Large Vision-Language Models (LVLMs) are capable of handling diverse data types such as imaging, text, and physiological signals, and can be applied in various fields. In the medical field, LVLMs have a high potential to offer substantial assistance for diagnosis and treatment. Before that, it is crucial to develop benchmarks to evaluate LVLMs' effectiveness in various medical applications. Current benchmarks are often built upon specific academic literature, mainly focusing on a single domain, and lacking varying perceptual granularities.

Inferring effective connectivity between spatially segregated brain regions is important for understanding human brain dynamics in health and disease. Non-invasive neuroimaging modalities, such as electroencephalography (EEG) and functional magnetic resonance imaging (fMRI), are often used to make measurements and infer connectivity. However most studies do not consider integrating the two modalities even though each is an indirect measure of the latent neural dynamics and each has its own spatial and/or temporal limitations. In this study, we develop a linear state-space model to infer the effective connectivity in a distributed brain network based on simultaneously recorded EEG and fMRI data. Our method first identifies task-dependent and subject-dependent regions of interest (ROI) based on the analysis of fMRI data.

A.1 Motivation For what purpose was the dataset created? EHRs are integral for storing comprehensive patient medical records, combining structured data with detailed clinical notes. However, they often suffer from discrepancies due to unintuitive EHR system designs and human errors, posing serious risks to patient safety. To address this, we developed EHRCon. Who created the dataset (e.g., which team, research group) and on behalf of which entity (e.g., company, institution, organization)?

Electronic Health Records (EHRs) are integral for storing comprehensive patient medical records, combining structured data (e.g., medications) with detailed clinical notes (e.g., physician notes). These elements are essential for straightforward data retrieval and provide deep, contextual insights into patient care. However, they often suffer from discrepancies due to unintuitive EHR system designs and human errors, posing serious risks to patient safety. To address this, we developed EHRCon, a new dataset and task specifically designed to ensure data consistency between structured tables and unstructured notes in EHRs. EHRCon was crafted in collaboration with healthcare professionals using the MIMIC-III EHR dataset, and includes manual annotations of 4,101 entities across 105 clinical notes checked against database entries for consistency. EHRCon has two versions, one using the original MIMIC-III schema, and another using the OMOP CDM schema, in order to increase its applicability and generalizability. Furthermore, leveraging the capabilities of large language models, we introduce CheckEHR, a novel framework for verifying the consistency between clinical notes and database tables. CheckEHR utilizes an eight-stage process and shows promising results in both few-shot and zero-shot settings.

Electronic health records (EHRs) are stored in various database systems with different database models on heterogeneous storage architectures, such as relational databases, document stores, or graph databases. These different database models have a big impact on query complexity and performance. While this has been a known fact in database research, its implications for the growing number of Text-to-Query systems have surprisingly not been investigated so far. In this paper, we present SM3-Text-to-Query, the first multi-model medical Text-to-Query benchmark based on synthetic patient data from Synthea, following the SNOMED-CT taxonomy--a widely used knowledge graph ontology covering medical terminology. SM3-Text-to-Query provides data representations for relational databases (PostgreSQL), document stores (MongoDB), and graph databases (Neo4j and GraphDB (RDF)), allowing the evaluation across four popular query languages, namely SQL, MQL, Cypher, and SPARQL. We systematically and manually develop 408 template questions, which we augment to construct a benchmark of 10K diverse natural language question/query pairs for these four query languages (40K pairs overall). On our dataset, we evaluate several common in-context-learning (ICL) approaches for a set of representative closed and open-source LLMs.

Large language models (LLMs) have demonstrated remarkable capabilities in language understanding and generation, leading to their widespread adoption across various fields. Among these, the medical field is particularly well-suited for LLM applications, as many medical tasks can be enhanced by LLMs. Despite the existence of benchmarks for evaluating LLMs in medical question-answering and exams, there remains a notable gap in assessing LLMs' performance in supporting patients throughout their entire hospital visit journey in real-world clinical practice. In this paper, we address this gap by dividing a typical patient's clinical journey into four stages: planning, access, delivery and ongoing care. For each stage, we introduce multiple tasks and corresponding datasets, resulting in a comprehensive benchmark comprising 12 datasets, of which five are newly introduced, and seven are constructed from existing datasets. This proposed benchmark facilitates a thorough evaluation of LLMs' effectiveness across the entire patient journey, providing insights into their practical application in clinical settings. Additionally, we evaluate three categories of LLMs against this benchmark: 1) proprietary LLM services such as GPT-4; 2) public LLMs like QWen; and 3) specialized medical LLMs, like HuatuoGPT2. Through this extensive evaluation, we aim to provide a better understanding of LLMs' performance in the medical domain, ultimately contributing to their more effective deployment in healthcare settings.

We introduce Brain-JEPA, a brain dynamics foundation model with the Joint-Embedding Predictive Architecture (JEPA). This pioneering model achieves state-of-the-art performance in demographic prediction, disease diagnosis/prognosis, and trait prediction through fine-tuning. Furthermore, it excels in off-the-shelf evaluations (e.g., linear probing) and demonstrates superior generalizability across different ethnic groups, surpassing the previous large model for brain activity significantly. Brain-JEPA incorporates two innovative techniques: Brain Gradient Positioning and Spatiotemporal Masking. Brain Gradient Positioning introduces a functional coordinate system for brain functional parcellation, enhancing the positional encoding of different Regions of Interest (ROIs). Spatiotemporal Masking, tailored to the unique characteristics of fMRI data, addresses the challenge of heterogeneous time-series patches. These methodologies enhance model performance and advance our understanding of the neural circuits underlying cognition. Overall, Brain-JEPA is paving the way to address pivotal questions of building brain functional coordinate system and masking brain activity at the AI-neuroscience interface, and setting a potentially new paradigm in brain activity analysis through downstream adaptation.

Progress in natural language processing (NLP) models that estimate representations of word sequences has recently been leveraged to improve the understanding of language processing in the brain. However, these models have not been specifically designed to capture the way the brain represents language meaning. We hypothesize that fine-tuning these models to predict recordings of brain activity of people reading text will lead to representations that encode more brain-activity-relevant language information. We demonstrate that a version of BERT, a recently introduced and powerful language model, can improve the prediction of brain activity after fine-tuning. We show that the relationship between language and brain activity learned by BERT during this fine-tuning transfers across multiple participants. We also show that, for some participants, the fine-tuned representations learned from both magnetoencephalography (MEG) and functional magnetic resonance imaging (fMRI) are better for predicting fMRI than the representations learned from fMRI alone, indicating that the learned representations capture brain-activity-relevant information that is not simply an artifact of the modality. While changes to language representations help the model predict brain activity, they also do not harm the model's ability to perform downstream NLP tasks. Our findings are notable for research on language understanding in the brain.

Data-driven inference of the generative dynamics underlying a set of observed time series is of growing interest in machine learning and the natural sciences. In neuroscience, such methods promise to alleviate the need to handcraft models based on biophysical principles and allow to automatize the inference of inter-individual differences in brain dynamics. Recent breakthroughs in training techniques for state space models (SSMs) specifically geared toward dynamical systems (DS) reconstruction (DSR) enable to recover the underlying system including its geometrical (attractor) and long-term statistical invariants from even short time series. These techniques are based on control-theoretic ideas, like modern variants of teacher forcing (TF), to ensure stable loss gradient propagation while training. However, as it currently stands, these techniques are not directly applicable to data modalities where current observations depend on an entire history of previous states due to a signal's filtering properties, as common in neuroscience (and physiology more generally).

Invasive brain-computer interfaces with Electrocorticography (ECoG) have shown promise for high-performance speech decoding in medical applications, but less damaging methods like intracranial stereo-electroencephalography (sEEG) remain underexplored. With rapid advances in representation learning, leveraging abundant recordings to enhance speech decoding is increasingly attractive. However, popular methods often pre-train temporal models based on brain-level tokens, overlooking that brain activities in different regions are highly desynchronized during tasks. Alternatively, they pre-train spatial-temporal models based on channel-level tokens but fail to evaluate them on challenging tasks like speech decoding, which requires intricate processing in specific language-related areas. To address this issue, we collected a well-annotated Chinese word-reading sEEG dataset targeting languagerelated brain networks from 12 subjects.