Proceedings of machine learning research最新文献

Reliable prediction of pediatric obesity can offer a valuable resource to providers, helping them engage in timely preventive interventions before the disease is established. Many efforts have been made to develop ML-based predictive models of obesity, and some studies have reported high predictive performances. However, no commonly used clinical decision support tool based on existing ML models currently exists. This study presents a novel end-to-end pipeline specifically designed for pediatric obesity prediction, which supports the entire process of data extraction, inference, and communication via an API or a user interface. While focusing only on routinely recorded data in pediatric electronic health records (EHRs), our pipeline uses a diverse expert-curated list of medical concepts to predict the 1-3 years risk of developing obesity. Furthermore, by using the Fast Healthcare Interoperability Resources (FHIR) standard in our design procedure, we specifically target facilitating low-effort integration of our pipeline with different EHR systems. In our experiments, we report the effectiveness of the predictive model as well as its alignment with the feedback from various stakeholders, including ML scientists, providers, health IT personnel, health administration representatives, and patient group representatives.

Polysomnography (PSG) is a type of sleep study that records multimodal physiological signals and is widely used for purposes such as sleep staging and respiratory event detection. Conventional machine learning methods assume that each sleep study is associated with a fixed set of observed modalities and that all modalities are available for each sample. However, noisy and missing modalities are a common issue in real-world clinical settings. In this study, we propose a comprehensive pipeline aiming to compensate for the missing or noisy modalities when performing sleep apnea detection. Unlike other existing studies, our proposed model works with any combination of available modalities. Our experiments show that the proposed model outperforms other state-of-the-art approaches in sleep apnea detection using various subsets of available data and different levels of noise, and maintains its high performance (AUROC>0.9) even in the presence of high levels of noise or missingness. This is especially relevant in settings where the level of noise and missingness is high (such as pediatric or outside-of-clinic scenarios). Our code is publicly available at https://github.com/healthylaife/apnea-missing-modality.

An increasingly popular machine learning paradigm is to pretrain a neural network (NN) on many tasks offline, then adapt it to downstream tasks, often by re-training only the last linear layer of the network. This approach yields strong downstream performance in a variety of contexts, demonstrating that multitask pretraining leads to effective feature learning. Although several recent theoretical studies have shown that shallow NNs learn meaningful features when either (i) they are trained on a single task or (ii) they are linear, very little is known about the closer-to-practice case of nonlinear NNs trained on multiple tasks. In this work, we present the first results proving that feature learning occurs during training with a nonlinear model on multiple tasks. Our key insight is that multi-task pretraining induces a pseudo-contrastive loss that favors representations that align points that typically have the same label across tasks. Using this observation, we show that when the tasks are binary classification tasks with labels depending on the projection of the data onto an $r$ -dimensional subspace within the $d\gg r$ -dimensional input space, a simple gradient-based multitask learning algorithm on a two-layer ReLU NN recovers this projection, allowing for generalization to downstream tasks with sample and neuron complexity independent of $d$ . In contrast, we show that with high probability over the draw of a single task, training on this single task cannot guarantee to learn all $r$ ground-truth features.

Studying the complex interactions between different brain regions is crucial in neuroscience. Various statistical methods have explored the latent communication across multiple brain regions. Two main categories are the Gaussian Process (GP) and Linear Dynamical System (LDS), each with unique strengths. The GP-based approach effectively discovers latent variables with frequency bands and communication directions. Conversely, the LDS-based approach is computationally efficient but lacks powerful expressiveness in latent representation. In this study, we merge both methodologies by creating an LDS mirroring a multi-output GP, termed Multi-Region Markovian Gaussian Process (MRM-GP). Our work establishes a connection between an LDS and a multi-output GP that explicitly models frequencies and phase delays within the latent space of neural recordings. Consequently, the model achieves a linear inference cost over time points and provides an interpretable low-dimensional representation, revealing communication directions across brain regions and separating oscillatory communications into different frequency bands.

Recent years have experienced increasing utilization of complex machine learning models across multiple sources of data to inform more generalizable decision-making. However, distribution shifts across data sources and privacy concerns related to sharing individual-level data, coupled with a lack of uncertainty quantification from machine learning predictions, make it challenging to achieve valid inferences in multi-source environments. In this paper, we consider the problem of obtaining distribution-free prediction intervals for a target population, leveraging multiple potentially biased data sources. We derive the efficient influence functions for the quantiles of unobserved outcomes in the target and source populations, and show that one can incorporate machine learning prediction algorithms in the estimation of nuisance functions while still achieving parametric rates of convergence to nominal coverage probabilities. Moreover, when conditional outcome invariance is violated, we propose a data-adaptive strategy to upweight informative data sources for efficiency gain and downweight non-informative data sources for bias reduction. We highlight the robustness and efficiency of our proposals for a variety of conformal scores and data-generating mechanisms via extensive synthetic experiments. Hospital length of stay prediction intervals for pediatric patients undergoing a high-risk cardiac surgical procedure between 2016-2022 in the U.S. illustrate the utility of our methodology.

Inverse problems arise in a multitude of applications, where the goal is to recover a clean signal from noisy and possibly (non)linear observations. The difficulty of a reconstruction problem depends on multiple factors, such as the structure of the ground truth signal, the severity of the degradation and the complex interactions between the above. This results in natural sample-by-sample variation in the difficulty of a reconstruction task, which is often overlooked by contemporary techniques. Our key observation is that most existing inverse problem solvers lack the ability to adapt their compute power to the difficulty of the reconstruction task, resulting in subpar performance and wasteful resource allocation. We propose a novel method that we call severity encoding, to estimate the degradation severity of noisy, degraded signals in the latent space of an autoencoder. We show that the estimated severity has strong correlation with the true corruption level and can give useful hints at the difficulty of reconstruction problems on a sample-by-sample basis. Furthermore, we propose a reconstruction method based on latent diffusion models that leverages the predicted degradation severities to fine-tune the reverse diffusion sampling trajectory and thus achieve sample-adaptive inference times. Our framework acts as a wrapper that can be combined with any latent diffusion-based baseline solver, imbuing it with sample-adaptivity and acceleration. We perform numerical experiments on both linear and nonlinear inverse problems and demonstrate that our technique greatly improves the performance of the baseline solver and achieves up to 10× acceleration in mean sampling speed.

The use of machine learning models to predict clinical outcomes from (longitudinal) electronic health record (EHR) data is becoming increasingly popular due to advances in deep architectures, representation learning, and the growing availability of large EHR datasets. Existing models generally assume access to the same data sources during both training and inference stages. However, this assumption is often challenged by the fact that real-world clinical datasets originate from various data sources (with distinct sets of covariates), which though can be available for training (in a research or retrospective setting), are more realistically only partially available (a subset of such sets) for inference when deployed. So motivated, we introduce Contrastive Learning for clinical Outcome Prediction with Partial data Sources (CLOPPS), that trains encoders to capture information across different data sources and then leverages them to build classifiers restricting access to a single data source. This approach can be used with existing cross-sectional or longitudinal outcome classification models. We present experiments on two real-world datasets demonstrating that CLOPPS consistently outperforms strong baselines in several practical scenarios.

Diffusion models have established new state of the art in a multitude of computer vision tasks, including image restoration. Diffusion-based inverse problem solvers generate reconstructions of exceptional visual quality from heavily corrupted measurements. However, in what is widely known as the perception-distortion trade-off, the price of perceptually appealing reconstructions is often paid in declined distortion metrics, such as PSNR. Distortion metrics measure faithfulness to the observation, a crucial requirement in inverse problems. In this work, we propose a novel framework for inverse problem solving, namely we assume that the observation comes from a stochastic degradation process that gradually degrades and noises the original clean image. We learn to reverse the degradation process in order to recover the clean image. Our technique maintains consistency with the original measurement throughout the reverse process, and allows for great flexibility in trading off perceptual quality for improved distortion metrics and sampling speedup via early-stopping. We demonstrate the efficiency of our method on different high-resolution datasets and inverse problems, achieving great improvements over other state-of-the-art diffusion-based methods with respect to both perceptual and distortion metrics.

Self-supervised learning (SSL) is an approach to pretrain models with unlabeled datasets and extract useful feature representations such that these models can be easily fine-tuned for various downstream tasks. Self-pretraining applies SSL on curated task-specific datasets without using task-specific labels. Increasing availability of public data repositories has now made it possible to utilize diverse and large, task unrelated datasets to pretrain models in the "wild" using SSL. However, the benefit of such wild-pretraining over self-pretraining has not been studied in the context of medical image analysis. Hence, we analyzed transformers (Swin and ViT) and a convolutional neural network created using wild- and self-pretraining trained to segment lung tumors from 3D-computed tomography (CT) scans in terms of: (a) accuracy, (b) fine-tuning epoch efficiency, and (c) robustness to image acquisition differences (contrast versus non-contrast, slice thickness, and image reconstruction kernels). We also studied feature reuse using centered kernel alignment (CKA) with the Swin networks. Our analysis with two independent testing (public N = 139; internal N = 196) datasets showed that wild-pretrained Swin models significantly outperformed self-pretrained Swin for the various imaging acquisitions. Fine-tuning epoch efficiency was higher for both wild-pretrained Swin and ViT models compared to their self-pretrained counterparts. Feature reuse close to the final encoder layers was lower than in the early layers for wild-pretrained models irrespective of the pretext tasks used in SSL. Models and code will be made available through GitHub upon manuscript acceptance.

Use of machine learning to perform database operations, such as indexing, cardinality estimation, and sorting, is shown to provide substantial performance benefits. However, when datasets change and data distribution shifts, empirical results also show performance degradation for learned models, possibly to worse than non-learned alternatives. This, together with a lack of theoretical understanding of learned methods undermines their practical applicability, since there are no guarantees on how well the models will perform after deployment. In this paper, we present the first known theoretical characterization of the performance of learned models in dynamic datasets, for the aforementioned operations. Our results show novel theoretical characteristics achievable by learned models and provide bounds on the performance of the models that characterize their advantages over non-learned methods, showing why and when learned models can outperform the alternatives. Our analysis develops the distribution learnability framework and novel theoretical tools which build the foundation for the analysis of learned database operations in the future.