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End-to-end Risk Prediction of Atrial Fibrillation from the 12-Lead ECG by Deep Neural Networks

arXiv.org Artificial Intelligence

Background: Atrial fibrillation (AF) is one of the most common cardiac arrhythmias that affects millions of people each year worldwide and it is closely linked to increased risk of cardiovascular diseases such as stroke and heart failure. Machine learning methods have shown promising results in evaluating the risk of developing atrial fibrillation from the electrocardiogram. We aim to develop and evaluate one such algorithm on a large CODE dataset collected in Brazil. Results: The deep neural network model identified patients without indication of AF in the presented ECG but who will develop AF in the future with an AUC score of 0.845. From our survival model, we obtain that patients in the high-risk group (i.e. with the probability of a future AF case being greater than 0.7) are 50% more likely to develop AF within 40 weeks, while patients belonging to the minimal-risk group (i.e. with the probability of a future AF case being less than or equal to 0.1) have more than 85% chance of remaining AF free up until after seven years. Conclusion: We developed and validated a model for AF risk prediction. If applied in clinical practice, the model possesses the potential of providing valuable and useful information in decision-making and patient management processes.


Online Distribution Shift Detection via Recency Prediction

arXiv.org Artificial Intelligence

When deploying modern machine learning-enabled robotic systems in high-stakes applications, detecting distribution shift is critical. However, most existing methods for detecting distribution shift are not well-suited to robotics settings, where data often arrives in a streaming fashion and may be very high-dimensional. In this work, we present an online method for detecting distribution shift with guarantees on the false positive rate - i.e., when there is no distribution shift, our system is very unlikely (with probability $< \epsilon$) to falsely issue an alert; any alerts that are issued should therefore be heeded. Our method is specifically designed for efficient detection even with high dimensional data, and it empirically achieves up to 11x faster detection on realistic robotics settings compared to prior work while maintaining a low false negative rate in practice (whenever there is a distribution shift in our experiments, our method indeed emits an alert). We demonstrate our approach in both simulation and hardware for a visual servoing task, and show that our method indeed issues an alert before a failure occurs.


Implicit Gaussian process representation of vector fields over arbitrary latent manifolds

arXiv.org Machine Learning

Gaussian processes (GPs) are popular nonparametric statistical models for learning unknown functions and quantifying the spatiotemporal uncertainty in data. Recent works have extended GPs to model scalar and vector quantities distributed over non-Euclidean domains, including smooth manifolds appearing in numerous fields such as computer vision, dynamical systems, and neuroscience. However, these approaches assume that the manifold underlying the data is known, limiting their practical utility. We introduce RVGP, a generalisation of GPs for learning vector signals over latent Riemannian manifolds. Our method uses positional encoding with eigenfunctions of the connection Laplacian, associated with the tangent bundle, readily derived from common graph-based approximation of data. We demonstrate that RVGP possesses global regularity over the manifold, which allows it to super-resolve and inpaint vector fields while preserving singularities. Furthermore, we use RVGP to reconstruct high-density neural dynamics derived from low-density EEG recordings in healthy individuals and Alzheimer's patients. We show that vector field singularities are important disease markers and that their reconstruction leads to a comparable classification accuracy of disease states to high-density recordings. Thus, our method overcomes a significant practical limitation in experimental and clinical applications.


High-dimensional robust regression under heavy-tailed data: Asymptotics and Universality

arXiv.org Machine Learning

We investigate the high-dimensional properties of robust regression estimators in the presence of heavy-tailed contamination of both the covariates and response functions. In particular, we provide a sharp asymptotic characterisation of M-estimators trained on a family of elliptical covariate and noise data distributions including cases where second and higher moments do not exist. We show that, despite being consistent, the Huber loss with optimally tuned location parameter $\delta$ is suboptimal in the high-dimensional regime in the presence of heavy-tailed noise, highlighting the necessity of further regularisation to achieve optimal performance. This result also uncovers the existence of a curious transition in $\delta$ as a function of the sample complexity and contamination. Moreover, we derive the decay rates for the excess risk of ridge regression. We show that, while it is both optimal and universal for noise distributions with finite second moment, its decay rate can be considerably faster when the covariates' second moment does not exist. Finally, we show that our formulas readily generalise to a richer family of models and data distributions, such as generalised linear estimation with arbitrary convex regularisation trained on mixture models.


A framework for paired-sample hypothesis testing for high-dimensional data

arXiv.org Machine Learning

The standard paired-sample testing approach in the multidimensional setting applies multiple univariate tests on the individual features, followed by p-value adjustments. Such an approach suffers when the data carry numerous features. A number of studies have shown that classification accuracy can be seen as a proxy for two-sample testing. However, neither theoretical foundations nor practical recipes have been proposed so far on how this strategy could be extended to multidimensional paired-sample testing. In this work, we put forward the idea that scoring functions can be produced by the decision rules defined by the perpendicular bisecting hyperplanes of the line segments connecting each pair of instances. Then, the optimal scoring function can be obtained by the pseudomedian of those rules, which we estimate by extending naturally the Hodges-Lehmann estimator. We accordingly propose a framework of a two-step testing procedure. First, we estimate the bisecting hyperplanes for each pair of instances and an aggregated rule derived through the Hodges-Lehmann estimator. The paired samples are scored by this aggregated rule to produce a unidimensional representation. Second, we perform a Wilcoxon signed-rank test on the obtained representation. Our experiments indicate that our approach has substantial performance gains in testing accuracy compared to the traditional multivariate and multiple testing, while at the same time estimates each feature's contribution to the final result.


Vertical Federated Learning: Concepts, Advances and Challenges

arXiv.org Artificial Intelligence

Federated Learning (FL) [1] is a novel machine learning paradigm where multiple parties collaboratively build machine learning models without centralizing their data. The concept of FL was first proposed by Google in 2016 [2] to describe a cross-device scenario where millions of mobile devices are coordinated by a central server while local data are not transferred. This concept is soon extended to a cross-silo collaboration scenario among organizations [3], where a small number of reliable organizations join a federation to train a machine learning model. In [3], FL is, for the first time, categorized into three categories based on how data is partitioned in the sample and feature space: Horizontal Federated Learning (HFL), Vertical Federated Learning (VFL) and Federated Transfer Learning (FTL) (See Figure 1). HFL refers to the FL setting where participants share the same feature space while holding different samples. For example, Google uses HFL to allow mobile phone users to use their dataset to collaboratively train a next-word prediction model [2]. VFL refers to the FL setting where datasets share the same samples/users while holding different features. For example, Webank uses VFL to collaborate with an invoice agency to build financial risk models for their enterprise customers [4].


Explainable Machine Learning for ICU Readmission Prediction

arXiv.org Artificial Intelligence

The intensive care unit (ICU) comprises a complex hospital environment, where decisions made by clinicians have a high level of risk for the patients' lives. A comprehensive care pathway must then be followed to reduce p complications. Uncertain, competing and unplanned aspects within this environment increase the difficulty in uniformly implementing the care pathway. Readmission contributes to this pathway's difficulty, occurring when patients are admitted again to the ICU in a short timeframe, resulting in high mortality rates and high resource utilisation. Several works have tried to predict readmission through patients' medical information. Although they have some level of success while predicting readmission, those works do not properly assess, characterise and understand readmission prediction. This work proposes a standardised and explainable machine learning pipeline to model patient readmission on a multicentric database (i.e., the eICU cohort with 166,355 patients, 200,859 admissions and 6,021 readmissions) while validating it on monocentric (i.e., the MIMIC IV cohort with 382,278 patients, 523,740 admissions and 5,984 readmissions) and multicentric settings. Our machine learning pipeline achieved predictive performance in terms of the area of the receiver operating characteristic curve (AUC) up to 0.7 with a Random Forest classification model, yielding an overall good calibration and consistency on validation sets. From explanations provided by the constructed models, we could also derive a set of insightful conclusions, primarily on variables related to vital signs and blood tests (e.g., albumin, blood urea nitrogen and hemoglobin levels), demographics (e.g., age, and admission height and weight), and ICU-associated variables (e.g., unit type). These insights provide an invaluable source of information during clinicians' decision-making while discharging ICU patients.


Single Biological Neurons as Temporally Precise Spatio-Temporal Pattern Recognizers

arXiv.org Artificial Intelligence

This PhD thesis is focused on the central idea that single neurons in the brain should be regarded as temporally precise and highly complex spatio-temporal pattern recognizers. This is opposed to the prevalent view of biological neurons as simple and mainly spatial pattern recognizers by most neuroscientists today. In this thesis, I will attempt to demonstrate that this is an important distinction, predominantly because the above-mentioned computational properties of single neurons have far-reaching implications with respect to the various brain circuits that neurons compose, and on how information is encoded by neuronal activity in the brain. Namely, that these particular "low-level" details at the single neuron level have substantial system-wide ramifications. In the introduction we will highlight the main components that comprise a neural microcircuit that can perform useful computations and illustrate the inter-dependence of these components from a system perspective. In chapter 1 we discuss the great complexity of the spatio-temporal input-output relationship of cortical neurons that are the result of morphological structure and biophysical properties of the neuron. In chapter 2 we demonstrate that single neurons can generate temporally precise output patterns in response to specific spatio-temporal input patterns with a very simple biologically plausible learning rule. In chapter 3, we use the differentiable deep network analog of a realistic cortical neuron as a tool to approximate the gradient of the output of the neuron with respect to its input and use this capability in an attempt to teach the neuron to perform nonlinear XOR operation. In chapter 4 we expand chapter 3 to describe extension of our ideas to neuronal networks composed of many realistic biological spiking neurons that represent either small microcircuits or entire brain regions.


QUILT: Effective Multi-Class Classification on Quantum Computers Using an Ensemble of Diverse Quantum Classifiers

arXiv.org Artificial Intelligence

Quantum computers can theoretically have significant acceleration over classical computers; but, the near-future era of quantum computing is limited due to small number of qubits that are also error prone. Quilt is a framework for performing multi-class classification task designed to work effectively on current error-prone quantum computers. Quilt is evaluated with real quantum machines as well as with projected noise levels as quantum machines become more noise-free. Quilt demonstrates up to 85% multi-class classification accuracy with the MNIST dataset on a five-qubit system.


Ultrafast-and-Ultralight ConvNet-Based Intelligent Monitoring System for Diagnosing Early-Stage Mpox Anytime and Anywhere

arXiv.org Artificial Intelligence

Due to the lack of more efficient diagnostic tools for monkeypox, its spread remains unchecked, presenting a formidable challenge to global health. While the high efficacy of deep learning models for monkeypox diagnosis has been demonstrated in related studies, the overlook of inference speed, the parameter size and diagnosis performance for early-stage monkeypox renders the models inapplicable in real-world settings. To address these challenges, we proposed an ultrafast and ultralight network named Fast-MpoxNet. Fast-MpoxNet possesses only 0.27M parameters and can process input images at 68 frames per second (FPS) on the CPU. To counteract the diagnostic performance limitation brought about by the small model capacity, it integrates the attention-based feature fusion module and the multiple auxiliary losses enhancement strategy for better detecting subtle image changes and optimizing weights. Using transfer learning and five-fold cross-validation, Fast-MpoxNet achieves 94.26% Accuracy on the Mpox dataset. Notably, its recall for early-stage monkeypox achieves 93.65%. By adopting data augmentation, our model's Accuracy rises to 98.40% and attains a Practicality Score (A new metric for measuring model practicality in real-time diagnosis application) of 0.80. We also developed an application system named Mpox-AISM V2 for both personal computers and mobile phones. Mpox-AISM V2 features ultrafast responses, offline functionality, and easy deployment, enabling accurate and real-time diagnosis for both the public and individuals in various real-world settings, especially in populous settings during the outbreak. Our work could potentially mitigate future monkeypox outbreak and illuminate a fresh paradigm for developing real-time diagnostic tools in the healthcare field.