arXiv subjects

Yuan Luo

Publications and source records attributed to Yuan Luo.

At least 109 records · Page 6Linked to original sources

arXiv2020

Mixture-based Multiple Imputation Model for Clinical Data with a Temporal Dimension

The problem of missing values in multivariable time series is a key challenge in many applications such as clinical data mining. Although many imputation methods show their effectiveness in many applications, few of them are designed to accommodate clinical multivariable time series. In this work, we propose a multiple imputation model that capture both cross-sectional information and temporal correlations. We integrate Gaussian processes with mixture models and introduce individualized mixing weights to handle the variance of predictive confidence of Gaussian process models. The proposed model is compared with several state-of-the-art imputation algorithms on both real-world and synthetic datasets. Experiments show that our best model can provide more accurate imputation than the benchmarks on all of our datasets.

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arXiv2020

Towrad 5G Air Interface Technology: Sparse Code Muliple Access

The fifth generation wireless networks focus on the design of low latency, high data rate, high reliability, and massive connectivity communications. Non-orthogonal multiple access (NOMA) is an essential enabling technology to accommodate the wide range of communication requirements. By coordinating the massive devices within the same resource block on power domain, frequency domain or code domain, NOMA is superior to conventional orthogonal multiple access in terms of the network connectivity, the throughputs of system and etc. Sparse code multiple access (SCMA) is a kind of multi-carrier code domain NOMA and has been studied extensively. The challenges for designing a high quality SCMA system is to seek the feasible encoding and decoding schemes to meet the desired requirements. In this article, we present some recent progresses towards the design of multi-dimensional codebooks, the practical low complexity decoder, as well as the Grant-Free multiple access for SCMA system. In particular, we show how the SCMA codebooks construction are motived by the combined design of multi-dimensional constellation and factor graphs. In addition, various low complexity SCMA decoders are also reviewed with a special focus on sphere decoding. Moreover, based on the framework of belief propagation, the SCMA Grant-Free transmission is introduced and the problem of collision resolution is also discussed.

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arXiv2020

Med2Meta: Learning Representations of Medical Concepts with Meta-Embeddings

Distributed representations of medical concepts have been used to support downstream clinical tasks recently. Electronic Health Records (EHR) capture different aspects of patients' hospital encounters and serve as a rich source for augmenting clinical decision making by learning robust medical concept embeddings. However, the same medical concept can be recorded in different modalities (e.g., clinical notes, lab results)-with each capturing salient information unique to that modality-and a holistic representation calls for relevant feature ensemble from all information sources. We hypothesize that representations learned from heterogeneous data types would lead to performance enhancement on various clinical informatics and predictive modeling tasks. To this end, our proposed approach makes use of meta-embeddings, embeddings aggregated from learned embeddings. Firstly, modality-specific embeddings for each medical concept is learned with graph autoencoders. The ensemble of all the embeddings is then modeled as a meta-embedding learning problem to incorporate their correlating and complementary information through a joint reconstruction. Empirical results of our model on both quantitative and qualitative clinical evaluations have shown improvements over state-of-the-art embedding models, thus validating our hypothesis.

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arXiv2019

Identifying Sub-Phenotypes of Acute Kidney Injury using Structured and Unstructured Electronic Health Record Data with Memory Networks

Acute Kidney Injury (AKI) is a common clinical syndrome characterized by the rapid loss of kidney excretory function, which aggravates the clinical severity of other diseases in a large number of hospitalized patients. Accurate early prediction of AKI can enable in-time interventions and treatments. However, AKI is highly heterogeneous, thus identification of AKI sub-phenotypes can lead to an improved understanding of the disease pathophysiology and development of more targeted clinical interventions. This study used a memory network-based deep learning approach to discover AKI sub-phenotypes using structured and unstructured electronic health record (EHR) data of patients before AKI diagnosis. We leveraged a real world critical care EHR corpus including 37,486 ICU stays. Our approach identified three distinct sub-phenotypes: sub-phenotype I is with an average age of 63.03$ \pm 17.25 $ years, and is characterized by mild loss of kidney excretory function (Serum Creatinine (SCr) $1.55\pm 0.34$ mg/dL, estimated Glomerular Filtration Rate Test (eGFR) $107.65\pm 54.98$ mL/min/1.73$m^2$). These patients are more likely to develop stage I AKI. Sub-phenotype II is with average age 66.81$ \pm 10.43 $ years, and was characterized by severe loss of kidney excretory function (SCr $1.96\pm 0.49$ mg/dL, eGFR $82.19\pm 55.92$ mL/min/1.73$m^2$). These patients are more likely to develop stage III AKI. Sub-phenotype III is with average age 65.07$ \pm 11.32 $ years, and was characterized moderate loss of kidney excretory function and thus more likely to develop stage II AKI (SCr $1.69\pm 0.32$ mg/dL, eGFR $93.97\pm 56.53$ mL/min/1.73$m^2$). Both SCr and eGFR are significantly different across the three sub-phenotypes with statistical testing plus postdoc analysis, and the conclusion still holds after age adjustment.

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arXiv2019

Hierarchical Semantic Correspondence Learning for Post-Discharge Patient Mortality Prediction

Predicting patient mortality is an important and challenging problem in the healthcare domain, especially for intensive care unit (ICU) patients. Electronic health notes serve as a rich source for learning patient representations, that can facilitate effective risk assessment. However, a large portion of clinical notes are unstructured and also contain domain specific terminologies, from which we need to extract structured information. In this paper, we introduce an embedding framework to learn semantically-plausible distributed representations of clinical notes that exploits the semantic correspondence between the unstructured texts and their corresponding structured knowledge, known as semantic frame, in a hierarchical fashion. Our approach integrates text modeling and semantic correspondence learning into a single model that comprises 1) an unstructured embedding module that makes use of self-similarity matrix representations in order to inject structural regularities of different segments inherent in clinical texts to promote local coherence, 2) a structured embedding module to embed the semantic frames (e.g., UMLS semantic types) with deep ConvNet and 3) a hierarchical semantic correspondence module that embeds by enhancing the interactions between text-semantic frame embedding pairs at multiple levels (i.e., words, sentence, note). Evaluations on multiple embedding benchmarks on post discharge intensive care patient mortality prediction tasks demonstrate its effectiveness compared to approaches that do not exploit the semantic interactions between structured and unstructured information present in clinical notes.

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arXiv2019

Mixed Pooling Multi-View Attention Autoencoder for Representation Learning in Healthcare

Distributed representations have been used to support downstream tasks in healthcare recently. Healthcare data (e.g., electronic health records) contain multiple modalities of data from heterogeneous sources that can provide complementary information, alongside an added dimension to learning personalized patient representations. To this end, in this paper we propose a novel unsupervised encoder-decoder model, namely Mixed Pooling Multi-View Attention Autoencoder (MPVAA), that generates patient representations encapsulating a holistic view of their medical profile. Specifically, by first learning personalized graph embeddings pertaining to each patient's heterogeneous healthcare data, it then integrates the non-linear relationships among them into a unified representation through multi-view attention mechanism. Additionally, a mixed pooling strategy is incorporated in the encoding step to learn diverse information specific to each data modality. Experiments conducted for multiple tasks demonstrate the effectiveness of the proposed model over the state-of-the-art representation learning methods in healthcare.

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arXiv2019

KG-BERT: BERT for Knowledge Graph Completion

Knowledge graphs are important resources for many artificial intelligence tasks but often suffer from incompleteness. In this work, we propose to use pre-trained language models for knowledge graph completion. We treat triples in knowledge graphs as textual sequences and propose a novel framework named Knowledge Graph Bidirectional Encoder Representations from Transformer (KG-BERT) to model these triples. Our method takes entity and relation descriptions of a triple as input and computes scoring function of the triple with the KG-BERT language model. Experimental results on multiple benchmark knowledge graphs show that our method can achieve state-of-the-art performance in triple classification, link prediction and relation prediction tasks.

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arXiv2019

Symmetric Cross Entropy for Robust Learning with Noisy Labels

Training accurate deep neural networks (DNNs) in the presence of noisy labels is an important and challenging task. Though a number of approaches have been proposed for learning with noisy labels, many open issues remain. In this paper, we show that DNN learning with Cross Entropy (CE) exhibits overfitting to noisy labels on some classes ("easy" classes), but more surprisingly, it also suffers from significant under learning on some other classes ("hard" classes). Intuitively, CE requires an extra term to facilitate learning of hard classes, and more importantly, this term should be noise tolerant, so as to avoid overfitting to noisy labels. Inspired by the symmetric KL-divergence, we propose the approach of \textbf{Symmetric cross entropy Learning} (SL), boosting CE symmetrically with a noise robust counterpart Reverse Cross Entropy (RCE). Our proposed SL approach simultaneously addresses both the under learning and overfitting problem of CE in the presence of noisy labels. We provide a theoretical analysis of SL and also empirically show, on a range of benchmark and real-world datasets, that SL outperforms state-of-the-art methods. We also show that SL can be easily incorporated into existing methods in order to further enhance their performance.

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arXiv2019

Multi-View Graph Convolutional Network and Its Applications on Neuroimage Analysis for Parkinson's Disease

Parkinson's Disease (PD) is one of the most prevalent neurodegenerative diseases that affects tens of millions of Americans. PD is highly progressive and heterogeneous. Quite a few studies have been conducted in recent years on predictive or disease progression modeling of PD using clinical and biomarkers data. Neuroimaging, as another important information source for neurodegenerative disease, has also arisen considerable interests from the PD community. In this paper, we propose a deep learning method based on Graph Convolutional Networks (GCN) for fusing multiple modalities of brain images in relationship prediction which is useful for distinguishing PD cases from controls. On Parkinson's Progression Markers Initiative (PPMI) cohort, our approach achieved $0.9537\pm 0.0587$ AUC, compared with $0.6443\pm 0.0223$ AUC achieved by traditional approaches such as PCA.

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arXiv2019

Evaluating the Portability of an NLP System for Processing Echocardiograms: A Retrospective, Multi-site Observational Study

While natural language processing (NLP) of unstructured clinical narratives holds the potential for patient care and clinical research, portability of NLP approaches across multiple sites remains a major challenge. This study investigated the portability of an NLP system developed initially at the Department of Veterans Affairs (VA) to extract 27 key cardiac concepts from free-text or semi-structured echocardiograms from three academic medical centers: Weill Cornell Medicine, Mayo Clinic and Northwestern Medicine. While the NLP system showed high precision and recall measurements for four target concepts (aortic valve regurgitation, left atrium size at end systole, mitral valve regurgitation, tricuspid valve regurgitation) across all sites, we found moderate or poor results for the remaining concepts and the NLP system performance varied between individual sites.

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arXiv2019

Capacity of Distributed Storage Systems with Clusters and Separate Nodes

In distributed storage systems (DSSs), the optimal tradeoff between node storage and repair bandwidth is an important issue for designing distributed coding strategies to ensure large scale data reliability. The capacity of DSSs is obtained as a function of node storage and repair bandwidth parameters, characterizing the tradeoff. There are lots of works on DSSs with clusters (racks) where the repair bandwidths from intra-cluster and cross-cluster are differentiated. However, separate nodes are also prevalent in the realistic DSSs, but the works on DSSs with clusters and separate nodes (CSN-DSSs) are insufficient. In this paper, we formulate the capacity of CSN-DSSs with one separate node for the first time where the bandwidth to repair a separate node is of cross-cluster. Consequently, the optimal tradeoff between node storage and repair bandwidth are derived and compared with cluster DSSs. A regenerating code instance is constructed based on the tradeoff. Furthermore, the influence of adding a separate node is analyzed and formulated theoretically. We prove that when each cluster contains R nodes and any k nodes suffice to recover the original file (MDS property), adding an extra separate node will keep the capacity if R|k, and reduce the capacity otherwise.

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arXiv2018

Distribution Networks for Open Set Learning

In open set learning, a model must be able to generalize to novel classes when it encounters a sample that does not belong to any of the classes it has seen before. Open set learning poses a realistic learning scenario that is receiving growing attention. Existing studies on open set learning mainly focused on detecting novel classes, but few studies tried to model them for differentiating novel classes. In this paper, we recognize that novel classes should be different from each other, and propose distribution networks for open set learning that can model different novel classes based on probability distributions. We hypothesize that, through a certain mapping, samples from different classes with the same classification criterion should follow different probability distributions from the same distribution family. A deep neural network is learned to map the samples in the original feature space to a latent space where the distributions of known classes can be jointly learned with the network. We additionally propose a distribution parameter transfer and updating strategy for novel class modeling when a novel class is detected in the latent space. By novel class modeling, the detected novel classes can serve as known classes to the subsequent classification. Our experimental results on image datasets MNIST and CIFAR10 show that the distribution networks can detect novel classes accurately, and model them well for the subsequent classification tasks.

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arXiv2018

Implementing a Portable Clinical NLP System with a Common Data Model - a Lisp Perspective

This paper presents a Lisp architecture for a portable NLP system, termed LAPNLP, for processing clinical notes. LAPNLP integrates multiple standard, customized and in-house developed NLP tools. Our system facilitates portability across different institutions and data systems by incorporating an enriched Common Data Model (CDM) to standardize necessary data elements. It utilizes UMLS to perform domain adaptation when integrating generic domain NLP tools. It also features stand-off annotations that are specified by positional reference to the original document. We built an interval tree based search engine to efficiently query and retrieve the stand-off annotations by specifying positional requirements. We also developed a utility to convert an inline annotation format to stand-off annotations to enable the reuse of clinical text datasets with inline annotations. We experimented with our system on several NLP facilitated tasks including computational phenotyping for lymphoma patients and semantic relation extraction for clinical notes. These experiments showcased the broader applicability and utility of LAPNLP.

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arXiv2018

Characterizing Design Patterns of EHR-Driven Phenotype Extraction Algorithms

The automatic development of phenotype algorithms from Electronic Health Record data with machine learning (ML) techniques is of great interest given the current practice is very time-consuming and resource intensive. The extraction of design patterns from phenotype algorithms is essential to understand their rationale and standard, with great potential to automate the development process. In this pilot study, we perform network visualization on the design patterns and their associations with phenotypes and sites. We classify design patterns using the fragments from previously annotated phenotype algorithms as the ground truth. The classification performance is used as a proxy for coherence at the attribution level. The bag-of-words representation with knowledge-based features generated a good performance in the classification task (0.79 macro-f1 scores). Good classification accuracy with simple features demonstrated the attribution coherence and the feasibility of automatic identification of design patterns. Our results point to both the feasibility and challenges of automatic identification of phenotyping design patterns, which would power the automatic development of phenotype algorithms.

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arXiv2018

Graph Convolutional Networks for Text Classification

Text classification is an important and classical problem in natural language processing. There have been a number of studies that applied convolutional neural networks (convolution on regular grid, e.g., sequence) to classification. However, only a limited number of studies have explored the more flexible graph convolutional neural networks (convolution on non-grid, e.g., arbitrary graph) for the task. In this work, we propose to use graph convolutional networks for text classification. We build a single text graph for a corpus based on word co-occurrence and document word relations, then learn a Text Graph Convolutional Network (Text GCN) for the corpus. Our Text GCN is initialized with one-hot representation for word and document, it then jointly learns the embeddings for both words and documents, as supervised by the known class labels for documents. Our experimental results on multiple benchmark datasets demonstrate that a vanilla Text GCN without any external word embeddings or knowledge outperforms state-of-the-art methods for text classification. On the other hand, Text GCN also learns predictive word and document embeddings. In addition, experimental results show that the improvement of Text GCN over state-of-the-art comparison methods become more prominent as we lower the percentage of training data, suggesting the robustness of Text GCN to less training data in text classification.

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arXiv2018

Early Prediction of Acute Kidney Injury in Critical Care Setting Using Clinical Notes

Acute kidney injury (AKI) in critically ill patients is associated with significant morbidity and mortality. Development of novel methods to identify patients with AKI earlier will allow for testing of novel strategies to prevent or reduce the complications of AKI. We developed data-driven prediction models to estimate the risk of new AKI onset. We generated models from clinical notes within the first 24 hours following intensive care unit (ICU) admission extracted from Medical Information Mart for Intensive Care III (MIMIC-III). From the clinical notes, we generated clinically meaningful word and concept representations and embeddings, respectively. Five supervised learning classifiers and knowledge-guided deep learning architecture were used to construct prediction models. The best configuration yielded a competitive AUC of 0.779. Our work suggests that natural language processing of clinical notes can be applied to assist clinicians in identifying the risk of incident AKI onset in critically ill patients upon admission to the ICU.

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arXiv2018

Deep Generative Classifiers for Thoracic Disease Diagnosis with Chest X-ray Images

Thoracic diseases are very serious health problems that plague a large number of people. Chest X-ray is currently one of the most popular methods to diagnose thoracic diseases, playing an important role in the healthcare workflow. However, reading the chest X-ray images and giving an accurate diagnosis remain challenging tasks for expert radiologists. With the success of deep learning in computer vision, a growing number of deep neural network architectures were applied to chest X-ray image classification. However, most of the previous deep neural network classifiers were based on deterministic architectures which are usually very noise-sensitive and are likely to aggravate the overfitting issue. In this paper, to make a deep architecture more robust to noise and to reduce overfitting, we propose using deep generative classifiers to automatically diagnose thorax diseases from the chest X-ray images. Unlike the traditional deterministic classifier, a deep generative classifier has a distribution middle layer in the deep neural network. A sampling layer then draws a random sample from the distribution layer and input it to the following layer for classification. The classifier is generative because the class label is generated from samples of a related distribution. Through training the model with a certain amount of randomness, the deep generative classifiers are expected to be robust to noise and can reduce overfitting and then achieve good performances. We implemented our deep generative classifiers based on a number of well-known deterministic neural network architectures, and tested our models on the chest X-ray14 dataset. The results demonstrated the superiority of deep generative classifiers compared with the corresponding deep deterministic classifiers.

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arXiv2018

Supervised Nonnegative Matrix Factorization to Predict ICU Mortality Risk

ICU mortality risk prediction is a tough yet important task. On one hand, due to the complex temporal data collected, it is difficult to identify the effective features and interpret them easily; on the other hand, good prediction can help clinicians take timely actions to prevent the mortality. These correspond to the interpretability and accuracy problems. Most existing methods lack of the interpretability, but recently Subgraph Augmented Nonnegative Matrix Factorization (SANMF) has been successfully applied to time series data to provide a path to interpret the features well. Therefore, we adopted this approach as the backbone to analyze the patient data. One limitation of the raw SANMF method is its poor prediction ability due to its unsupervised nature. To deal with this problem, we proposed a supervised SANMF algorithm by integrating the logistic regression loss function into the NMF framework and solved it with an alternating optimization procedure. We used the simulation data to verify the effectiveness of this method, and then we applied it to ICU mortality risk prediction and demonstrated its superiority over other conventional supervised NMF methods.

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