These models, however, bring forth substantial challenges in the high consumption of computational, memory, energy, and financial resources, especially in environments with limited resource capabilities. This survey aims to systematically address these challenges by reviewing a broad spectrum of techniques designed to enhance the resource efficiency of LLMs. We categorize methods based on their optimization focus: computational, memory, energy, financial, and network resources and their applicability across various stages of an LLM's lifecycle, including architecture design, pretraining, finetuning, and system design. Additionally, the survey introduces a nuanced categorization of resource efficiency techniques by their specific resource types, which uncovers the intricate relationships and mappings between various resources and corresponding optimization techniques. A standardized set of evaluation metrics and datasets is also presented to facilitate consistent and fair comparisons across different models and techniques. By offering a comprehensive overview of the current sota and identifying open research avenues, this survey serves as a foundational reference for researchers and practitioners, aiding them in developing more sustainable and efficient LLMs in a rapidly evolving landscape.

cs.LG↗

arXiv2024

Efficient Two-Stage Gaussian Process Regression Via Automatic Kernel Search and Subsampling

Gaussian Process Regression (GPR) is widely used in statistics and machine learning for prediction tasks requiring uncertainty measures. Its efficacy depends on the appropriate specification of the mean function, covariance kernel function, and associated hyperparameters. Severe misspecifications can lead to inaccurate results and problematic consequences, especially in safety-critical applications. However, a systematic approach to handle these misspecifications is lacking in the literature. In this work, we propose a general framework to address these issues. Firstly, we introduce a flexible two-stage GPR framework that separates mean prediction and uncertainty quantification (UQ) to prevent mean misspecification, which can introduce bias into the model. Secondly, kernel function misspecification is addressed through a novel automatic kernel search algorithm, supported by theoretical analysis, that selects the optimal kernel from a candidate set. Additionally, we propose a subsampling-based warm-start strategy for hyperparameter initialization to improve efficiency and avoid hyperparameter misspecification. With much lower computational cost, our subsampling-based strategy can yield competitive or better performance than training exclusively on the full dataset. Combining all these components, we recommend two GPR methods-exact and scalable-designed to match available computational resources and specific UQ requirements. Extensive evaluation on real-world datasets, including UCI benchmarks and a safety-critical medical case study, demonstrates the robustness and precision of our methods.

cs.LG↗

arXiv2024

PromptLink: Leveraging Large Language Models for Cross-Source Biomedical Concept Linking

Linking (aligning) biomedical concepts across diverse data sources enables various integrative analyses, but it is challenging due to the discrepancies in concept naming conventions. Various strategies have been developed to overcome this challenge, such as those based on string-matching rules, manually crafted thesauri, and machine learning models. However, these methods are constrained by limited prior biomedical knowledge and can hardly generalize beyond the limited amounts of rules, thesauri, or training samples. Recently, large language models (LLMs) have exhibited impressive results in diverse biomedical NLP tasks due to their unprecedentedly rich prior knowledge and strong zero-shot prediction abilities. However, LLMs suffer from issues including high costs, limited context length, and unreliable predictions. In this research, we propose PromptLink, a novel biomedical concept linking framework that leverages LLMs. It first employs a biomedical-specialized pre-trained language model to generate candidate concepts that can fit in the LLM context windows. Then it utilizes an LLM to link concepts through two-stage prompts, where the first-stage prompt aims to elicit the biomedical prior knowledge from the LLM for the concept linking task and the second-stage prompt enforces the LLM to reflect on its own predictions to further enhance their reliability. Empirical results on the concept linking task between two EHR datasets and an external biomedical KG demonstrate the effectiveness of PromptLink. Furthermore, PromptLink is a generic framework without reliance on additional prior knowledge, context, or training data, making it well-suited for concept linking across various types of data sources. The source code is available at https://github.com/constantjxyz/PromptLink.

cs.IR↗

arXiv2024

AgentCoord: Visually Exploring Coordination Strategy for LLM-based Multi-Agent Collaboration

The potential of automatic task-solving through Large Language Model (LLM)-based multi-agent collaboration has recently garnered widespread attention from both the research community and industry. While utilizing natural language to coordinate multiple agents presents a promising avenue for democratizing agent technology for general users, designing coordination strategies remains challenging with existing coordination frameworks. This difficulty stems from the inherent ambiguity of natural language for specifying the collaboration process and the significant cognitive effort required to extract crucial information (e.g. agent relationship, task dependency, result correspondence) from a vast amount of text-form content during exploration. In this work, we present a visual exploration framework to facilitate the design of coordination strategies in multi-agent collaboration. We first establish a structured representation for LLM-based multi-agent coordination strategy to regularize the ambiguity of natural language. Based on this structure, we devise a three-stage generation method that leverages LLMs to convert a user's general goal into an executable initial coordination strategy. Users can further intervene at any stage of the generation process, utilizing LLMs and a set of interactions to explore alternative strategies. Whenever a satisfactory strategy is identified, users can commence the collaboration and examine the visually enhanced execution result. We develop AgentCoord, a prototype interactive system, and conduct a formal user study to demonstrate the feasibility and effectiveness of our approach.

cs.HC↗

arXiv2024

Domain Specialization as the Key to Make Large Language Models Disruptive: A Comprehensive Survey

Large language models (LLMs) have significantly advanced the field of natural language processing (NLP), providing a highly useful, task-agnostic foundation for a wide range of applications. However, directly applying LLMs to solve sophisticated problems in specific domains meets many hurdles, caused by the heterogeneity of domain data, the sophistication of domain knowledge, the uniqueness of domain objectives, and the diversity of the constraints (e.g., various social norms, cultural conformity, religious beliefs, and ethical standards in the domain applications). Domain specification techniques are key to make large language models disruptive in many applications. Specifically, to solve these hurdles, there has been a notable increase in research and practices conducted in recent years on the domain specialization of LLMs. This emerging field of study, with its substantial potential for impact, necessitates a comprehensive and systematic review to better summarize and guide ongoing work in this area. In this article, we present a comprehensive survey on domain specification techniques for large language models, an emerging direction critical for large language model applications. First, we propose a systematic taxonomy that categorizes the LLM domain-specialization techniques based on the accessibility to LLMs and summarizes the framework for all the subcategories as well as their relations and differences to each other. Second, we present an extensive taxonomy of critical application domains that can benefit dramatically from specialized LLMs, discussing their practical significance and open challenges. Last, we offer our insights into the current research status and future trends in this area.

cs.CL↗

arXiv2024

AgentLens: Visual Analysis for Agent Behaviors in LLM-based Autonomous Systems

Recently, Large Language Model based Autonomous system(LLMAS) has gained great popularity for its potential to simulate complicated behaviors of human societies. One of its main challenges is to present and analyze the dynamic events evolution of LLMAS. In this work, we present a visualization approach to explore detailed statuses and agents' behavior within LLMAS. We propose a general pipeline that establishes a behavior structure from raw LLMAS execution events, leverages a behavior summarization algorithm to construct a hierarchical summary of the entire structure in terms of time sequence, and a cause trace method to mine the causal relationship between agent behaviors. We then develop AgentLens, a visual analysis system that leverages a hierarchical temporal visualization for illustrating the evolution of LLMAS, and supports users to interactively investigate details and causes of agents' behaviors. Two usage scenarios and a user study demonstrate the effectiveness and usability of our AgentLens.

cs.HC↗

arXiv2024

LogicPrpBank: A Corpus for Logical Implication and Equivalence

Logic reasoning has been critically needed in problem-solving and decision-making. Although Language Models (LMs) have demonstrated capabilities of handling multiple reasoning tasks (e.g., commonsense reasoning), their ability to reason complex mathematical problems, specifically propositional logic, remains largely underexplored. This lack of exploration can be attributed to the limited availability of annotated corpora. Here, we present a well-labeled propositional logic corpus, LogicPrpBank, containing 7093 Propositional Logic Statements (PLSs) across six mathematical subjects, to study a brand-new task of reasoning logical implication and equivalence. We benchmark LogicPrpBank with widely-used LMs to show that our corpus offers a useful resource for this challenging task and there is ample room for model improvement.

cs.CL↗

arXiv2024

Evaluation of General Large Language Models in Contextually Assessing Semantic Concepts Extracted from Adult Critical Care Electronic Health Record Notes

The field of healthcare has increasingly turned its focus towards Large Language Models (LLMs) due to their remarkable performance. However, their performance in actual clinical applications has been underexplored. Traditional evaluations based on question-answering tasks don't fully capture the nuanced contexts. This gap highlights the need for more in-depth and practical assessments of LLMs in real-world healthcare settings. Objective: We sought to evaluate the performance of LLMs in the complex clinical context of adult critical care medicine using systematic and comprehensible analytic methods, including clinician annotation and adjudication. Methods: We investigated the performance of three general LLMs in understanding and processing real-world clinical notes. Concepts from 150 clinical notes were identified by MetaMap and then labeled by 9 clinicians. Each LLM's proficiency was evaluated by identifying the temporality and negation of these concepts using different prompts for an in-depth analysis. Results: GPT-4 showed overall superior performance compared to other LLMs. In contrast, both GPT-3.5 and text-davinci-003 exhibit enhanced performance when the appropriate prompting strategies are employed. The GPT family models have demonstrated considerable efficiency, evidenced by their cost-effectiveness and time-saving capabilities. Conclusion: A comprehensive qualitative performance evaluation framework for LLMs is developed and operationalized. This framework goes beyond singular performance aspects. With expert annotations, this methodology not only validates LLMs' capabilities in processing complex medical data but also establishes a benchmark for future LLM evaluations across specialized domains.

cs.CL↗