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Yike Guo

Publications and source records attributed to Yike Guo.

At least 199 records · Page 11Linked to original sources

Suggestive Annotation of Brain MR Images with Gradient-guided Sampling

Machine learning has been widely adopted for medical image analysis in recent years given its promising performance in image segmentation and classification tasks. The success of machine learning, in particular supervised learning, depends on the availability of manually annotated datasets. For medical imaging applications, such annotated datasets are not easy to acquire, it takes a substantial amount of time and resource to curate an annotated medical image set. In this paper, we propose an efficient annotation framework for brain MR images that can suggest informative sample images for human experts to annotate. We evaluate the framework on two different brain image analysis tasks, namely brain tumour segmentation and whole brain segmentation. Experiments show that for brain tumour segmentation task on the BraTS 2019 dataset, training a segmentation model with only 7% suggestively annotated image samples can achieve a performance comparable to that of training on the full dataset. For whole brain segmentation on the MALC dataset, training with 42% suggestively annotated image samples can achieve a comparable performance to training on the full dataset. The proposed framework demonstrates a promising way to save manual annotation cost and improve data efficiency in medical imaging applications.

cs.CV↗

A Scalable Workflow to Build Machine Learning Classifiers with Clinician-in-the-Loop to Identify Patients in Specific Diseases

Clinicians may rely on medical coding systems such as International Classification of Diseases (ICD) to identify patients with diseases from Electronic Health Records (EHRs). However, due to the lack of detail and specificity as well as a probability of miscoding, recent studies suggest the ICD codes often cannot characterise patients accurately for specific diseases in real clinical practice, and as a result, using them to find patients for studies or trials can result in high failure rates and missing out on uncoded patients. Manual inspection of all patients at scale is not feasible as it is highly costly and slow. This paper proposes a scalable workflow which leverages both structured data and unstructured textual notes from EHRs with techniques including NLP, AutoML and Clinician-in-the-Loop mechanism to build machine learning classifiers to identify patients at scale with given diseases, especially those who might currently be miscoded or missed by ICD codes. Case studies in the MIMIC-III dataset were conducted where the proposed workflow demonstrates a higher classification performance in terms of F1 scores compared to simply using ICD codes on gold testing subset to identify patients with Ovarian Cancer (0.901 vs 0.814), Lung Cancer (0.859 vs 0.828), Cancer Cachexia (0.862 vs 0.650), and Lupus Nephritis (0.959 vs 0.855). Also, the proposed workflow that leverages unstructured notes consistently outperforms the baseline that uses structured data only with an increase of F1 (Ovarian Cancer 0.901 vs 0.719, Lung Cancer 0.859 vs 0.787, Cancer Cachexia 0.862 vs 0.838 and Lupus Nephritis 0.959 vs 0.785). Experiments on the large testing set also demonstrate the proposed workflow can find more patients who are miscoded or missed by ICD codes. Moreover, interpretability studies are also conducted to clinically validate the top impact features of the classifiers.

cs.CL↗

Unsupervised Numerical Reasoning to Extract Phenotypes from Clinical Text by Leveraging External Knowledge

Extracting phenotypes from clinical text has been shown to be useful for a variety of clinical use cases such as identifying patients with rare diseases. However, reasoning with numerical values remains challenging for phenotyping in clinical text, for example, temperature 102F representing Fever. Current state-of-the-art phenotyping models are able to detect general phenotypes, but perform poorly when they detect phenotypes requiring numerical reasoning. We present a novel unsupervised methodology leveraging external knowledge and contextualized word embeddings from ClinicalBERT for numerical reasoning in a variety of phenotypic contexts. Comparing against unsupervised benchmarks, it shows a substantial performance improvement with absolute gains on generalized Recall and F1 scores up to 79% and 71%, respectively. In the supervised setting, it also surpasses the performance of alternative approaches with absolute gains on generalized Recall and F1 scores up to 70% and 44%, respectively.

cs.CL↗

Receding Neuron Importances for Structured Pruning

Structured pruning efficiently compresses networks by identifying and removing unimportant neurons. While this can be elegantly achieved by applying sparsity-inducing regularisation on BatchNorm parameters, an L1 penalty would shrink all scaling factors rather than just those of superfluous neurons. To tackle this issue, we introduce a simple BatchNorm variation with bounded scaling parameters, based on which we design a novel regularisation term that suppresses only neurons with low importance. Under our method, the weights of unnecessary neurons effectively recede, producing a polarised bimodal distribution of importances. We show that neural networks trained this way can be pruned to a larger extent and with less deterioration. We one-shot prune VGG and ResNet architectures at different ratios on CIFAR and ImagenNet datasets. In the case of VGG-style networks, our method significantly outperforms existing approaches particularly under a severe pruning regime.

cs.LG↗

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↗

OmiTrans: generative adversarial networks based omics-to-omics translation framework

With the rapid development of high-throughput experimental technologies, different types of omics (e.g., genomics, epigenomics, transcriptomics, proteomics, and metabolomics) data can be produced from clinical samples. The correlations between different omics types attracts a lot of research interest, whereas the stduy on genome-wide omcis data translation (i.e, generation and prediction of one type of omics data from another type of omics data) is almost blank. Generative adversarial networks and the variants are one of the most state-of-the-art deep learning technologies, which have shown great success in image-to-image translation, text-to-image translation, etc. Here we proposed OmiTrans, a deep learning framework adopted the idea of generative adversarial networks to achieve omics-to-omics translation with promising results. OmiTrans was able to faithfully reconstruct gene expression profiles from DNA methylation data with high accuracy and great model generalisation, as demonstrated in the experiments.

q-bio.GN↗

Clinical Utility of the Automatic Phenotype Annotation in Unstructured Clinical Notes: ICU Use Cases

Objective: Clinical notes contain information not present elsewhere, including drug response and symptoms, all of which are highly important when predicting key outcomes in acute care patients. We propose the automatic annotation of phenotypes from clinical notes as a method to capture essential information, which is complementary to typically used vital signs and laboratory test results, to predict outcomes in the Intensive Care Unit (ICU). Methods: We develop a novel phenotype annotation model to annotate phenotypic features of patients which are then used as input features of predictive models to predict ICU patient outcomes. We demonstrate and validate our approach conducting experiments on three ICU prediction tasks including in-hospital mortality, physiological decompensation and length of stay for over 24,000 patients by using MIMIC-III dataset. Results: The predictive models incorporating phenotypic information achieve 0.845 (AUC-ROC) to predict in-hospital mortality, 0.839 (AUC-ROC) for physiological decompensation and 0.430 (Kappa) for length of stay, all of which consistently outperform the baseline models leveraging only vital signs and laboratory test results. Moreover, we conduct a thorough interpretability study, showing that phenotypes provide valuable insights at the patient and cohort levels. Conclusion: The proposed approach demonstrates phenotypic information complements traditionally used vital signs and laboratory test results, improving significantly forecast of outcomes in the ICU.

cs.CL↗

Bayesian data assimilation for estimating epidemic evolution: a COVID-19 study

The evolution of epidemiological parameters, such as instantaneous reproduction number Rt, is important for understanding the transmission dynamics of infectious diseases. Current estimates of time-varying epidemiological parameters often face problems such as lagging observations, averaging inference, and improper quantification of uncertainties. To address these problems, we propose a Bayesian data assimilation framework for time-varying parameter estimation. Specifically, this framework is applied to Rt estimation, resulting in the state-of-the-art DARt system. With DARt, time misalignment caused by lagging observations is tackled by incorporating observation delays into the joint inference of infections and Rt; the drawback of averaging is overcome by instantaneously updating upon new observations and developing a model selection mechanism that captures abrupt changes; the uncertainty is quantified and reduced by employing Bayesian smoothing. We validate the performance of DARt and demonstrate its power in revealing the transmission dynamics of COVID-19. The proposed approach provides a promising solution for accurate and timely estimating transmission dynamics from reported data.

stat.AP↗

Self-Supervised Detection of Contextual Synonyms in a Multi-Class Setting: Phenotype Annotation Use Case

Contextualised word embeddings is a powerful tool to detect contextual synonyms. However, most of the current state-of-the-art (SOTA) deep learning concept extraction methods remain supervised and underexploit the potential of the context. In this paper, we propose a self-supervised pre-training approach which is able to detect contextual synonyms of concepts being training on the data created by shallow matching. We apply our methodology in the sparse multi-class setting (over 15,000 concepts) to extract phenotype information from electronic health records. We further investigate data augmentation techniques to address the problem of the class sparsity. Our approach achieves a new SOTA for the unsupervised phenotype concept annotation on clinical text on F1 and Recall outperforming the previous SOTA with a gain of up to 4.5 and 4.0 absolute points, respectively. After fine-tuning with as little as 20\% of the labelled data, we also outperform BioBERT and ClinicalBERT. The extrinsic evaluation on three ICU benchmarks also shows the benefit of using the phenotypes annotated by our model as features.

cs.CL↗

Quantifying high-order interdependencies on individual patterns via the local O-information: theory and applications to music analysis

High-order, beyond-pairwise interdependencies are at the core of biological, economic, and social complex systems, and their adequate analysis is paramount to understand, engineer, and control such systems. This paper presents a framework to measure high-order interdependence that disentangles their effect on each individual pattern exhibited by a multivariate system. The approach is centred on the 'local O-information', a new measure that assesses the balance between synergistic and redundant interdependencies at each pattern. To illustrate the potential of this framework, we present a detailed analysis of music scores from J.S. Bach, which reveals how high-order interdependence is deeply connected with highly non-trivial aspects of the musical discourse. Our results place the local O-information as a promising tool of wide applicability, which opens new perspectives for analysing high-order relationships in the patterns exhibited by complex systems.

physics.data-an↗

Joint Motion Correction and Super Resolution for Cardiac Segmentation via Latent Optimisation

In cardiac magnetic resonance (CMR) imaging, a 3D high-resolution segmentation of the heart is essential for detailed description of its anatomical structures. However, due to the limit of acquisition duration and respiratory/cardiac motion, stacks of multi-slice 2D images are acquired in clinical routine. The segmentation of these images provides a low-resolution representation of cardiac anatomy, which may contain artefacts caused by motion. Here we propose a novel latent optimisation framework that jointly performs motion correction and super resolution for cardiac image segmentations. Given a low-resolution segmentation as input, the framework accounts for inter-slice motion in cardiac MR imaging and super-resolves the input into a high-resolution segmentation consistent with input. A multi-view loss is incorporated to leverage information from both short-axis view and long-axis view of cardiac imaging. To solve the inverse problem, iterative optimisation is performed in a latent space, which ensures the anatomical plausibility. This alleviates the need of paired low-resolution and high-resolution images for supervised learning. Experiments on two cardiac MR datasets show that the proposed framework achieves high performance, comparable to state-of-the-art super-resolution approaches and with better cross-domain generalisability and anatomical plausibility.

eess.IV↗

XOmiVAE: an interpretable deep learning model for cancer classification using high-dimensional omics data

The lack of explainability is one of the most prominent disadvantages of deep learning applications in omics. This "black box" problem can undermine the credibility and limit the practical implementation of biomedical deep learning models. Here we present XOmiVAE, a variational autoencoder (VAE) based interpretable deep learning model for cancer classification using high-dimensional omics data. XOmiVAE is capable of revealing the contribution of each gene and latent dimension for each classification prediction, and the correlation between each gene and each latent dimension. It is also demonstrated that XOmiVAE can explain not only the supervised classification but the unsupervised clustering results from the deep learning network. To the best of our knowledge, XOmiVAE is one of the first activation level-based interpretable deep learning models explaining novel clusters generated by VAE. The explainable results generated by XOmiVAE were validated by both the performance of downstream tasks and the biomedical knowledge. In our experiments, XOmiVAE explanations of deep learning based cancer classification and clustering aligned with current domain knowledge including biological annotation and academic literature, which shows great potential for novel biomedical knowledge discovery from deep learning models.

q-bio.GN↗

OmiEmbed: a unified multi-task deep learning framework for multi-omics data

High-dimensional omics data contains intrinsic biomedical information that is crucial for personalised medicine. Nevertheless, it is challenging to capture them from the genome-wide data due to the large number of molecular features and small number of available samples, which is also called 'the curse of dimensionality' in machine learning. To tackle this problem and pave the way for machine learning aided precision medicine, we proposed a unified multi-task deep learning framework named OmiEmbed to capture biomedical information from high-dimensional omics data with the deep embedding and downstream task modules. The deep embedding module learnt an omics embedding that mapped multiple omics data types into a latent space with lower dimensionality. Based on the new representation of multi-omics data, different downstream task modules were trained simultaneously and efficiently with the multi-task strategy to predict the comprehensive phenotype profile of each sample. OmiEmbed support multiple tasks for omics data including dimensionality reduction, tumour type classification, multi-omics integration, demographic and clinical feature reconstruction, and survival prediction. The framework outperformed other methods on all three types of downstream tasks and achieved better performance with the multi-task strategy comparing to training them individually. OmiEmbed is a powerful and unified framework that can be widely adapted to various application of high-dimensional omics data and has a great potential to facilitate more accurate and personalised clinical decision making.

q-bio.GN↗

Digital twins based on bidirectional LSTM and GAN for modelling the COVID-19 pandemic

The outbreak of the coronavirus disease 2019 (COVID-19) has now spread throughout the globe infecting over 150 million people and causing the death of over 3.2 million people. Thus, there is an urgent need to study the dynamics of epidemiological models to gain a better understanding of how such diseases spread. While epidemiological models can be computationally expensive, recent advances in machine learning techniques have given rise to neural networks with the ability to learn and predict complex dynamics at reduced computational costs. Here we introduce two digital twins of a SEIRS model applied to an idealised town. The SEIRS model has been modified to take account of spatial variation and, where possible, the model parameters are based on official virus spreading data from the UK. We compare predictions from a data-corrected Bidirectional Long Short-Term Memory network and a predictive Generative Adversarial Network. The predictions given by these two frameworks are accurate when compared to the original SEIRS model data. Additionally, these frameworks are data-agnostic and could be applied to towns, idealised or real, in the UK or in other countries. Also, more compartments could be included in the SEIRS model, in order to study more realistic epidemiological behaviour.

cs.LG↗

Adversarial autoencoders and adversarial LSTM for improved forecasts of urban air pollution simulations

This paper presents an approach to improve the forecast of computational fluid dynamics (CFD) simulations of urban air pollution using deep learning, and most specifically adversarial training. This adversarial approach aims to reduce the divergence of the forecasts from the underlying physical model. Our two-step method integrates a Principal Components Analysis (PCA) based adversarial autoencoder (PC-AAE) with adversarial Long short-term memory (LSTM) networks. Once the reduced-order model (ROM) of the CFD solution is obtained via PCA, an adversarial autoencoder is used on the principal components time series. Subsequentially, a Long Short-Term Memory network (LSTM) is adversarially trained on the latent space produced by the PC-AAE to make forecasts. Once trained, the adversarially trained LSTM outperforms a LSTM trained in a classical way. The study area is in South London, including three-dimensional velocity vectors in a busy traffic junction.

cs.LG↗

MOAI: A methodology for evaluating the impact of indoor airflow in the transmission of COVID-19

Epidemiology models play a key role in understanding and responding to the COVID-19 pandemic. In order to build those models, scientists need to understand contributing factors and their relative importance. A large strand of literature has identified the importance of airflow to mitigate droplets and far-field aerosol transmission risks. However, the specific factors contributing to higher or lower contamination in various settings have not been clearly defined and quantified. As part of the MOAI project (https://moaiapp.com), we are developing a privacy-preserving test and trace app to enable infection cluster investigators to get in touch with patients without having to know their identity. This approach allows involving users in the fight against the pandemic by contributing additional information in the form of anonymous research questionnaires. We first describe how the questionnaire was designed, and the synthetic data was generated based on a review we carried out on the latest available literature. We then present a model to evaluate the risk exposition of a user for a given setting. We finally propose a temporal addition to the model to evaluate the risk exposure over time for a given user.

cs.CR↗

Product semantics translation from brain activity via adversarial learning

A small change of design semantics may affect a user's satisfaction with a product. To modify a design semantic of a given product from personalised brain activity via adversarial learning, in this work, we propose a deep generative transformation model to modify product semantics from the brain signal. We attempt to accomplish such synthesis: 1) synthesising the product image with new features corresponding to EEG signal; 2) maintaining the other image features that irrelevant to EEG signal. We leverage the idea of StarGAN and the model is designed to synthesise products with preferred design semantics (colour & shape) via adversarial learning from brain activity, and is applied with a case study to generate shoes with different design semantics from recorded EEG signals. To verify our proposed cognitive transformation model, a case study has been presented. The results work as a proof-of-concept that our framework has the potential to synthesis product semantic from brain activity.

cs.MM↗