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Lin-Lin Chen

Publications and source records attributed to Lin-Lin Chen.

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Adaptive Test-Time Scaling for Zero-Shot Respiratory Audio Classification

Automated respiratory audio analysis promises scalable, non-invasive disease screening, yet progress is limited by scarce labeled data and costly expert annotation. Zero-shot inference eliminates task-specific supervision, but existing methods apply uniform computation to every input regardless of difficulty. We introduce TRIAGE, a tiered zero-shot framework that adaptively scales test-time compute by routing each audio sample through progressively richer reasoning stages: fast label-cosine scoring in a joint audio-text embedding space (Tier-L), structured matching with clinician-style descriptors (Tier-M), and retrieval-augmented large language model reasoning (Tier-H). A confidence-based router finalizes easy predictions early while allocating additional computation to ambiguous inputs, enabling nearly half of all samples to exit at the cheapest tier. Across nine respiratory classification tasks without task-specific training, TRIAGE achieves a mean AUROC of 0.744, outperforming prior zero-shot methods and matching or exceeding supervised baselines on multiple tasks. Our analysis show that test-time scaling concentrates gains where they matter: uncertain cases see up to 19% relative improvement while confident predictions remain unchanged at minimal cost.

cs.SD

Language Models as Semantic Teachers: Post-Training Alignment for Medical Audio Understanding

Pre-trained audio models excel at detecting acoustic patterns in auscultation sounds but often fail to grasp their clinical significance, limiting their use and performance in diagnostic tasks. To bridge this gap, we introduce AcuLa (Audio-Clinical Understanding via Language Alignment), a lightweight post-training framework that instills semantic understanding into any audio encoder by aligning it with a medical language model, which acts as a "semantic teacher." To enable alignment at scale, we construct a large-scale dataset by leveraging off-the-shelf large language models to translate the rich, structured metadata accompanying existing audio recordings into coherent clinical reports. Our alignment strategy combines a representation-level contrastive objective with a self-supervised modeling, ensuring that the model learns clinical semantics while preserving fine-grained temporal cues. AcuLa achieves state-of-the-art results across 18 diverse cardio-respiratory tasks from 10 different datasets, improving the mean AUROC on classification benchmarks from 0.68 to 0.79 and, on the most challenging COVID-19 cough detection task, boosting the AUROC from 0.55 to 0.89. Our work demonstrates that this audio-language alignment transforms purely acoustic models into clinically-aware diagnostic tools, establishing a novel paradigm for enhancing physiological understanding in audio-based health monitoring.

cs.SD

Sensemaking Through Making: Developing Clinical Domain Knowledge by Crafting Synthetic Datasets and Prototyping System Architectures

Designers have ample opportunities to impact the healthcare domain. However, hospitals are often closed ecosystems that pose challenges in engaging clinical stakeholders, developing domain knowledge, and accessing relevant systems and data. In this paper, we introduce a making-oriented approach to help designers understand the intricacies of their target healthcare context. Using Remote Patient Monitoring (RPM) as a case study, we explore how manually crafting synthetic datasets based on real-world observations enables designers to learn about complex data-driven healthcare systems. Our process involves observing and modeling the real-world RPM context, crafting synthetic datasets, and iteratively prototyping a simplified RPM system that balances contextual richness and intentional abstraction. Through this iterative process of sensemaking through making, designers can still develop context familiarity when direct access to the actual healthcare system is limited. Our approach emphasizes the value of hands-on interaction with data structures to support designers in understanding opaque healthcare systems.

cs.HC

CaReAQA: A Cardiac and Respiratory Audio Question Answering Model for Open-Ended Diagnostic Reasoning

Medical audio signals, such as heart and lung sounds, play a crucial role in clinical diagnosis. However, analyzing these signals remains challenging: traditional methods rely on handcrafted features or supervised deep learning models that demand extensive labeled datasets, limiting their scalability and applicability. To address these issues, we propose CaReAQA, an audio-language model that integrates a foundation audio model with the reasoning capabilities of large language models, enabling clinically relevant, open-ended diagnostic responses. Alongside CaReAQA, we introduce CaReSound, a benchmark dataset of annotated medical audio recordings enriched with metadata and paired question-answer examples, intended to drive progress in diagnostic reasoning research. Evaluation results show that CaReAQA achieves 86.2% accuracy on open-ended diagnostic reasoning tasks, outperforming baseline models. It also generalizes well to closed-ended classification tasks, achieving an average accuracy of 56.9% on unseen datasets. Our findings show how audio-language integration and reasoning advances medical diagnostics, enabling efficient AI systems for clinical decision support.

cs.LG

Assembling the Puzzle: Exploring Collaboration and Data Sensemaking in Nursing Practices for Remote Patient Monitoring

Remote patient monitoring (RPM) involves the remote collection and transmission of patient health data, serving as a notable application of data-driven healthcare. This technology facilitates clinical monitoring and decision-making, offering benefits like reduced healthcare costs and improved patient outcomes. However, RPM also introduces challenges common to data-driven healthcare, such as additional data work that can disrupt clinician's workflow. This study explores the daily practices, collaboration mechanisms, and sensemaking processes of nurses in RPM through field observations and interviews with six stakeholders. Preliminary results indicate that RPM's scale-up pushes clinicians toward asynchronous collaboration. Data sensemaking is crucial for this type of collaboration, but existing technologies often create friction rather than support. This work provides empirical insights into clinical workflow in nursing practice, especially RPM. We suggest recognizing data sensemaking as a distinct nursing practice within data work and recommend further investigation into its role in the workflow of nurses in RPM.

cs.HC

Seeing through Things: Exploring the Design Space of Privacy-Aware Data-Enabled Objects

Increasing amounts of sensor-augmented research objects have been used in design research. We call these objects Data-Enabled Objects, which can be integrated into daily activities capturing data about people's detailed whereabouts, behaviours and routines. These objects provide data perspectives on everyday life for contextual design research. However, data-enabled objects are still computational devices with limited privacy awareness and nuanced data sharing. To better design data-enabled objects, we explore privacy design spaces by inviting 18 teams of undergraduate design students to re-design the same type of sensor-enabled home research camera. We developed the Connected Peekaboo Toolkit (CPT) to support the design teams in designing, building, and directly deploying their prototypes in real home studies. We conducted Thematic Analysis to analyse their outcomes which led us to interpret that privacy is not just an obstacle but can be a driver by unfolding an exploration of possible design spaces for data-enabled objects.

cs.HC

Thing Constellation Visualizer: Exploring Emergent Relationships of Everyday Objects

Designing future IoT ecosystems requires new approaches and perspectives to understand everyday practices. While researchers recognize the importance of understanding social aspects of everyday objects, limited studies have explored the possibilities of combining data-driven patterns with human interpretations to investigate emergent relationships among objects. This work presents Thing Constellation Visualizer (thingCV), a novel interactive tool for visualizing the social network of objects based on their co-occurrence as computed from a large collection of photos. ThingCV enables perspective-changing design explorations over the network of objects with scalable links. Two exploratory workshops were conducted to investigate how designers navigate and make sense of a network of objects through thingCV. The results of eight participants showed that designers were actively engaged in identifying interesting objects and their associated clusters of related objects. The designers projected social qualities onto the identified objects and their communities. Furthermore, the designers changed their perspectives to revisit familiar contexts and to generate new insights through the exploration process. This work contributes a novel approach to combining data-driven models with designerly interpretations of thing constellation towards More-Than Human-Centred Design of IoT ecosystems.

cs.HC

Human-AI Co-Learning for Data-Driven AI

Human and AI are increasingly interacting and collaborating to accomplish various complex tasks in the context of diverse application domains (e.g., healthcare, transportation, and creative design). Two dynamic, learning entities (AI and human) have distinct mental model, expertise, and ability; such fundamental difference/mismatch offers opportunities for bringing new perspectives to achieve better results. However, this mismatch can cause unexpected failure and result in serious consequences. While recent research has paid much attention to enhancing interpretability or explainability to allow machine to explain how it makes a decision for supporting humans, this research argues that there is urging the need for both human and AI should develop specific, corresponding ability to interact and collaborate with each other to form a human-AI team to accomplish superior results. This research introduces a conceptual framework called "Co-Learning," in which people can learn with/from and grow with AI partners over time. We characterize three key concepts of co-learning: "mutual understanding," "mutual benefits," and "mutual growth" for facilitating human-AI collaboration on complex problem solving. We will present proof-of-concepts to investigate whether and how our approach can help human-AI team to understand and benefit each other, and ultimately improve productivity and creativity on creative problem domains. The insights will contribute to the design of Human-AI collaboration.

cs.HC