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Shiyi Jiang

Publications and source records attributed to Shiyi Jiang.

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Exploration of Low-Power Flexible Stress Monitoring Classifiers for Conformal Wearables

Conventional stress monitoring relies on episodic, symptom-focused interventions, missing the need for continuous, accessible, and cost-efficient solutions. State-of-the-art approaches use rigid, silicon-based wearables, which, though capable of multitasking, are not optimized for lightweight, flexible wear, limiting their practicality for continuous monitoring. In contrast, flexible electronics (FE) offer flexibility and low manufacturing costs, enabling real-time stress monitoring circuits. However, implementing complex circuits like machine learning (ML) classifiers in FE is challenging due to integration and power constraints. Previous research has explored flexible biosensors and ADCs, but classifier design for stress detection remains underexplored. This work presents the first comprehensive design space exploration of low-power, flexible stress classifiers. We cover various ML classifiers, feature selection, and neural simplification algorithms, with over 1200 flexible classifiers. To optimize hardware efficiency, fully customized circuits with low-precision arithmetic are designed in each case. Our exploration provides insights into designing real-time stress classifiers that offer higher accuracy than current methods, while being low-cost, conformable, and ensuring low power and compact size.

cs.LG

Defending Against Gradient Inversion Attacks for Biomedical Images via Learnable Data Perturbation

The increasing need for sharing healthcare data and collaborating on clinical research has raised privacy concerns. Health information leakage due to malicious attacks can lead to serious problems such as misdiagnoses and patient identification issues. Privacy-preserving machine learning (PPML) and privacy-enhancing technologies, particularly federated learning (FL), have emerged in recent years as innovative solutions to balance privacy protection with data utility; however, they also suffer from inherent privacy vulnerabilities. Gradient inversion attacks constitute major threats to data sharing in federated learning. Researchers have proposed many defenses against gradient inversion attacks. However, current defense methods for healthcare data lack generalizability, i.e., existing solutions may not be applicable to data from a broader range of populations. In addition, most existing defense methods are tested using non-healthcare data, which raises concerns about their applicability to real-world healthcare systems. In this study, we present a defense against gradient inversion attacks in federated learning. We achieve this using latent data perturbation and minimax optimization, utilizing both general and medical image datasets. Our method is compared to two baselines, and the results show that our approach can outperform the baselines with a reduction of 12.5% in the attacker's accuracy in classifying reconstructed images. The proposed method also yields an increase of over 12.4% in Mean Squared Error (MSE) between the original and reconstructed images at the same level of model utility of around 90% client classification accuracy. The results suggest the potential of a generalizable defense for healthcare data.

cs.CV

Subtype-Aware Registration of Longitudinal Electronic Health Records

Electronic Health Records (EHRs) contain extensive patient information that can inform downstream clinical decisions, such as mortality prediction, disease phenotyping, and disease onset prediction. A key challenge in EHR data analysis is the temporal gap between when a condition is first recorded and its actual onset time. Such timeline misalignment can lead to artificially distinct biomarker trends among patients with similar disease progression, undermining the reliability of downstream analyses and complicating tasks such as disease subtyping and outcome prediction. To address this challenge, we provide a subtype-aware timeline registration method that leverages data projection and discrete optimization to correct timeline misalignment. Through simulation and real-world data analyses, we demonstrate that the proposed method effectively aligns distorted observed records with the true disease progression patterns, enhancing subtyping clarity and improving performance in downstream clinical analyses.

stat.AP

Soft Phenotyping for Sepsis via EHR Time-aware Soft Clustering

Objective: Sepsis is one of the most serious hospital conditions associated with high mortality. Sepsis is the result of a dysregulated immune response to infection that can lead to multiple organ dysfunction and death. Due to the wide variability in the causes of sepsis, clinical presentation, and the recovery trajectories, identifying sepsis sub-phenotypes is crucial to advance our understanding of sepsis characterization, to choose targeted treatments and optimal timing of interventions, and to improve prognostication. Prior studies have described different sub-phenotypes of sepsis using organ-specific characteristics. These studies applied clustering algorithms to electronic health records (EHRs) to identify disease sub-phenotypes. However, prior approaches did not capture temporal information and made uncertain assumptions about the relationships among the sub-phenotypes for clustering procedures. Methods: We developed a time-aware soft clustering algorithm guided by clinical variables to identify sepsis sub-phenotypes using data available in the EHR. Results: We identified six novel sepsis hybrid sub-phenotypes and evaluated them for medical plausibility. In addition, we built an early-warning sepsis prediction model using logistic regression. Conclusion: Our results suggest that these novel sepsis hybrid sub-phenotypes are promising to provide more accurate information on sepsis-related organ dysfunction and sepsis recovery trajectories which can be important to inform management decisions and sepsis prognosis.

stat.AP

Optimized Dimensionality Reduction for Moment-based Distributionally Robust Optimization

Moment-based distributionally robust optimization (DRO) provides an optimization framework to integrate statistical information with traditional optimization approaches. Under this framework, one assumes that the underlying joint distribution of random parameters runs in a distributional ambiguity set constructed by moment information and makes decisions against the worst-case distribution within the set. Although most moment-based DRO problems can be reformulated as semidefinite programming (SDP) problems that can be solved in polynomial time, solving high-dimensional SDPs is still time-consuming. Unlike existing approximation approaches that first reduce the dimensionality of random parameters and then solve the approximated SDPs, we propose an optimized dimensionality reduction (ODR) approach. We first show that the ranks of the matrices in the SDP reformulations are small, by which we are then motivated to integrate the dimensionality reduction of random parameters with the subsequent optimization problems. Such integration enables two outer and one inner approximations of the original problem, all of which are low-dimensional SDPs that can be solved efficiently. More importantly, these approximations can theoretically achieve the optimal value of the original high-dimensional SDPs. As these approximations are nonconvex SDPs, we develop modified Alternating Direction Method of Multipliers (ADMM) algorithms to solve them efficiently. We demonstrate the effectiveness of our proposed ODR approach and algorithm in solving two practical problems. Numerical results show significant advantages of our approach on the computational time and solution quality over the three best possible benchmark approaches. Our approach can obtain an optimal or near-optimal (mostly within 0.1%) solution and reduce the computational time by up to three orders of magnitude.

math.OC

Reliable Generation of Privacy-preserving Synthetic Electronic Health Record Time Series via Diffusion Models

Electronic Health Records (EHRs) are rich sources of patient-level data, offering valuable resources for medical data analysis. However, privacy concerns often restrict access to EHRs, hindering downstream analysis. Current EHR de-identification methods are flawed and can lead to potential privacy leakage. Additionally, existing publicly available EHR databases are limited, preventing the advancement of medical research using EHR. This study aims to overcome these challenges by generating realistic and privacy-preserving synthetic electronic health records (EHRs) time series efficiently. We introduce a new method for generating diverse and realistic synthetic EHR time series data using Denoising Diffusion Probabilistic Models (DDPM). We conducted experiments on six databases: Medical Information Mart for Intensive Care III and IV (MIMIC-III/IV), the eICU Collaborative Research Database (eICU), and non-EHR datasets on Stocks and Energy. We compared our proposed method with eight existing methods. Our results demonstrate that our approach significantly outperforms all existing methods in terms of data fidelity while requiring less training effort. Additionally, data generated by our method yields a lower discriminative accuracy compared to other baseline methods, indicating the proposed method can generate data with less privacy risk. The proposed diffusion-model-based method can reliably and efficiently generate synthetic EHR time series, which facilitates the downstream medical data analysis. Our numerical results show the superiority of the proposed method over all other existing methods.

cs.LG