SearcharxivSearch

arXiv subjects

Weixin Liu

Publications and source records attributed to Weixin Liu.

At least 19 recordsLinked to original sources

Search Broadly, Seek Evidence on Both Sides, Decide Narrowly: Evidence-Admissible GraphRAG for Longitudinal Clinical Event Verification

Longitudinal clinical event-relation verification determines whether a patient record supports a specified relation among two or more clinical events. This task is challenging because evidence is distributed across structured records, notes, laboratory trajectories, encounters, and time, while negation, temporal mismatch, repeated documentation, and conflicting findings can make retrieved information appear relevant without establishing the relation. We present MedEventGraph-RAG, an evidence-admissible framework that represents event occurrences in a patient-specific graph and links each occurrence to source evidence, including structured rows, note spans, timestamps, and numerical trajectories. Given a verification query specifying events, relation, and clinical scope, the graph guides discovery of candidate event chains and retrieves evidence from both supporting and contradicting sides. A query-specific evidence contract filters information by patient identity, scope, occurrence binding, and source traceability before a separate assessor determines supported, conflicting, refuted, or insufficient outcomes. Across ten protocols on i2b2, n2c2, MIMIC-IV, and LUNGUAGE, MedEventGraph-RAG achieves balanced accuracies of 78.6, 67.3, and 96.8 on temporal, medication-adverse-event, and recorded-order verification, improving over the strongest matched baselines by 26.9, 4.9, and 30.4 points. Under evidence masking, it reaches 92.2 balanced accuracy with no false-support predictions. When intermediate events are hidden, it recovers complete source-traceable event chains in 57.9% of i2b2 and 70.0% of LUNGUAGE cases. These results show that separating broad evidence discovery from narrow evidence-admissible assessment improves longitudinal clinical verification and reduces unsupported conclusions.

cs.AI

Characterizing Treatment-Context Medication Evidence Across Clinic Notes and Structured EHR Medication History

Clinic notes and structured electronic health record (EHR) medication history often contain different medication information. Same-visit disagreement between these sources may result from note-side normalization errors, differences in terminology or timing, or actual differences in documentation. We developed a note-grounded approach that uses large language model (LLM) assisted reference construction, targeted and random human review, deterministic medication normalization, and semantic and temporal comparisons with structured medication history. We evaluated all normalization results on a patient-level held-out test set to limit adaptation to the study cohort. On 5,403 held-out mention rows, exact canonical agreement improved from 0.7226 with surface-exact matching to 0.8429 after lexical cleanup and curated alias mapping. In a random audit of previously unaudited rows, canonical-label agreement was 0.9210 among evaluable valid medication mentions, whereas treatment-action attribution was lower at 0.5326. In the full-cohort characterization analysis, only 16.44% of note-derived rows had same-visit exact overlap with structured medication history, but 55.17% had same-visit semantic overlap, 90.34% had same-visit or +/-30-day overlap, and only 3.97% remained in the strict no-structured-overlap bucket under broad project-level mapping. An ontology-backed sensitivity analysis further showed that held-out strict Observational Medical Outcomes Partnership (OMOP)-backed no-overlap fell from 43.99% to 36.68% after a development-derived alias supplement. These results show that note-to-structured-medication mismatch can arise from normalization errors, differences in terminology, and differences in documentation timing.

cs.CL

DRIFT: Direct-Recursive Intervention-Conditioned Forecasting of ICU Physiological Trajectories

Many time-series forecasts depend not only on prior observations but also on actions specified during the forecast period. In intensive care units (ICUs), future vital signs and laboratory values are influenced by treatments such as vasopressors. However, models that predict the full future sequence all at once make little use of these treatments, whereas autoregressive models can accumulate errors. We introduce DRIFT, a hybrid framework in which a direct model produces the primary forecast and a recursive, action-conditioned model contributes constrained corrections. We evaluate DRIFT on 6,046 admissions from MIMIC-IV and 8,345 admissions from eICU-CRD. Averaged across the 8-, 24-, and 48-hour forecast endpoints, DRIFT reduces mean absolute error for mean arterial pressure (MAP) by 0.673% relative to an action-conditioned Temporal Fusion Transformer (TFT-action) on MIMIC-IV and achieves the lowest corresponding error among the compared models on eICU-CRD. Although the overall accuracy improvement is modest, a MIMIC-IV audit restricted to windows in which the supplied treatment sequence was altered showed that DRIFT achieved lower observed-target MAP error than TFT-action at 8 and 24 hours. Treatment-sequence alteration increased DRIFT's MAP error by 0.21-0.26 mmHg more than it increased TFT-action's error, with prediction changes occurring primarily after the supplied paths diverged. In a separate robustness experiment, the MAP advantage persisted under three shared checkpoint-selection rules emphasizing overall endpoint error, MAP error, or both equally.

cs.LG

CoRA: Confidence-Rationale Alignment for Reliable Chain-of-Thought Reasoning

Chain-of-thought (CoT) reasoning can improve LLM performance, but high answer confidence may be misleading when the accompanying CoT rationale is plausible yet incomplete or poorly supported. We study confidence--rationale alignment: whether a model's confidence in its committed answer is justified by its generated rationale. We introduce a GRPO-based reinforcement learning framework that jointly rewards answer correctness, committed-answer probability, and rubric-based rationale support, where the rubric assesses grounding, coherence, task match, and connection to the selected answer without revealing the gold answer to the judge. Across MedQA, MathQA, and OpenBookQA using three open-weight LLMs, our method reduces the confidence--rationale alignment error by up to 26.51% compared with untuned checkpoints, SFT, and correctness-only GRPO, while maintaining competitive accuracy and often improving calibration. These results show that reliable CoT reasoning requires not only confident answers, but rationales that substantively support them.

cs.CL

RadOT-Eval: Auditable Structured-Evidence Transport for Radiology Report Evaluation

Automatic evaluation is critical for high-stakes text generation, where errors often involve omitted findings, hallucinated content, polarity reversals, location changes, uncertainty mismatches, and temporal-comparison errors rather than low surface similarity alone. Radiology report generation provides a challenging test case because generated reports must preserve structured clinical evidence across sources. We present RadOT-Eval, an interpretable structured-evidence optimal transport framework for offline auditing of radiology report generation. RadOT-Eval decomposes reference and candidate reports into attribute-structured clinical evidence units, aligns corresponding evidence using entropy-regularized optimal transport, and uses clinically meaningful side-channel discrepancies in a monotone risk model to predict error burden. All transport, feature, and readout choices are selected using the ReXVal dataset, and the frozen system is evaluated on the independent RadEvalX dataset. RadOT-Eval achieves Spearman correlations of 0.715, 0.548, and 0.399 with total, clinically significant, and clinically insignificant annotated error burden, respectively, yielding higher point estimates than standard evaluation metrics and the open-source large language model (LLM)-based evaluator GREEN-radllama2-7B. In a frozen auxiliary corruption-sensitivity stress test on ReXErr-v1, RadOT-Eval achieves 0.768 AUROC and a 0.990 corrupted-greater-than-clean paired win rate. These results show that structured evidence transport provides an auditable, rank-oriented evaluation tool for high-stakes generated clinical text under ReXVal-only model selection and frozen RadEvalX testing.

cs.CL

Vectors Are Not Neutral: Sensitive-Information Inference from Exported LLM Representations in Summarization

Large language model (LLM) summarization systems may pass compact vector representations of private inputs to downstream retrieval, monitoring, audit, or analytic workflows. Even when source documents remain access-restricted, derived vectors may be handled under different access controls and still support sensitive-information inference, creating a residual information-disclosure risk. We study this issue in clinical discharge-summary generation as a high-stakes case study, using electronic health record (EHR)-recorded race as a controlled sensitive-label audit. We audit two artifacts that a system might retain or expose to downstream components: the final prompt-token hidden state and the mean-pooled prompt representation. Our results show that reducing recoverability of the case-study sensitive label from one exported artifact does not necessarily reduce recoverability from another. As a mitigation case study, we introduce SurfaceLoRA, an exported-vector-targeted parameter-efficient fine-tuning method that uses a gradient-reversal discriminator attached to a designated exported vector. Under a balanced five-way probing protocol, SurfaceLoRA reduces EHR-recorded race recoverability from the targeted final-token artifact toward chance while preserving summarization utility, yet recoverability remains substantially higher from untargeted pooled artifacts. These findings show that privacy auditing and mitigation should be performed on the exact vector artifact retained or exposed to downstream components.

cs.CL

MHGraphBench: Knowledge Graph-Grounded Benchmarking of Mental Health Knowledge in Large Language Models

Large language models (LLMs) are increasingly used in the mental health domain, yet it remains unclear how well they capture related biomedical knowledge and how reliably they apply it to clinically salient structured judgments. Here, we present a knowledge-graph (KG)-grounded benchmark for assessing LLMs on mental-health entity recognition, relation judgment, and two-hop reasoning. The benchmark is derived from PrimeKG and comprises nine task families with KG-supported answers and controlled negative options. Experiments across 15 closed- and open-source LLMs reveal a persistent recognition-to-judgment gap: leading models achieve near-ceiling performance on entity typing and on the small relation-typing subset, yet they still struggle with relation prediction and two-hop reasoning. Additionally, short KG-derived snippets benefit some models but degrade performance for others. Moreover, output-format reliability can substantially influence measured performance under constrained multiple-choice settings, highlighting the critical role of response validity in benchmark-based evaluation. MHGraphBench should therefore be interpreted as evaluating agreement with a curated mental-health slice of PrimeKG under a constrained multiple-choice interface, rather than as a direct assessment of real-world clinical safety.

cs.CL

Robust Nasality Representation Learning for Cleft Palate-Related Velopharyngeal Dysfunction Screening in Real-World Settings

Velopharyngeal dysfunction (VPD) is characterized by inadequate velopharyngeal closure during speech and often causes hypernasality and reduced intelligibility. Although speech-based machine learning models can perform well under standardized clinical recording conditions, their performance often drops in real-world settings because of domain shift caused by differences in devices, channels, noise, and room acoustics. To improve robustness, we propose a two-stage framework for VPD screening. First, a nasality-focused speech representation is learned by supervised contrastive pre-training on an auxiliary corpus with phoneme alignments, using oral-context versus nasal-context supervision. Second, the encoder is frozen and used with lightweight classifiers on 0.5-second speech chunks, whose probabilities are aggregated to produce recording-level decisions with a fixed threshold. On an in-domain clinical cohort of 82 subjects, the proposed method achieved perfect recording-level screening performance (macro-F1 = 1.000, accuracy = 1.000). On a separate out-of-domain set of 131 heterogeneous public Internet recordings, large pretrained speech representations degraded substantially, while MFCC was the strongest baseline (macro-F1 = 0.612, accuracy = 0.641). The proposed method achieved the best out-of-domain performance (macro-F1 = 0.679, accuracy = 0.695), improving on the strongest baseline under the same evaluation protocol. These results suggest that learning a nasality-focused representation before clinical classification can reduce sensitivity to recording artifacts and improve robustness for deployable speech-based VPD screening.

eess.AS

Coverage-Controlled Preference Mining from Noisy Claim Verification for Evidence-Grounded Generation

Evidence-grounded generation produces summaries whose claims should be supported by supplied evidence, but claim-level verifiers provide noisy feedback and can reward models that simply say less. We study this problem in clinical Brief Hospital Course summarization, where outputs must remain grounded in patient-specific EHR evidence. We introduce VERI-DPO, a preference-mining framework that converts noisy claim verification into coverage-controlled summary-level preferences. For each evidence-window prompt, VERI-DPO samples multiple candidate summaries, decomposes them into claims, verifies each claim against patient evidence, and forms a preference pair only when the chosen summary has better aggregate verifier-estimated support while retaining comparable verifiable content. Standard Direct Preference Optimization then distills these pairs into a single-sample policy, avoiding inference-time reranking. On patient-disjoint MIMIC-III-Ext-VeriFact-BHC test data, VERI-DPO reduces Not Supported rates from 10.7% to 1.9% under the mining verifier and from 11.6% to 6.4% under a separately prompted GPT-4o judge. In 100 blinded pairwise assessments by two domain researchers, VERI-DPO is preferred over the base model 56 times versus 18 times for factual faithfulness. In a locked zero-shot MIMIC-IV-Ext-BHC transfer test with 1,000 patients and no model adaptation, VERI-DPO lowers Not Supported rates with nearly unchanged scored-claim counts. Multi-seed ablations show that verifier-guided pair construction drives the gains, while coverage and anti-degeneration controls prevent apparent factuality improvements from coming from shorter or less checkable outputs.

cs.CL

Learning When to Sample: Confidence-Aware Selective Sampling for Efficient Chain-of-Thought Reasoning

Large language models (LLMs) can achieve strong reasoning performance through chain-of-thought (CoT) reasoning, yet they often generate unnecessarily long reasoning paths that incur high inference cost. Self-consistency-based approaches push accuracy higher still, but they require sampling and aggregating multiple reasoning trajectories, leading to substantial computational overhead. In this paper, we introduce a confidence-aware selective sampling framework that, at inference time, analyzes a single reasoning trajectory to adaptively determine whether to rely on that trajectory alone or trigger multi-path sampling. The framework uses trajectory-level numeric features and sentence-level linguistic features extracted from reasoning states to guide selective multi-path reasoning. We train it on MedQA and evaluate it in-domain on MedQA and under calibration-only transfer on MathQA, MedMCQA, and MMLU, without further fine-tuning. Experimental results show that the proposed framework maintains comparable performance to full and efficient multi-path reasoning baselines, with accuracy changes of $-0.41 \pm 0.58$ and $-0.31 \pm 0.58$ percentage points, respectively, while reducing token usage by $71.7 \pm 5.0%$ and $36.6 \pm 9.1%$. These findings demonstrate that reasoning trajectories contain rich signals for uncertainty estimation, enabling a simple, transferable mechanism to balance accuracy and efficiency in LLM reasoning.

cs.CL

Optimizing Domain-Adaptive Self-Supervised Learning for Clinical Voice-Based Disease Classification

The human voice is a promising non-invasive digital biomarker, yet deep learning for voice-based health analysis is hindered by data scarcity and domain mismatch, where models pre-trained on general audio fail to capture the subtle pathological features characteristic of clinical voice data. To address these challenges, we investigate domain-adaptive self-supervised learning (SSL) with Masked Autoencoders (MAE) and demonstrate that standard configurations are suboptimal for health-related audio. Using the Bridge2AI-Voice dataset, a multi-institutional collection of pathological voices, we systematically examine three performance-critical factors: reconstruction loss (Mean Absolute Error vs. Mean Squared Error), normalization (patch-wise vs. global), and masking (random vs. content-aware). Our optimized design, which combines Mean Absolute Error (MA-Error) loss, patch-wise normalization, and content-aware masking, achieves a Macro F1 of $0.688 \pm 0.009$ (over 10 fine-tuning runs), outperforming a strong out-of-domain SSL baseline pre-trained on large-scale general audio, which has a Macro F1 of $0.663 \pm 0.011$. The results show that MA-Error loss improves robustness and content-aware masking boosts performance by emphasizing information-rich regions. These findings highlight the importance of component-level optimization in data-constrained medical applications that rely on audio data.

eess.AS

Sequential ejections of plasma blobs due to unbraiding of tangled loops in the solar atmosphere

Nanoflares, which are consequences of braids in tangled magnetic fields, are an important candidate to heat the solar corona to million degrees. However, their observational evidence is sparse and many of their observational characteristics are yet to be discovered. With the high-resolution observations taken by the Extreme Ultraviolet Imager onboard the Solar Orbiter, here we study a series of ejections of plasma blobs resulted from a braided magnetic loops in the upper transition region and reveal some critical characteristics of such processes. The cores of these ejections have a size of about 700\,km, a duration less than 1 minute and a speed of about 90\,\kms. An important characteristic is that these plasma blobs are apparently constrained by the post-reconnection magnetic loops, along which they show an extension of up to about 2\,000\,km. The propagation of unbraiding nodes along the main axis of the tangled loops has a speed of about 45\,\kms. The separation angles between the post-reconnection loops and the main axis of the tangled loops are about 30\degree. The observations from the Atmospheric Imaging Assembly reveal that the braiding loops are upper transition region structures. Based on these observations, the typical magnetic free energy producing a blob is estimated to be about $3.4\times10^{23}$\,erg, well in the nano-flare regime, while the kinematic energy of a blob is about $2.3\times10^{23}$\,erg, suggesting that a majority of magnetic free energy in a magnetic braid is likely transferred into kinematic energy.

astro-ph.SR

Multi-episodes of remote brightenings driven by a coronal EUV jet on the Sun

Remote brightening (RB) is compact brightening at footpoints of magnetic loops, which are remotely-connecting to and confining an eruption in the solar atmosphere. Here, we report on observations of an RB resulting from an EUV jet with a speed of about 90\,km\,s$^{-1}$. The loops connecting the RB and the jet have an apparent length of about 59\,Mm. Intriguingly, the RB exhibits at least two episodes of brightenings, as characterised by two peaks in its lightcurve. The energies, which sustain the first and second peaks of the RB, are $6.3\times10^{26}$\,erg and $8.4\times10^{26}$\,erg, respectively, and take a significant proportion of the total energy. The first peak of the RB brightenings coincides with the jet's peak with a time delay of 12 seconds, while the second peak lags behind by 108 seconds. Besides the flows of the ejecta, we have identified two additional flows originating from the eruption site. One is relatively cool with a temperature of $log_{10}T/K=5.8-6.1$ and has a speed of about $275\pm15$\,km\,s$^{-1}$. The other is hot with a temperature of $log_{10}T/K=7.0-7.3$ and travels much faster with a speed of about 750$\pm$\,70\,km\,s$^{-1}$. We attribute the second peak of RB directly to this hot flow, which our numerical experiments suggest is the result of a slow shock wave. Considering the minimal time delay between the first peak of RB and the eruption, we infer this first episode is due to heating by nonthermal electrons. Our research demonstrates that the dynamics in an RB can offer vital insights into the nature of the corresponding eruption and help understand how the energy is distributed throughout the solar atmosphere.

astro-ph.SR

East: Efficient and Accurate Secure Transformer Framework for Inference

Transformer has been successfully used in practical applications, such as ChatGPT, due to its powerful advantages. However, users' input is leaked to the model provider during the service. With people's attention to privacy, privacy-preserving Transformer inference is on the demand of such services. Secure protocols for non-linear functions are crucial in privacy-preserving Transformer inference, which are not well studied. Thus, designing practical secure protocols for non-linear functions is hard but significant to model performance. In this work, we propose a framework \emph{East} to enable efficient and accurate secure Transformer inference. Firstly, we propose a new oblivious piecewise polynomial evaluation algorithm and apply it to the activation functions, which reduces the runtime and communication of GELU by over 1.5$\times$ and 2.5$\times$, compared to prior arts. Secondly, the secure protocols for softmax and layer normalization are carefully designed to faithfully maintain the desired functionality. Thirdly, several optimizations are conducted in detail to enhance the overall efficiency. We applied \emph{East} to BERT and the results show that the inference accuracy remains consistent with the plaintext inference without fine-tuning. Compared to Iron, we achieve about 1.8$\times$ lower communication within 1.2$\times$ lower runtime.

cs.CR

ERNIE 3.0 Tiny: Frustratingly Simple Method to Improve Task-Agnostic Distillation Generalization

Task-agnostic knowledge distillation attempts to address the problem of deploying large pretrained language model in resource-constrained scenarios by compressing a large pretrained model called teacher into a smaller one called student such that the student can be directly finetuned on downstream tasks and retains comparable performance. However, we empirically find that there is a generalization gap between the student and the teacher in existing methods. In this work, we show that we can leverage multi-task learning in task-agnostic distillation to advance the generalization of the resulted student. In particular, we propose Multi-task Infused Task-agnostic Knowledge Distillation (MITKD). We first enhance the teacher by multi-task training it on multiple downstream tasks and then perform distillation to produce the student. Experimental results demonstrate that our method yields a student with much better generalization, significantly outperforms existing baselines, and establishes a new state-of-the-art result on in-domain, out-domain, and low-resource datasets in the setting of task-agnostic distillation. Moreover, our method even exceeds an 8x larger BERT$_{\text{Base}}$ on SQuAD and four GLUE tasks. In addition, by combining ERNIE 3.0, our method achieves state-of-the-art results on 10 Chinese datasets.

cs.CL

Learning Weakly-Supervised Contrastive Representations

We argue that a form of the valuable information provided by the auxiliary information is its implied data clustering information. For instance, considering hashtags as auxiliary information, we can hypothesize that an Instagram image will be semantically more similar with the same hashtags. With this intuition, we present a two-stage weakly-supervised contrastive learning approach. The first stage is to cluster data according to its auxiliary information. The second stage is to learn similar representations within the same cluster and dissimilar representations for data from different clusters. Our empirical experiments suggest the following three contributions. First, compared to conventional self-supervised representations, the auxiliary-information-infused representations bring the performance closer to the supervised representations, which use direct downstream labels as supervision signals. Second, our approach performs the best in most cases, when comparing our approach with other baseline representation learning methods that also leverage auxiliary data information. Third, we show that our approach also works well with unsupervised constructed clusters (e.g., no auxiliary information), resulting in a strong unsupervised representation learning approach.

cs.LG

ERNIE 3.0 Titan: Exploring Larger-scale Knowledge Enhanced Pre-training for Language Understanding and Generation

Pre-trained language models have achieved state-of-the-art results in various Natural Language Processing (NLP) tasks. GPT-3 has shown that scaling up pre-trained language models can further exploit their enormous potential. A unified framework named ERNIE 3.0 was recently proposed for pre-training large-scale knowledge enhanced models and trained a model with 10 billion parameters. ERNIE 3.0 outperformed the state-of-the-art models on various NLP tasks. In order to explore the performance of scaling up ERNIE 3.0, we train a hundred-billion-parameter model called ERNIE 3.0 Titan with up to 260 billion parameters on the PaddlePaddle platform. Furthermore, we design a self-supervised adversarial loss and a controllable language modeling loss to make ERNIE 3.0 Titan generate credible and controllable texts. To reduce the computation overhead and carbon emission, we propose an online distillation framework for ERNIE 3.0 Titan, where the teacher model will teach students and train itself simultaneously. ERNIE 3.0 Titan is the largest Chinese dense pre-trained model so far. Empirical results show that the ERNIE 3.0 Titan outperforms the state-of-the-art models on 68 NLP datasets.

cs.CL

Statistical properties of Hα jets in the polar coronal hole and their implications in coronal activities

Dynamic features, such as chromospheric jets, transition region network jets, coronal plumes and coronal jets, are abundant in the network regions of the solar polar coronal holes. We investigate the relationship between chromospheric jets and coronal activities (e.g., coronal plumes and jets).We analyze observations of a polar coronal hole including the filtergrams that were taken by the New Vacuum Solar Telescope (NVST) at the Hα-0.6 Åto study the Hα jets,and the Atmospheric Imaging Assembly (AIA) 171 Å images to follow the evolution of coronal activities. Hα jets are persistent in the network regions, only some regions (denoted as R1-R5) are rooted with discernible coronal plumes.With an automated method, we identify and track 1 320 Hα jets in the network regions. We find that the average lifetime, height and ascending speed of the Hα jets are 75.38 s, 2.67 Mm, 65.60 km s$^{-1}$, respectively. The Hα jets rooted in R1-R5 are higher and faster than those in the others. We also find that propagating disturbances (PDs) in coronal plumes have a close connection with the Hα jets. The speeds of 28 out of 29 Hα jets associated with PDs are about 50 km s$^{-1}$ . In a case of coronal jet, we find that the speeds of both the coronal jet and the Hα jet are over 150 km s$^{-1}$, suggesting that both cool and hot jets can be coupled together. Based on our analyses, it is evident that more dynamic Hα jets could release the energies to the corona, which might be the results of the development of Kelvin-Helmholtz instability (KHi) or small-scaled magnetic activities. We suggest that chromospheric jets, transition region network jets and ray-like features in the corona are coherent phenomena, and they are important tunnels for cycling energy and mass in the solar atmosphere.

astro-ph.SR