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Shuai Niu

Publications and source records attributed to Shuai Niu.

6 recordsLinked to original sources

Knowledge-Augmented Multimodal Clinical Rationale Generation for Disease Diagnosis with Small Language Models

Interpretation is critical for disease diagnosis, but existing models struggle to balance predictive accuracy with human-understandable rationales. While large language models (LLMs) offer strong reasoning abilities, their clinical use is limited by high computational costs and restricted multimodal reasoning ability. Small language models (SLMs) are efficient but lack advanced reasoning for integrating multimodal medical data. In addition, both LLMs and SLMs lack domain knowledge for trustworthy reasoning. Therefore, we propose ClinRaGen, enhancing SLMs by leveraging LLM-derived reasoning ability via rationale distillation and domain knowledge injection for trustworthy multimodal rationale generation. Key innovations include a sequential rationale distillation framework that equips SLMs with LLM-comparable multimodal reasoning abilities, and a knowledge-augmented attention mechanism that jointly unifies multimodal representation from time series and textual data in the same encoding space, enabling it to be naturally interpreted by SLMs while incorporating domain knowledge for reliable rationale generation. Experiments on real-world medical datasets show that ClinRaGen achieves state-of-the-art performance in disease diagnosis and rationale generation, demonstrating the effectiveness of combining LLM-driven reasoning with knowledge augmentation for improved interpretability.

cs.CL

ProMedTS: A Self-Supervised, Prompt-Guided Multimodal Approach for Integrating Medical Text and Time Series

Large language models (LLMs) have shown remarkable performance in vision-language tasks, but their application in the medical field remains underexplored, particularly for integrating structured time series data with unstructured clinical notes. In clinical practice, dynamic time series data, such as lab test results, capture critical temporal patterns, while clinical notes provide rich semantic context. Merging these modalities is challenging due to the inherent differences between continuous signals and discrete text. To bridge this gap, we introduce ProMedTS, a novel self-supervised multimodal framework that employs prompt-guided learning to unify these heterogeneous data types. Our approach leverages lightweight anomaly detection to generate anomaly captions that serve as prompts, guiding the encoding of raw time series data into informative prompt embeddings. These prompt embeddings are aligned with textual representations in a shared latent space, preserving fine-grained temporal nuances alongside semantic insights. Furthermore, our framework incorporates tailored self-supervised objectives to enhance both intra- and inter-modal alignment. We evaluate ProMedTS on disease diagnosis tasks using real-world datasets, and the results demonstrate that our method consistently outperforms state-of-the-art approaches.

cs.CL

Enhancing Control Performance through ESN-Based Model Compensation in MPC for Dynamic Systems

Deriving precise system dynamic models through traditional numerical methods is often a challenging endeavor. The performance of Model Predictive Control is heavily contingent on the accuracy of the system dynamic model. Consequently, this study employs Echo State Networks to acquire knowledge of the unmodeled dynamic characteristics inherent in the system. This information is then integrated with the nominal model, functioning as a form of model compensation. The present paper introduces a control framework that combines ESN with MPC. By perpetually assimilating the disparities between the nominal and real models, control performance experiences augmentation. In a demonstrative example, a second order dynamic system is subjected to simulation. The outcomes conclusively evince that ESNbased MPC adeptly assimilates unmodeled dynamic attributes, thereby elevating the system control proficiency.

eess.SY

Data-Driven Moving Horizon Estimation Using Bayesian Optimization

In this work, an innovative data-driven moving horizon state estimation is proposed for model dynamic-unknown systems based on Bayesian optimization. As long as the measurement data is received, a locally linear dynamics model can be obtained from one Bayesian optimization-based offline learning framework. Herein, the learned model is continuously updated iteratively based on the actual observed data to approximate the actual system dynamic with the intent of minimizing the cost function of the moving horizon estimator until the desired performance is achieved. Meanwhile, the characteristics of Bayesian optimization can guarantee the closest approximation of the learned model to the actual system dynamic. Thus, one effective data-driven moving horizon estimator can be designed further on the basis of this learned model. Finally, the efficiency of the proposed state estimation algorithm is demonstrated by several numerical simulations.

eess.SY

Label-dependent and event-guided interpretable disease risk prediction using EHRs

Electronic health records (EHRs) contain patients' heterogeneous data that are collected from medical providers involved in the patient's care, including medical notes, clinical events, laboratory test results, symptoms, and diagnoses. In the field of modern healthcare, predicting whether patients would experience any risks based on their EHRs has emerged as a promising research area, in which artificial intelligence (AI) plays a key role. To make AI models practically applicable, it is required that the prediction results should be both accurate and interpretable. To achieve this goal, this paper proposed a label-dependent and event-guided risk prediction model (LERP) to predict the presence of multiple disease risks by mainly extracting information from unstructured medical notes. Our model is featured in the following aspects. First, we adopt a label-dependent mechanism that gives greater attention to words from medical notes that are semantically similar to the names of risk labels. Secondly, as the clinical events (e.g., treatments and drugs) can also indicate the health status of patients, our model utilizes the information from events and uses them to generate an event-guided representation of medical notes. Thirdly, both label-dependent and event-guided representations are integrated to make a robust prediction, in which the interpretability is enabled by the attention weights over words from medical notes. To demonstrate the applicability of the proposed method, we apply it to the MIMIC-III dataset, which contains real-world EHRs collected from hospitals. Our method is evaluated in both quantitative and qualitative ways.

cs.AI

Label Dependent Attention Model for Disease Risk Prediction Using Multimodal Electronic Health Records

Disease risk prediction has attracted increasing attention in the field of modern healthcare, especially with the latest advances in artificial intelligence (AI). Electronic health records (EHRs), which contain heterogeneous patient information, are widely used in disease risk prediction tasks. One challenge of applying AI models for risk prediction lies in generating interpretable evidence to support the prediction results while retaining the prediction ability. In order to address this problem, we propose the method of jointly embedding words and labels whereby attention modules learn the weights of words from medical notes according to their relevance to the names of risk prediction labels. This approach boosts interpretability by employing an attention mechanism and including the names of prediction tasks in the model. However, its application is only limited to the handling of textual inputs such as medical notes. In this paper, we propose a label dependent attention model LDAM to 1) improve the interpretability by exploiting Clinical-BERT (a biomedical language model pre-trained on a large clinical corpus) to encode biomedically meaningful features and labels jointly; 2) extend the idea of joint embedding to the processing of time-series data, and develop a multi-modal learning framework for integrating heterogeneous information from medical notes and time-series health status indicators. To demonstrate our method, we apply LDAM to the MIMIC-III dataset to predict different disease risks. We evaluate our method both quantitatively and qualitatively. Specifically, the predictive power of LDAM will be shown, and case studies will be carried out to illustrate its interpretability.

cs.AI