arXiv subjects

Nan Liu

Publications and source records attributed to Nan Liu.

At least 73 records · Page 4Linked to original sources

arXiv2024

Real-world Deployment and Evaluation of PErioperative AI CHatbot (PEACH) -- a Large Language Model Chatbot for Perioperative Medicine

Large Language Models (LLMs) are emerging as powerful tools in healthcare, particularly for complex, domain-specific tasks. This study describes the development and evaluation of the PErioperative AI CHatbot (PEACH), a secure LLM-based system integrated with local perioperative guidelines to support preoperative clinical decision-making. PEACH was embedded with 35 institutional perioperative protocols in the secure Claude 3.5 Sonet LLM framework within Pair Chat (developed by Singapore Government) and tested in a silent deployment with real-world data. Accuracy, safety, and usability were assessed. Deviations and hallucinations were categorized based on potential harm, and user feedback was evaluated using the Technology Acceptance Model (TAM). Updates were made after the initial silent deployment to amend one protocol. In 240 real-world clinical iterations, PEACH achieved a first-generation accuracy of 97.5% (78/80) and an overall accuracy of 96.7% (232/240) across three iterations. The updated PEACH demonstrated improved accuracy of 97.9% (235/240), with a statistically significant difference from the null hypothesis of 95% accuracy (p = 0.018, 95% CI: 0.952-0.991). Minimal hallucinations and deviations were observed (both 1/240 and 2/240, respectively). Clinicians reported that PEACH expedited decisions in 95% of cases, and inter-rater reliability ranged from kappa 0.772-0.893 within PEACH and 0.610-0.784 among attendings. PEACH is an accurate, adaptable tool that enhances consistency and efficiency in perioperative decision-making. Future research should explore its scalability across specialties and its impact on clinical outcomes.

cs.AI↗

arXiv2024

Ultrahigh-temperature ferromagnetism in ultrathin insulating films with ripple-infinite-layer structure

Ferromagnetism and electrical insulation are often at odds, signifying an inherent trade off. The simultaneous optimization of both in one material, essential for advancing spintronics and topological electronics, necessitates the individual manipulation over various degrees of freedom of strongly correlated electrons. Here, by selective control of the spin exchange and Coulomb interactions, we report the achievement of SrFeO2 thin films with resistivity above 106 Ohm.cm and strong magnetization with Curie temperature extrapolated to be 1200 K. Robust ferromagnetism is obtained down to 1.0 nm thickness on substrate and 2.0 nm for freestanding films. Featuring an out of plane oriented ripple infinite layer structure, this ferromagnetic insulating phase is obtained through extensive reduction of as grown brownmillerite SrFeO2.5 films at high compressive strains. Pronounced spin Hall magnetoresistance signals up to 0.0026 is further demonstrated with a Pt Hall bar device. Our findings promise emerging spintronic and topological electronic functionalities harnessing spin dynamics with minimized power dissipations.

cond-mat.mtrl-sci↗

arXiv2024

Fashion-VDM: Video Diffusion Model for Virtual Try-On

We present Fashion-VDM, a video diffusion model (VDM) for generating virtual try-on videos. Given an input garment image and person video, our method aims to generate a high-quality try-on video of the person wearing the given garment, while preserving the person's identity and motion. Image-based virtual try-on has shown impressive results; however, existing video virtual try-on (VVT) methods are still lacking garment details and temporal consistency. To address these issues, we propose a diffusion-based architecture for video virtual try-on, split classifier-free guidance for increased control over the conditioning inputs, and a progressive temporal training strategy for single-pass 64-frame, 512px video generation. We also demonstrate the effectiveness of joint image-video training for video try-on, especially when video data is limited. Our qualitative and quantitative experiments show that our approach sets the new state-of-the-art for video virtual try-on. For additional results, visit our project page: https://johannakarras.github.io/Fashion-VDM.

cs.CV↗

arXiv2024

Presolar Grains As Probes of Supernova Nucleosynthesis

We provide an overview of the isotopic signatures of presolar supernova grains, specifically focusing on 44Ti-containing grains with robustly inferred supernova origins and their implications for nucleosynthesis and mixing mechanisms in supernovae. Recent technique advancements have enabled the differentiation between radiogenic (from 44Ti decay) and nonradiogenic 44Ca excesses in presolar grains, made possible by enhanced spatial resolution of Ca-Ti isotope analyses with the Cameca NanoSIMS (Nano-scale Secondary Ion Mass Spectrometer) instrument. Within the context of presolar supernova grain data, we discuss (i) the production of 44Ti in supernovae and the impact of interstellar medium heterogeneities on the galactic chemical evolution of 44Ca/40Ca, (ii) the nucleosynthesis processes of neutron bursts and explosive H-burning in Type II supernovae, and (iii) challenges in identifying the progenitor supernovae for 54Cr-rich presolar nanospinel grains. Drawing on constraints and insights derived from presolar supernova grain data, we also provide an overview of our current understanding of the roles played by various supernova types - including Type II, Type Ia, and electron capture supernovae - in accounting for the diverse array of nucleosynthetic isotopic variations identified in bulk meteorites and meteoritic components. We briefly overview the potential mechanisms that have been proposed to explain these nucleosynthetic variations by describing the transport and distribution of presolar dust carriers in the protoplanetary disk. We highlight existing controversies in the interpretation of presolar grain data and meteoritic nucleosynthetic isotopic variations, while also outlining potential directions for future research.

astro-ph.SR↗

arXiv2024

oRetrieval Augmented Generation for 10 Large Language Models and its Generalizability in Assessing Medical Fitness

Large Language Models (LLMs) show potential for medical applications but often lack specialized clinical knowledge. Retrieval Augmented Generation (RAG) allows customization with domain-specific information, making it suitable for healthcare. This study evaluates the accuracy, consistency, and safety of RAG models in determining fitness for surgery and providing preoperative instructions. We developed LLM-RAG models using 35 local and 23 international preoperative guidelines and tested them against human-generated responses. A total of 3,682 responses were evaluated. Clinical documents were processed using Llamaindex, and 10 LLMs, including GPT3.5, GPT4, and Claude-3, were assessed. Fourteen clinical scenarios were analyzed, focusing on seven aspects of preoperative instructions. Established guidelines and expert judgment were used to determine correct responses, with human-generated answers serving as comparisons. The LLM-RAG models generated responses within 20 seconds, significantly faster than clinicians (10 minutes). The GPT4 LLM-RAG model achieved the highest accuracy (96.4% vs. 86.6%, p=0.016), with no hallucinations and producing correct instructions comparable to clinicians. Results were consistent across both local and international guidelines. This study demonstrates the potential of LLM-RAG models for preoperative healthcare tasks, highlighting their efficiency, scalability, and reliability.

cs.CL↗

arXiv2024

FairFML: Fair Federated Machine Learning with a Case Study on Reducing Gender Disparities in Cardiac Arrest Outcome Prediction

Objective: Mitigating algorithmic disparities is a critical challenge in healthcare research, where ensuring equity and fairness is paramount. While large-scale healthcare data exist across multiple institutions, cross-institutional collaborations often face privacy constraints, highlighting the need for privacy-preserving solutions that also promote fairness. Materials and Methods: In this study, we present Fair Federated Machine Learning (FairFML), a model-agnostic solution designed to reduce algorithmic bias in cross-institutional healthcare collaborations while preserving patient privacy. As a proof of concept, we validated FairFML using a real-world clinical case study focused on reducing gender disparities in cardiac arrest outcome prediction. Results: We demonstrate that the proposed FairFML framework enhances fairness in federated learning (FL) models without compromising predictive performance. Our findings show that FairFML improves model fairness by up to 65% compared to the centralized model, while maintaining performance comparable to both local and centralized models, as measured by receiver operating characteristic analysis. Discussion and Conclusion: FairFML offers a promising and flexible solution for FL collaborations, with its adaptability allowing seamless integration with various FL frameworks and models, from traditional statistical methods to deep learning techniques. This makes FairFML a robust approach for developing fairer FL models across diverse clinical and biomedical applications.

cs.CY↗

arXiv2024

Estimation and Inference for Causal Functions with Multiway Clustered Data

This paper proposes methods of estimation and uniform inference for a general class of causal functions, such as the conditional average treatment effects and the continuous treatment effects, under multiway clustering. The causal function is identified as a conditional expectation of an adjusted (Neyman-orthogonal) signal that depends on high-dimensional nuisance parameters. We propose a two-step procedure where the first step uses machine learning to estimate the high-dimensional nuisance parameters. The second step projects the estimated Neyman-orthogonal signal onto a dictionary of basis functions whose dimension grows with the sample size. For this two-step procedure, we propose both the full-sample and the multiway cross-fitting estimation approaches. A functional limit theory is derived for these estimators. To construct the uniform confidence bands, we develop a novel resampling procedure, called the multiway cluster-robust sieve score bootstrap, that extends the sieve score bootstrap (Chen and Christensen, 2018) to the novel setting with multiway clustering. Extensive numerical simulations showcase that our methods achieve desirable finite-sample behaviors. We apply the proposed methods to analyze the causal relationship between mistrust levels in Africa and the historical slave trade. Our analysis rejects the null hypothesis of uniformly zero effects and reveals heterogeneous treatment effects, with significant impacts at higher levels of trade volumes.

econ.EM↗

arXiv2024

A Proposed S.C.O.R.E. Evaluation Framework for Large Language Models : Safety, Consensus, Objectivity, Reproducibility and Explainability

A comprehensive qualitative evaluation framework for large language models (LLM) in healthcare that expands beyond traditional accuracy and quantitative metrics needed. We propose 5 key aspects for evaluation of LLMs: Safety, Consensus, Objectivity, Reproducibility and Explainability (S.C.O.R.E.). We suggest that S.C.O.R.E. may form the basis for an evaluation framework for future LLM-based models that are safe, reliable, trustworthy, and ethical for healthcare and clinical applications.

cs.CL↗

arXiv2024

Bridging Data Gaps in Healthcare: A Scoping Review of Transfer Learning in Biomedical Data Analysis

Clinical and biomedical research in low-resource settings often faces significant challenges due to the need for high-quality data with sufficient sample sizes to construct effective models. These constraints hinder robust model training and prompt researchers to seek methods for leveraging existing knowledge from related studies to support new research efforts. Transfer learning (TL), a machine learning technique, emerges as a powerful solution by utilizing knowledge from pre-trained models to enhance the performance of new models, offering promise across various healthcare domains. Despite its conceptual origins in the 1990s, the application of TL in medical research has remained limited, especially beyond image analysis. In our review of TL applications in structured clinical and biomedical data, we screened 3,515 papers, with 55 meeting the inclusion criteria. Among these, only 2% (one out of 55) utilized external studies, and 7% (four out of 55) addressed scenarios involving multi-site collaborations with privacy constraints. To achieve actionable TL with structured medical data while addressing regional disparities, inequality, and privacy constraints in healthcare research, we advocate for the careful identification of appropriate source data and models, the selection of suitable TL frameworks, and the validation of TL models with proper baselines.

cs.LG↗

arXiv2024

Lightweight Large Language Model for Medication Enquiry: Med-Pal

Large Language Models (LLMs) have emerged as a potential solution to assist digital health development with patient education, commonly medication-related enquires. We trained and validated Med-Pal, a medication domain-specific LLM-chatbot fine-tuned with a fine-grained and expert curated dataset from a selection of five light-weighted open-source LLMs of smaller parameter size (7 billion or less) regarding computational constraints and prioritizing operational efficiency. A multi-disciplinary team performed a clinical evaluation of LLMs responses using the SCORE criteria, focusing on safety, accuracy, bias, reproducibility, and ease of understanding. Best performing light-weighted LLM was chosen as Med-Pal for further engineering with guard-railing using adversarial prompting. Med-Pal and existing light-weighted LLMs, including pretrained Biomistral and finetuned Meerkat, were validated on an independent dataset on a broad range of medication-related questions (231 in total), 12 different question types across 14 different medication classes. Mistral-7b emerged as the top performer among selected lightweight LLMs, achieving the highest median score of 14 and 71.9% high-quality responses in accuracy and safety domains, hence chosen as the backbone LLM for Med-Pal. When compared against Biomistral, Med-pal outperformed in generating responses appropriate for patient communication, with significant reductions bias and errors typical of general LLMs. Comparable performance was observed when comparing Med-Pal with Meerkat. Med-Pal showcases the feasibility of developing and employing fine-tuned light-weighted LLMs to enhance digital health communications.

cs.CL↗

arXiv2024

Compositional Image Decomposition with Diffusion Models

Given an image of a natural scene, we are able to quickly decompose it into a set of components such as objects, lighting, shadows, and foreground. We can then envision a scene where we combine certain components with those from other images, for instance a set of objects from our bedroom and animals from a zoo under the lighting conditions of a forest, even if we have never encountered such a scene before. In this paper, we present a method to decompose an image into such compositional components. Our approach, Decomp Diffusion, is an unsupervised method which, when given a single image, infers a set of different components in the image, each represented by a diffusion model. We demonstrate how components can capture different factors of the scene, ranging from global scene descriptors like shadows or facial expression to local scene descriptors like constituent objects. We further illustrate how inferred factors can be flexibly composed, even with factors inferred from other models, to generate a variety of scenes sharply different than those seen in training time. Website and code at https://energy-based-model.github.io/decomp-diffusion.

cs.CV↗

arXiv2024

Presolar grains

The chemical makeup of our solar system is a reflection of Galactic chemical evolution in the local interstellar medium (ISM) over the past ~9 Ga before the formation of the solar system. Although the incorporated ISM dust was mostly destroyed during the solar system formation, a small fraction of the ISM dust, known as presolar grains, is preserved in pristine extraterrestrial materials and identified through their exotic isotopic compositions, pointing to their formation in gas outflows or explosions of ancient stars. Since their stellar birth at more than 4.6 Ga, presolar grains have borne witness to a diverse array of astrophysical and cosmochemical processes. In this chapter, I will review recent progress in utilizing the isotopic and structural compositions of presolar grains to constrain physical mixing processes and dust formation in stars, stellar nucleosynthesis, ISM processes, and the origin and evolution of the solar system.

astro-ph.SR↗

arXiv2024

Retrieval-Augmented Generation for Generative Artificial Intelligence in Medicine

Generative artificial intelligence (AI) has brought revolutionary innovations in various fields, including medicine. However, it also exhibits limitations. In response, retrieval-augmented generation (RAG) provides a potential solution, enabling models to generate more accurate contents by leveraging the retrieval of external knowledge. With the rapid advancement of generative AI, RAG can pave the way for connecting this transformative technology with medical applications and is expected to bring innovations in equity, reliability, and personalization to health care.

cs.AI↗

arXiv2024

M&M VTO: Multi-Garment Virtual Try-On and Editing

We present M&M VTO, a mix and match virtual try-on method that takes as input multiple garment images, text description for garment layout and an image of a person. An example input includes: an image of a shirt, an image of a pair of pants, "rolled sleeves, shirt tucked in", and an image of a person. The output is a visualization of how those garments (in the desired layout) would look like on the given person. Key contributions of our method are: 1) a single stage diffusion based model, with no super resolution cascading, that allows to mix and match multiple garments at 1024x512 resolution preserving and warping intricate garment details, 2) architecture design (VTO UNet Diffusion Transformer) to disentangle denoising from person specific features, allowing for a highly effective finetuning strategy for identity preservation (6MB model per individual vs 4GB achieved with, e.g., dreambooth finetuning); solving a common identity loss problem in current virtual try-on methods, 3) layout control for multiple garments via text inputs specifically finetuned over PaLI-3 for virtual try-on task. Experimental results indicate that M&M VTO achieves state-of-the-art performance both qualitatively and quantitatively, as well as opens up new opportunities for virtual try-on via language-guided and multi-garment try-on.

cs.CV↗

arXiv2024

Towards Clinical AI Fairness: Filling Gaps in the Puzzle

The ethical integration of Artificial Intelligence (AI) in healthcare necessitates addressing fairness-a concept that is highly context-specific across medical fields. Extensive studies have been conducted to expand the technical components of AI fairness, while tremendous calls for AI fairness have been raised from healthcare. Despite this, a significant disconnect persists between technical advancements and their practical clinical applications, resulting in a lack of contextualized discussion of AI fairness in clinical settings. Through a detailed evidence gap analysis, our review systematically pinpoints several deficiencies concerning both healthcare data and the provided AI fairness solutions. We highlight the scarcity of research on AI fairness in many medical domains where AI technology is increasingly utilized. Additionally, our analysis highlights a substantial reliance on group fairness, aiming to ensure equality among demographic groups from a macro healthcare system perspective; in contrast, individual fairness, focusing on equity at a more granular level, is frequently overlooked. To bridge these gaps, our review advances actionable strategies for both the healthcare and AI research communities. Beyond applying existing AI fairness methods in healthcare, we further emphasize the importance of involving healthcare professionals to refine AI fairness concepts and methods to ensure contextually relevant and ethically sound AI applications in healthcare.

cs.AI↗

arXiv2024

Enhancing Diagnostic Accuracy through Multi-Agent Conversations: Using Large Language Models to Mitigate Cognitive Bias

Background: Cognitive biases in clinical decision-making significantly contribute to errors in diagnosis and suboptimal patient outcomes. Addressing these biases presents a formidable challenge in the medical field. Objective: This study explores the role of large language models (LLMs) in mitigating these biases through the utilization of a multi-agent framework. We simulate the clinical decision-making processes through multi-agent conversation and evaluate its efficacy in improving diagnostic accuracy. Methods: A total of 16 published and unpublished case reports where cognitive biases have resulted in misdiagnoses were identified from the literature. In the multi-agent framework, we leveraged GPT-4 to facilitate interactions among four simulated agents to replicate clinical team dynamics. Each agent has a distinct role: 1) To make the final diagnosis after considering the discussions, 2) The devil's advocate and correct confirmation and anchoring bias, 3) The tutor and facilitator of the discussion to reduce premature closure bias, and 4) To record and summarize the findings. A total of 80 simulations were evaluated for the accuracy of initial diagnosis, top differential diagnosis and final two differential diagnoses. Results: In a total of 80 responses evaluating both initial and final diagnoses, the initial diagnosis had an accuracy of 0% (0/80), but following multi-agent discussions, the accuracy for the top differential diagnosis increased to 71.3% (57/80), and for the final two differential diagnoses, to 80.0% (64/80). Conclusions: The framework demonstrated an ability to re-evaluate and correct misconceptions, even in scenarios with misleading initial investigations. The LLM-driven multi-agent conversation framework shows promise in enhancing diagnostic accuracy in diagnostically challenging medical scenarios.

cs.CL↗

arXiv2024

Demand Private Coded Caching: the Two-File Case

We investigate the demand private coded caching problem, which is an $(N,K)$ coded caching problem with $N$ files, $K$ users, each equipped with a cache of size $M$, and an additional privacy constraint on user demands. We first present a new virtual-user-based achievable scheme for arbitrary number of users and files. Then, for the case of 2 files and arbitrary number of users, we derive some new converse bounds. As a result, we obtain the exact memory-rate tradeoff of the demand private coded caching problem for 2 files and 3 users. As for the case of 2 files and arbitrary number of users, the exact memory-rate tradeoff is characterized for $M\in [0,\frac{2}{K}] \cup [\frac{2(K-1)}{K+1},2]$.

cs.IT↗

arXiv2024

Clinical Domain Knowledge-Derived Template Improves Post Hoc AI Explanations in Pneumothorax Classification

Background: Pneumothorax is an acute thoracic disease caused by abnormal air collection between the lungs and chest wall. To address the opaqueness often associated with deep learning (DL) models, explainable artificial intelligence (XAI) methods have been introduced to outline regions related to pneumothorax diagnoses made by DL models. However, these explanations sometimes diverge from actual lesion areas, highlighting the need for further improvement. Method: We propose a template-guided approach to incorporate the clinical knowledge of pneumothorax into model explanations generated by XAI methods, thereby enhancing the quality of these explanations. Utilizing one lesion delineation created by radiologists, our approach first generates a template that represents potential areas of pneumothorax occurrence. This template is then superimposed on model explanations to filter out extraneous explanations that fall outside the template's boundaries. To validate its efficacy, we carried out a comparative analysis of three XAI methods with and without our template guidance when explaining two DL models in two real-world datasets. Results: The proposed approach consistently improved baseline XAI methods across twelve benchmark scenarios built on three XAI methods, two DL models, and two datasets. The average incremental percentages, calculated by the performance improvements over the baseline performance, were 97.8% in Intersection over Union (IoU) and 94.1% in Dice Similarity Coefficient (DSC) when comparing model explanations and ground-truth lesion areas. Conclusions: In the context of pneumothorax diagnoses, we proposed a template-guided approach for improving AI explanations. We anticipate that our template guidance will forge a fresh approach to elucidating AI models by integrating clinical domain expertise.

cs.CV↗