Predicting the health risks of patients using Electronic Health Records (EHR) has attracted considerable attention in recent years, especially with the development of deep learning techniques. Health risk refers to the probability of the occurrence of a specific health outcome for a specific patient. The predicted risks can be used to support decision-making by healthcare professionals. EHRs are structured patient journey data. Each patient journey contains a chronological set of clinical events, and within each clinical event, there is a set of clinical/medical activities. Due to variations of patient conditions and treatment needs, EHR patient journey data has an inherently high degree of missingness that contains important information affecting relationships among variables, including time. Existing deep learning-based models generate imputed values for missing values when learning the relationships. However, imputed data in EHR patient journey data may distort the clinical meaning of the original EHR patient journey data, resulting in classification bias. This paper proposes a novel end-to-end approach to modeling EHR patient journey data with Integrated Convolutional and Recurrent Neural Networks. Our model can capture both long- and short-term temporal patterns within each patient journey and effectively handle the high degree of missingness in EHR data without any imputation data generation. Extensive experimental results using the proposed model on two real-world datasets demonstrate robust performance as well as superior prediction accuracy compared to existing state-of-the-art imputation-based prediction methods.
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由于患者状况和治疗需求的变化,电子健康记录(EHR)表现出大量缺失数据。缺失价值的插补被认为是应对这一挑战的有效方法。现有的工作将插补方法和预测模型分为基于EHR的机器学习系统的两个独立部分。我们通过利用复合密度网络(CDNET)提出了一种集成的端对端方法,该方法允许插入方法和预测模型在单个框架中调整在一起。 CDNET由一个封闭式复发单元(GRU),混合物密度网络(MDN)和正则注意网络(RAN)组成。 GRU用作对EHR数据进行建模的潜在变量模型。 MDN旨在采样GRU生成的潜在变量。该运行是适用于较不可靠的估算值的正规器。 CDNET的结构使GRU和MDN迭代地利用彼此的输出来估算缺失值,从而导致更准确,更健壮的预测。我们验证cdnet关于模拟III数据集的死亡率预测任务。我们的模型以大幅度的利润率优于最先进的模型。我们还从经验上表明,正规化值是出色预测性能的关键因素。对预测不确定性的分析表明,我们的模型可以同时捕获核心和认知不确定性,从而使模型用户更好地了解模型结果。
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Artificial Intelligence (AI) has become commonplace to solve routine everyday tasks. Because of the exponential growth in medical imaging data volume and complexity, the workload on radiologists is steadily increasing. We project that the gap between the number of imaging exams and the number of expert radiologist readers required to cover this increase will continue to expand, consequently introducing a demand for AI-based tools that improve the efficiency with which radiologists can comfortably interpret these exams. AI has been shown to improve efficiency in medical-image generation, processing, and interpretation, and a variety of such AI models have been developed across research labs worldwide. However, very few of these, if any, find their way into routine clinical use, a discrepancy that reflects the divide between AI research and successful AI translation. To address the barrier to clinical deployment, we have formed MONAI Consortium, an open-source community which is building standards for AI deployment in healthcare institutions, and developing tools and infrastructure to facilitate their implementation. This report represents several years of weekly discussions and hands-on problem solving experience by groups of industry experts and clinicians in the MONAI Consortium. We identify barriers between AI-model development in research labs and subsequent clinical deployment and propose solutions. Our report provides guidance on processes which take an imaging AI model from development to clinical implementation in a healthcare institution. We discuss various AI integration points in a clinical Radiology workflow. We also present a taxonomy of Radiology AI use-cases. Through this report, we intend to educate the stakeholders in healthcare and AI (AI researchers, radiologists, imaging informaticists, and regulators) about cross-disciplinary challenges and possible solutions.
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Smart City applications, such as traffic monitoring and disaster response, often use swarms of intelligent and cooperative drones to efficiently collect sensor data over different areas of interest and time spans. However, when the required sensing becomes spatio-temporally large and varying, a collective arrangement of sensing tasks to a large number of battery-restricted and distributed drones is challenging. To address this problem, we introduce a scalable and energy-aware model for planning and coordination of spatio-temporal sensing. The coordination model is built upon a decentralized multi-agent collective learning algorithm (EPOS) to ensure scalability, resilience, and flexibility that existing approaches lack of. Experimental results illustrate the outstanding performance of the proposed method compared to state-of-the-art methods. Analytical results contribute a deeper understanding of how coordinated mobility of drones influences sensing performance. This novel coordination solution is applied to traffic monitoring using real-world data to demonstrate a $46.45\%$ more accurate and $2.88\%$ more efficient detection of vehicles as the number of drones become a scarce resource.
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Unbiased learning to rank (ULTR) studies the problem of mitigating various biases from implicit user feedback data such as clicks, and has been receiving considerable attention recently. A popular ULTR approach for real-world applications uses a two-tower architecture, where click modeling is factorized into a relevance tower with regular input features, and a bias tower with bias-relevant inputs such as the position of a document. A successful factorization will allow the relevance tower to be exempt from biases. In this work, we identify a critical issue that existing ULTR methods ignored - the bias tower can be confounded with the relevance tower via the underlying true relevance. In particular, the positions were determined by the logging policy, i.e., the previous production model, which would possess relevance information. We give both theoretical analysis and empirical results to show the negative effects on relevance tower due to such a correlation. We then propose three methods to mitigate the negative confounding effects by better disentangling relevance and bias. Empirical results on both controlled public datasets and a large-scale industry dataset show the effectiveness of the proposed approaches.
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Benefiting from its single-photon sensitivity, single-photon avalanche diode (SPAD) array has been widely applied in various fields such as fluorescence lifetime imaging and quantum computing. However, large-scale high-fidelity single-photon imaging remains a big challenge, due to the complex hardware manufacture craft and heavy noise disturbance of SPAD arrays. In this work, we introduce deep learning into SPAD, enabling super-resolution single-photon imaging over an order of magnitude, with significant enhancement of bit depth and imaging quality. We first studied the complex photon flow model of SPAD electronics to accurately characterize multiple physical noise sources, and collected a real SPAD image dataset (64 $\times$ 32 pixels, 90 scenes, 10 different bit depth, 3 different illumination flux, 2790 images in total) to calibrate noise model parameters. With this real-world physical noise model, we for the first time synthesized a large-scale realistic single-photon image dataset (image pairs of 5 different resolutions with maximum megapixels, 17250 scenes, 10 different bit depth, 3 different illumination flux, 2.6 million images in total) for subsequent network training. To tackle the severe super-resolution challenge of SPAD inputs with low bit depth, low resolution, and heavy noise, we further built a deep transformer network with a content-adaptive self-attention mechanism and gated fusion modules, which can dig global contextual features to remove multi-source noise and extract full-frequency details. We applied the technique on a series of experiments including macroscopic and microscopic imaging, microfluidic inspection, and Fourier ptychography. The experiments validate the technique's state-of-the-art super-resolution SPAD imaging performance, with more than 5 dB superiority on PSNR compared to the existing methods.
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Artificial Intelligence (AI) and its applications have sparked extraordinary interest in recent years. This achievement can be ascribed in part to advances in AI subfields including Machine Learning (ML), Computer Vision (CV), and Natural Language Processing (NLP). Deep learning, a sub-field of machine learning that employs artificial neural network concepts, has enabled the most rapid growth in these domains. The integration of vision and language has sparked a lot of attention as a result of this. The tasks have been created in such a way that they properly exemplify the concepts of deep learning. In this review paper, we provide a thorough and an extensive review of the state of the arts approaches, key models design principles and discuss existing datasets, methods, their problem formulation and evaluation measures for VQA and Visual reasoning tasks to understand vision and language representation learning. We also present some potential future paths in this field of research, with the hope that our study may generate new ideas and novel approaches to handle existing difficulties and develop new applications.
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One of the key challenges in deploying RL to real-world applications is to adapt to variations of unknown environment contexts, such as changing terrains in robotic tasks and fluctuated bandwidth in congestion control. Existing works on adaptation to unknown environment contexts either assume the contexts are the same for the whole episode or assume the context variables are Markovian. However, in many real-world applications, the environment context usually stays stable for a stochastic period and then changes in an abrupt and unpredictable manner within an episode, resulting in a segment structure, which existing works fail to address. To leverage the segment structure of piecewise stable context in real-world applications, in this paper, we propose a \textit{\textbf{Se}gmented \textbf{C}ontext \textbf{B}elief \textbf{A}ugmented \textbf{D}eep~(SeCBAD)} RL method. Our method can jointly infer the belief distribution over latent context with the posterior over segment length and perform more accurate belief context inference with observed data within the current context segment. The inferred belief context can be leveraged to augment the state, leading to a policy that can adapt to abrupt variations in context. We demonstrate empirically that SeCBAD can infer context segment length accurately and outperform existing methods on a toy grid world environment and Mujuco tasks with piecewise-stable context.
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Vision Transformers have shown great promise recently for many vision tasks due to the insightful architecture design and attention mechanism. By revisiting the self-attention responses in Transformers, we empirically observe two interesting issues. First, Vision Transformers present a queryirrelevant behavior at deep layers, where the attention maps exhibit nearly consistent contexts in global scope, regardless of the query patch position (also head-irrelevant). Second, the attention maps are intrinsically sparse, few tokens dominate the attention weights; introducing the knowledge from ConvNets would largely smooth the attention and enhance the performance. Motivated by above observations, we generalize self-attention formulation to abstract a queryirrelevant global context directly and further integrate the global context into convolutions. The resulting model, a Fully Convolutional Vision Transformer (i.e., FCViT), purely consists of convolutional layers and firmly inherits the merits of both attention mechanism and convolutions, including dynamic property, weight sharing, and short- and long-range feature modeling, etc. Experimental results demonstrate the effectiveness of FCViT. With less than 14M parameters, our FCViT-S12 outperforms related work ResT-Lite by 3.7% top1 accuracy on ImageNet-1K. When scaling FCViT to larger models, we still perform better than previous state-of-the-art ConvNeXt with even fewer parameters. FCViT-based models also demonstrate promising transferability to downstream tasks, like object detection, instance segmentation, and semantic segmentation. Codes and models are made available at: https://github.com/ma-xu/FCViT.
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The advance of computer-aided detection systems using deep learning opened a new scope in endoscopic image analysis. However, the learning-based models developed on closed datasets are susceptible to unknown anomalies in complex clinical environments. In particular, the high false positive rate of polyp detection remains a major challenge in clinical practice. In this work, we release the FPPD-13 dataset, which provides a taxonomy and real-world cases of typical false positives during computer-aided polyp detection in real-world colonoscopy. We further propose a post-hoc module EndoBoost, which can be plugged into generic polyp detection models to filter out false positive predictions. This is realized by generative learning of the polyp manifold with normalizing flows and rejecting false positives through density estimation. Compared to supervised classification, this anomaly detection paradigm achieves better data efficiency and robustness in open-world settings. Extensive experiments demonstrate a promising false positive suppression in both retrospective and prospective validation. In addition, the released dataset can be used to perform 'stress' tests on established detection systems and encourages further research toward robust and reliable computer-aided endoscopic image analysis. The dataset and code will be publicly available at http://endoboost.miccai.cloud.
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