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Suchi Saria

Publications and source records attributed to Suchi Saria.

46 records · Page 3Linked to original sources

Treatment-Response Models for Counterfactual Reasoning with Continuous-time, Continuous-valued Interventions

Treatment effects can be estimated from observational data as the difference in potential outcomes. In this paper, we address the challenge of estimating the potential outcome when treatment-dose levels can vary continuously over time. Further, the outcome variable may not be measured at a regular frequency. Our proposed solution represents the treatment response curves using linear time-invariant dynamical systems---this provides a flexible means for modeling response over time to highly variable dose curves. Moreover, for multivariate data, the proposed method: uncovers shared structure in treatment response and the baseline across multiple markers; and, flexibly models challenging correlation structure both across and within signals over time. For this, we build upon the framework of multiple-output Gaussian Processes. On simulated and a challenging clinical dataset, we show significant gains in accuracy over state-of-the-art models.

stat.ML↗

Scalable Joint Models for Reliable Uncertainty-Aware Event Prediction

Missing data and noisy observations pose significant challenges for reliably predicting events from irregularly sampled multivariate time series (longitudinal) data. Imputation methods, which are typically used for completing the data prior to event prediction, lack a principled mechanism to account for the uncertainty due to missingness. Alternatively, state-of-the-art joint modeling techniques can be used for jointly modeling the longitudinal and event data and compute event probabilities conditioned on the longitudinal observations. These approaches, however, make strong parametric assumptions and do not easily scale to multivariate signals with many observations. Our proposed approach consists of several key innovations. First, we develop a flexible and scalable joint model based upon sparse multiple-output Gaussian processes. Unlike state-of-the-art joint models, the proposed model can explain highly challenging structure including non-Gaussian noise while scaling to large data. Second, we derive an optimal policy for predicting events using the distribution of the event occurrence estimated by the joint model. The derived policy trades-off the cost of a delayed detection versus incorrect assessments and abstains from making decisions when the estimated event probability does not satisfy the derived confidence criteria. Experiments on a large dataset show that the proposed framework significantly outperforms state-of-the-art techniques in event prediction.

stat.ML↗

A Bayesian Nonparametric Approach for Estimating Individualized Treatment-Response Curves

We study the problem of estimating the continuous response over time to interventions using observational time series---a retrospective dataset where the policy by which the data are generated is unknown to the learner. We are motivated by applications where response varies by individuals and therefore, estimating responses at the individual-level is valuable for personalizing decision-making. We refer to this as the problem of estimating individualized treatment response (ITR) curves. In statistics, G-computation formula (Robins, 1986) has been commonly used for estimating treatment responses from observational data containing sequential treatment assignments. However, past studies have focused predominantly on obtaining point-in-time estimates at the population level. We leverage the G-computation formula and develop a novel Bayesian nonparametric (BNP) method that can flexibly model functional data and provide posterior inference over the treatment response curves at both the individual and population level. On a challenging dataset containing time series from patients admitted to a hospital, we estimate responses to treatments used in managing kidney function and show that the resulting fits are more accurate than alternative approaches. Accurate methods for obtaining ITRs from observational data can dramatically accelerate the pace at which personalized treatment plans become possible.

cs.LG↗

Trading-Off Cost of Deployment Versus Accuracy in Learning Predictive Models

Predictive models are finding an increasing number of applications in many industries. As a result, a practical means for trading-off the cost of deploying a model versus its effectiveness is needed. Our work is motivated by risk prediction problems in healthcare. Cost-structures in domains such as healthcare are quite complex, posing a significant challenge to existing approaches. We propose a novel framework for designing cost-sensitive structured regularizers that is suitable for problems with complex cost dependencies. We draw upon a surprising connection to boolean circuits. In particular, we represent the problem costs as a multi-layer boolean circuit, and then use properties of boolean circuits to define an extended feature vector and a group regularizer that exactly captures the underlying cost structure. The resulting regularizer may then be combined with a fidelity function to perform model prediction, for example. For the challenging real-world application of risk prediction for sepsis in intensive care units, the use of our regularizer leads to models that are in harmony with the underlying cost structure and thus provide an excellent prediction accuracy versus cost tradeoff.

stat.ML↗

A Framework for Individualizing Predictions of Disease Trajectories by Exploiting Multi-Resolution Structure

For many complex diseases, there is a wide variety of ways in which an individual can manifest the disease. The challenge of personalized medicine is to develop tools that can accurately predict the trajectory of an individual's disease, which can in turn enable clinicians to optimize treatments. We represent an individual's disease trajectory as a continuous-valued continuous-time function describing the severity of the disease over time. We propose a hierarchical latent variable model that individualizes predictions of disease trajectories. This model shares statistical strength across observations at different resolutions--the population, subpopulation and the individual level. We describe an algorithm for learning population and subpopulation parameters offline, and an online procedure for dynamically learning individual-specific parameters. Finally, we validate our model on the task of predicting the course of interstitial lung disease, a leading cause of death among patients with the autoimmune disease scleroderma. We compare our approach against state-of-the-art and demonstrate significant improvements in predictive accuracy.

stat.ML↗

High Frequency Remote Monitoring of Parkinson's Disease via Smartphone: Platform Overview and Medication Response Detection

Objective: The aim of this study is to develop a smartphone-based high-frequency remote monitoring platform, assess its feasibility for remote monitoring of symptoms in Parkinson's disease, and demonstrate the value of data collected using the platform by detecting dopaminergic medication response. Methods: We have developed HopkinsPD, a novel smartphone-based monitoring platform, which measures symptoms actively (i.e. data are collected when a suite of tests is initiated by the individual at specific times during the day), and passively (i.e. data are collected continuously in the background). After data collection, we extract features to assess measures of five key behaviors related to PD symptoms -- voice, balance, gait, dexterity, and reaction time. A random forest classifier is used to discriminate measurements taken after a dose of medication (treatment) versus before the medication dose (baseline). Results: A worldwide study for remote PD monitoring was established using HopkinsPD in July, 2014. This study used entirely remote, online recruitment and installation, demonstrating highly cost-effective scalability. In six months, 226 individuals (121 PD and 105 controls) contributed over 46,000 hours of passive monitoring data and approximately 8,000 instances of structured tests of voice, balance, gait, reaction, and dexterity. To the best of our knowledge, this is the first study to have collected data at such a scale for remote PD monitoring. Moreover, we demonstrate the initial ability to discriminate treatment from baseline with 71.0(+-0.4)% accuracy, which suggests medication response can be monitored remotely via smartphone-based measures.

cs.CY↗

Deformable Distributed Multiple Detector Fusion for Multi-Person Tracking

This paper addresses fully automated multi-person tracking in complex environments with challenging occlusion and extensive pose variations. Our solution combines multiple detectors for a set of different regions of interest (e.g., full-body and head) for multi-person tracking. The use of multiple detectors leads to fewer miss detections as it is able to exploit the complementary strengths of the individual detectors. While the number of false positives may increase with the increased number of bounding boxes detected from multiple detectors, we propose to group the detection outputs by bounding box location and depth information. For robustness to significant pose variations, deformable spatial relationship between detectors are learnt in our multi-person tracking system. On RGBD data from a live Intensive Care Unit (ICU), we show that the proposed method significantly improves multi-person tracking performance over state-of-the-art methods.

cs.CV↗

Learning (Predictive) Risk Scores in the Presence of Censoring due to Interventions

A large and diverse set of measurements are regularly collected during a patient's hospital stay to monitor their health status. Tools for integrating these measurements into severity scores, that accurately track changes in illness severity, can improve clinicians ability to provide timely interventions. Existing approaches for creating such scores either 1) rely on experts to fully specify the severity score, or 2) train a predictive score, using supervised learning, by regressing against a surrogate marker of severity such as the presence of downstream adverse events. The first approach does not extend to diseases where an accurate score cannot be elicited from experts. The second approach often produces scores that suffer from bias due to treatment-related censoring (Paxton, 2013). We propose a novel ranking based framework for disease severity score learning (DSSL). DSSL exploits the following key observation: while it is challenging for experts to quantify the disease severity at any given time, it is often easy to compare the disease severity at two different times. Extending existing ranking algorithms, DSSL learns a function that maps a vector of patient's measurements to a scalar severity score such that the resulting score is temporally smooth and consistent with the expert's ranking of pairs of disease states. We apply DSSL to the problem of learning a sepsis severity score using a large, real-world dataset. The learned scores significantly outperform state-of-the-art clinical scores in ranking patient states by severity and in early detection of future adverse events. We also show that the learned disease severity trajectories are consistent with clinical expectations of disease evolution. Further, using simulated datasets, we show that DSSL exhibits better generalization performance to changes in treatment patterns compared to the above approaches.

cs.AI↗

Reasoning at the Right Time Granularity

Most real-world dynamic systems are composed of different components that often evolve at very different rates. In traditional temporal graphical models, such as dynamic Bayesian networks, time is modeled at a fixed granularity, generally selected based on the rate at which the fastest component evolves. Inference must then be performed at this fastest granularity, potentially at significant computational cost. Continuous Time Bayesian Networks (CTBNs) avoid time-slicing in the representation by modeling the system as evolving continuously over time. The expectation-propagation (EP) inference algorithm of Nodelman et al. (2005) can then vary the inference granularity over time, but the granularity is uniform across all parts of the system, and must be selected in advance. In this paper, we provide a new EP algorithm that utilizes a general cluster graph architecture where clusters contain distributions that can overlap in both space (set of variables) and time. This architecture allows different parts of the system to be modeled at very different time granularities, according to their current rate of evolution. We also provide an information-theoretic criterion for dynamically re-partitioning the clusters during inference to tune the level of approximation to the current rate of evolution. This avoids the need to hand-select the appropriate granularity, and allows the granularity to adapt as information is transmitted across the network. We present experiments demonstrating that this approach can result in significant computational savings.

cs.AI↗

Discovering shared and individual latent structure in multiple time series

This paper proposes a nonparametric Bayesian method for exploratory data analysis and feature construction in continuous time series. Our method focuses on understanding shared features in a set of time series that exhibit significant individual variability. Our method builds on the framework of latent Diricihlet allocation (LDA) and its extension to hierarchical Dirichlet processes, which allows us to characterize each series as switching between latent ``topics'', where each topic is characterized as a distribution over ``words'' that specify the series dynamics. However, unlike standard applications of LDA, we discover the words as we learn the model. We apply this model to the task of tracking the physiological signals of premature infants; our model obtains clinically significant insights as well as useful features for supervised learning tasks.

stat.ML↗