Accuracy
Predicting Mild Cognitive Impairment Using Naturalistic Driving and Trip Destination Modeling
Chattopadhyay, Souradeep, Basulto-Elias, Guillermo, Chang, Jun Ha, Rizzo, Matthew, Hallmark, Shauna, Sharma, Anuj, Sarkar, Soumik
Understanding the relationship between mild cognitive impairment (MCI) and driving behavior is essential for enhancing road safety, particularly among older adults. This study introduces a novel approach by incorporating specific trip destinations-such as home, work, medical appointments, social activities, and errands-using geohashing to analyze the driving habits of older drivers in Nebraska. We employed a two-fold methodology that combines data visualization with advanced machine learning models, including C5.0, Random Forest, and Support Vector Machines, to assess the effectiveness of these location-based variables in predicting cognitive impairment. Notably, the C5.0 model showed a robust and stable performance, achieving a median recall of 0.68, which indicates that our methodology accurately identifies cognitive impairment in drivers 68\% of the time. This emphasizes our model's capacity to reduce false negatives, a crucial factor given the profound implications of failing to identify impaired drivers. Our findings underscore the innovative use of life-space variables in understanding and predicting cognitive decline, offering avenues for early intervention and tailored support for affected individuals.
Advancing Digital Precision Medicine for Chronic Fatigue Syndrome through Longitudinal Large-Scale Multi-Modal Biological Omics Modeling with Machine Learning and Artificial Intelligence
We studied a generalized question: chronic diseases like ME/CFS and long COVID exhibit high heterogeneity with multifactorial etiology and progression, complicating diagnosis and treatment. To address this, we developed BioMapAI, an explainable Deep Learning framework using the richest longitudinal multi-omics dataset for ME/CFS to date. This dataset includes gut metagenomics, plasma metabolome, immune profiling, blood labs, and clinical symptoms. By connecting multi-omics to a symptom matrix, BioMapAI identified both disease- and symptom-specific biomarkers, reconstructed symptoms, and achieved state-of-the-art precision in disease classification. We also created the first connectivity map of these omics in both healthy and disease states and revealed how microbiome-immune-metabolome crosstalk shifted from healthy to ME/CFS.
Advancing Harmful Content Detection in Organizational Research: Integrating Large Language Models with Elo Rating System
Large language models (LLMs) offer promising opportunities for organizational research. However, their built-in moderation systems can create problems when researchers try to analyze harmful content, often refusing to follow certain instructions or producing overly cautious responses that undermine validity of the results. This is particularly problematic when analyzing organizational conflicts such as microaggressions or hate speech. This paper introduces an Elo rating-based method that significantly improves LLM performance for harmful content analysis In two datasets, one focused on microaggression detection and the other on hate speech, we find that our method outperforms traditional LLM prompting techniques and conventional machine learning models on key measures such as accuracy, precision, and F1 scores. Advantages include better reliability when analyzing harmful content, fewer false positives, and greater scalability for large-scale datasets. This approach supports organizational applications, including detecting workplace harassment, assessing toxic communication, and fostering safer and more inclusive work environments.
Clinically Interpretable Mortality Prediction for ICU Patients with Diabetes and Atrial Fibrillation: A Machine Learning Approach
Sun, Li, Chen, Shuheng, Si, Yong, Fan, Junyi, Pishgar, Maryam, Pishgar, Elham, Alaei, Kamiar, Placencia, Greg
Background: Patients with both diabetes mellitus (DM) and atrial fibrillation (AF) face elevated mortality in intensive care units (ICUs), yet models targeting this high-risk group remain limited. Objective: To develop an interpretable machine learning (ML) model predicting 28-day mortality in ICU patients with concurrent DM and AF using early-phase clinical data. Methods: A retrospective cohort of 1,535 adult ICU patients with DM and AF was extracted from the MIMIC-IV database. Data preprocessing involved median/mode imputation, z-score normalization, and early temporal feature engineering. A two-step feature selection pipeline-univariate filtering (ANOVA F-test) and Random Forest-based multivariate ranking-yielded 19 interpretable features. Seven ML models were trained with stratified 5-fold cross-validation and SMOTE oversampling. Interpretability was assessed via ablation and Accumulated Local Effects (ALE) analysis. Results: Logistic regression achieved the best performance (AUROC: 0.825; 95% CI: 0.779-0.867), surpassing more complex models. Key predictors included RAS, age, bilirubin, and extubation. ALE plots showed intuitive, non-linear effects such as age-related risk acceleration and bilirubin thresholds. Conclusion: This interpretable ML model offers accurate risk prediction and clinical insights for early ICU triage in patients with DM and AF.
Reliable Few-shot Learning under Dual Noises
Zhang, Ji, Song, Jingkuan, Gao, Lianli, Sebe, Nicu, Shen, Heng Tao
Recent advances in model pre-training give rise to task adaptation-based few-shot learning (FSL), where the goal is to adapt a pre-trained task-agnostic model for capturing task-specific knowledge with a few-labeled support samples of the target task.Nevertheless, existing approaches may still fail in the open world due to the inevitable in-distribution (ID) and out-of-distribution (OOD) noise from both support and query samples of the target task. With limited support samples available, i) the adverse effect of the dual noises can be severely amplified during task adaptation, and ii) the adapted model can produce unreliable predictions on query samples in the presence of the dual noises. In this work, we propose DEnoised Task Adaptation (DETA++) for reliable FSL. DETA++ uses a Contrastive Relevance Aggregation (CoRA) module to calculate image and region weights for support samples, based on which a clean prototype loss and a noise entropy maximization loss are proposed to achieve noise-robust task adaptation. Additionally,DETA++ employs a memory bank to store and refine clean regions for each inner-task class, based on which a Local Nearest Centroid Classifier (LocalNCC) is devised to yield noise-robust predictions on query samples. Moreover, DETA++ utilizes an Intra-class Region Swapping (IntraSwap) strategy to rectify ID class prototypes during task adaptation, enhancing the model's robustness to the dual noises. Extensive experiments demonstrate the effectiveness and flexibility of DETA++.
Critical Appraisal of Fairness Metrics in Clinical Predictive AI
Matos, Joรฃo, Van Calster, Ben, Celi, Leo Anthony, Dhiman, Paula, Gichoya, Judy Wawira, Riley, Richard D., Russell, Chris, Khalid, Sara, Collins, Gary S.
Predictive artificial intelligence (AI) offers an opportunity to improve clinical practice and patient outcomes, but risks perpetuating biases if fairness is inadequately addressed. However, the definition of "fairness" remains unclear. We conducted a scoping review to identify and critically appraise fairness metrics for clinical predictive AI. We defined a "fairness metric" as a measure quantifying whether a model discriminates (societally) against individuals or groups defined by sensitive attributes. We searched five databases (2014-2024), screening 820 records, to include 41 studies, and extracted 62 fairness metrics. Metrics were classified by performance-dependency, model output level, and base performance metric, revealing a fragmented landscape with limited clinical validation and overreliance on threshold-dependent measures. Eighteen metrics were explicitly developed for healthcare, including only one clinical utility metric. Our findings highlight conceptual challenges in defining and quantifying fairness and identify gaps in uncertainty quantification, intersectionality, and real-world applicability.
fairmetrics: An R package for group fairness evaluation
Smith, Benjamin, Gao, Jianhui, Gronsbell, Jessica
Fairness is a growing area of machine learning (ML) that focuses on ensuring models do not produce systematically biased outcomes for specific groups, particularly those defined by protected attributes such as race, gender, or age. Evaluating fairness is a critical aspect of ML model development, as biased models can perpetuate structural inequalities. The {fairmetrics} R package offers a user-friendly framework for rigorously evaluating numerous group-based fairness criteria, including metrics based on independence (e.g., statistical parity), separation (e.g., equalized odds), and sufficiency (e.g., predictive parity). Group-based fairness criteria assess whether a model is equally accurate or well-calibrated across a set of predefined groups so that appropriate bias mitigation strategies can be implemented. {fairmetrics} provides both point and interval estimates for multiple metrics through a convenient wrapper function and includes an example dataset derived from the Medical Information Mart for Intensive Care, version II (MIMIC-II) database (Goldberger et al., 2000; Raffa, 2016).
CRIA: A Cross-View Interaction and Instance-Adapted Pre-training Framework for Generalizable EEG Representations
Liu, Puchun, Chen, C. L. Philip, He, Yubin, Zhang, Tong
The difficulty of extracting deep features from EEG data and effectively integrating information from multiple views presents significant challenges for developing a generalizable pretraining framework for EEG representation learning. However, most existing pre-training methods rely solely on the contextual semantics of a single view, failing to capture the complex and synergistic interactions among different perspectives, limiting the expressiveness and generalization of learned representations. To address these issues, this paper proposes CRIA, an adaptive framework that utilizes variable-length and variable-channel coding to achieve a unified representation of EEG data across different datasets. In this work, we define cross-view information as the integrated representation that emerges from the interaction among temporal, spectral, and spatial views of EEG signals. The model employs a cross-attention mechanism to fuse temporal, spectral, and spatial features effectively, and combines an attention matrix masking strategy based on the information bottleneck principle with a novel viewpoint masking pre-training scheme. Experimental results on the Temple University EEG corpus and the CHB-MIT dataset show that CRIA outperforms existing methods with the same pre-training conditions, achieving a balanced accuracy of 57.02% for multi-class event classification and 80.03% for anomaly detection, highlighting its strong generalization ability.
Multi-use LLM Watermarking and the False Detection Problem
Digital watermarking is a promising solution for mitigating some of the risks arising from the misuse of automatically generated text. These approaches either embed non-specific watermarks to allow for the detection of any text generated by a particular sampler, or embed specific keys that allow the identification of the LLM user. However, simultaneously using the same embedding for both detection and user identification leads to a false detection problem, whereby, as user capacity grows, unwatermarked text is increasingly likely to be falsely detected as watermarked. Through theoretical analysis, we identify the underlying causes of this phenomenon. Building on these insights, we propose Dual Watermarking which jointly encodes detection and identification watermarks into generated text, significantly reducing false positives while maintaining high detection accuracy. Our experimental results validate our theoretical findings and demonstrate the effectiveness of our approach.
BatteryBERT for Realistic Battery Fault Detection Using Point-Masked Signal Modeling
Zhou, Songqi, Liu, Ruixue, Wang, Yixing, Lu, Jia, Jiang, Benben
Accurate fault detection in lithium-ion batteries is essential for the safe and reliable operation of electric vehicles and energy storage systems. However, existing methods often struggle to capture complex temporal dependencies and cannot fully leverage abundant unlabeled data. Although large language models (LLMs) exhibit strong representation capabilities, their architectures are not directly suited to the numerical time-series data common in industrial settings. To address these challenges, we propose a novel framework that adapts BERT-style pretraining for battery fault detection by extending the standard BERT architecture with a customized time-series-to-token representation module and a point-level Masked Signal Modeling (point-MSM) pretraining task tailored to battery applications. This approach enables self-supervised learning on sequential current, voltage, and other charge-discharge cycle data, yielding distributionally robust, context-aware temporal embeddings. We then concatenate these embeddings with battery metadata and feed them into a downstream classifier for accurate fault classification. Experimental results on a large-scale real-world dataset show that models initialized with our pretrained parameters significantly improve both representation quality and classification accuracy, achieving an AUROC of 0.945 and substantially outperforming existing approaches. These findings validate the effectiveness of BERT-style pretraining for time-series fault detection.