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HMF: A Hybrid Multi-Factor Framework for Dynamic Intraoperative Hypotension Prediction

arXiv.org Artificial Intelligence

Intraoperative hypotension (IOH) prediction using Mean Arterial Pressure (MAP) is a critical research area with significant implications for patient outcomes during surgery. However, existing approaches predominantly employ static modeling paradigms that overlook the dynamic nature of physiological signals. In this paper, we introduce a novel Hybrid Multi-Factor (HMF) framework that reformulates IOH prediction as a blood pressure forecasting task. Our framework leverages a Transformer encoder, specifically designed to effectively capture the temporal evolution of MAP series through a patch-based input representation, which segments the input physiological series into informative patches for accurate analysis. To address the challenges of distribution shift in physiological series, our approach incorporates two key innovations: (1) Symmetric normalization and de-normalization processes help mitigate distributional drift in statistical properties, thereby ensuring the model's robustness across varying conditions, and (2) Sequence decomposition, which disaggregates the input series into trend and seasonal components, allowing for a more precise modeling of inherent sequence dependencies. Extensive experiments conducted on two real-world datasets demonstrate the superior performance of our approach compared to competitive baselines, particularly in capturing the nuanced variations in input series that are crucial for accurate IOH prediction.


PieClam: A Universal Graph Autoencoder Based on Overlapping Inclusive and Exclusive Communities

arXiv.org Machine Learning

We propose PieClam (Prior Inclusive Exclusive Cluster Affiliation Model): a probabilistic graph model for representing any graph as overlapping generalized communities. Our method can be interpreted as a graph autoencoder: nodes are embedded into a code space by an algorithm that maximizes the log-likelihood of the decoded graph, given the input graph. PieClam is a community affiliation model that extends well-known methods like BigClam in two main manners. First, instead of the decoder being defined via pairwise interactions between the nodes in the code space, we also incorporate a learned prior on the distribution of nodes in the code space, turning our method into a graph generative model. Secondly, we generalize the notion of communities by allowing not only sets of nodes with strong connectivity, which we call inclusive communities, but also sets of nodes with strong disconnection, which we call exclusive communities. To model both types of communities, we propose a new type of decoder based the Lorentz inner product, which we prove to be much more expressive than standard decoders based on standard inner products or norm distances. By introducing a new graph similarity measure, that we call the log cut distance, we show that PieClam is a universal autoencoder, able to uniformly approximately reconstruct any graph. Our method is shown to obtain competitive performance in graph anomaly detection benchmarks.


Fair Anomaly Detection For Imbalanced Groups

arXiv.org Artificial Intelligence

Anomaly detection (AD) has been widely studied for decades in many real-world applications, including fraud detection in finance, and intrusion detection for cybersecurity, etc. Due to the imbalanced nature between protected and unprotected groups and the imbalanced distributions of normal examples and anomalies, the learning objectives of most existing anomaly detection methods tend to solely concentrate on the dominating unprotected group. Thus, it has been recognized by many researchers about the significance of ensuring model fairness in anomaly detection. However, the existing fair anomaly detection methods tend to erroneously label most normal examples from the protected group as anomalies in the imbalanced scenario where the unprotected group is more abundant than the protected group. This phenomenon is caused by the improper design of learning objectives, which statistically focus on learning the frequent patterns (i.e., the unprotected group) while overlooking the under-represented patterns (i.e., the protected group). To address these issues, we propose FairAD, a fairness-aware anomaly detection method targeting the imbalanced scenario. It consists of a fairness-aware contrastive learning module and a rebalancing autoencoder module to ensure fairness and handle the imbalanced data issue, respectively. Moreover, we provide the theoretical analysis that shows our proposed contrastive learning regularization guarantees group fairness. Empirical studies demonstrate the effectiveness and efficiency of FairAD across multiple real-world datasets.


Fractional Naive Bayes (FNB): non-convex optimization for a parsimonious weighted selective naive Bayes classifier

arXiv.org Machine Learning

We study supervised classification for datasets with a very large number of input variables. The na\"ive Bayes classifier is attractive for its simplicity, scalability and effectiveness in many real data applications. When the strong na\"ive Bayes assumption of conditional independence of the input variables given the target variable is not valid, variable selection and model averaging are two common ways to improve the performance. In the case of the na\"ive Bayes classifier, the resulting weighting scheme on the models reduces to a weighting scheme on the variables. Here we focus on direct estimation of variable weights in such a weighted na\"ive Bayes classifier. We propose a sparse regularization of the model log-likelihood, which takes into account prior penalization costs related to each input variable. Compared to averaging based classifiers used up until now, our main goal is to obtain parsimonious robust models with less variables and equivalent performance. The direct estimation of the variable weights amounts to a non-convex optimization problem for which we propose and compare several two-stage algorithms. First, the criterion obtained by convex relaxation is minimized using several variants of standard gradient methods. Then, the initial non-convex optimization problem is solved using local optimization methods initialized with the result of the first stage. The various proposed algorithms result in optimization-based weighted na\"ive Bayes classifiers, that are evaluated on benchmark datasets and positioned w.r.t. to a reference averaging-based classifier.


Multi-OCT-SelfNet: Integrating Self-Supervised Learning with Multi-Source Data Fusion for Enhanced Multi-Class Retinal Disease Classification

arXiv.org Artificial Intelligence

In the medical domain, acquiring large datasets poses significant challenges due to privacy concerns. Nonetheless, the development of a robust deep-learning model for retinal disease diagnosis necessitates a substantial dataset for training. The capacity to generalize effectively on smaller datasets remains a persistent challenge. The scarcity of data presents a significant barrier to the practical implementation of scalable medical AI solutions. To address this issue, we've combined a wide range of data sources to improve performance and generalization to new data by giving it a deeper understanding of the data representation from multi-modal datasets and developed a self-supervised framework based on large language models (LLMs), SwinV2 to gain a deeper understanding of multi-modal dataset representations, enhancing the model's ability to extrapolate to new data for the detection of eye diseases using optical coherence tomography (OCT) images. We adopt a two-phase training methodology, self-supervised pre-training, and fine-tuning on a downstream supervised classifier. An ablation study conducted across three datasets employing various encoder backbones, without data fusion, with low data availability setting, and without self-supervised pre-training scenarios, highlights the robustness of our method. Our findings demonstrate consistent performance across these diverse conditions, showcasing superior generalization capabilities compared to the baseline model, ResNet-50.


Clinical Validation of a Real-Time Machine Learning-based System for the Detection of Acute Myeloid Leukemia by Flow Cytometry

arXiv.org Artificial Intelligence

Machine-learning (ML) models in flow cytometry have the potential to reduce error rates, increase reproducibility, and boost the efficiency of clinical labs. While numerous ML models for flow cytometry data have been proposed, few studies have described the clinical deployment of such models. Realizing the potential gains of ML models in clinical labs requires not only an accurate model, but infrastructure for automated inference, error detection, analytics and monitoring, and structured data extraction. Here, we describe an ML model for detection of Acute Myeloid Leukemia (AML), along with the infrastructure supporting clinical implementation. Our infrastructure leverages the resilience and scalability of the cloud for model inference, a Kubernetes-based workflow system that provides model reproducibility and resource management, and a system for extracting structured diagnoses from full-text reports. We also describe our model monitoring and visualization platform, an essential element for ensuring continued model accuracy. Finally, we present a post-deployment analysis of impacts on turn-around time and compare production accuracy to the original validation statistics.


Early Detection of Coronary Heart Disease Using Hybrid Quantum Machine Learning Approach

arXiv.org Artificial Intelligence

Coronary heart disease (CHD) is a severe cardiac disease, and hence, its early diagnosis is essential as it improves treatment results and saves money on medical care. The prevailing development of quantum computing and machine learning (ML) technologies may bring practical improvement to the performance of CHD diagnosis. Quantum machine learning (QML) is receiving tremendous interest in various disciplines due to its higher performance and capabilities. A quantum leap in the healthcare industry will increase processing power and optimise multiple models. Techniques for QML have the potential to forecast cardiac disease and help in early detection. To predict the risk of coronary heart disease, a hybrid approach utilizing an ensemble machine learning model based on QML classifiers is presented in this paper. Our approach, with its unique ability to address multidimensional healthcare data, reassures the method's robustness by fusing quantum and classical ML algorithms in a multi-step inferential framework. The marked rise in heart disease and death rates impacts worldwide human health and the global economy. Reducing cardiac morbidity and mortality requires early detection of heart disease. In this research, a hybrid approach utilizes techniques with quantum computing capabilities to tackle complex problems that are not amenable to conventional machine learning algorithms and to minimize computational expenses. The proposed method has been developed in the Raspberry Pi 5 Graphics Processing Unit (GPU) platform and tested on a broad dataset that integrates clinical and imaging data from patients suffering from CHD and healthy controls. Compared to classical machine learning models, the accuracy, sensitivity, F1 score, and specificity of the proposed hybrid QML model used with CHD are manifold higher.


Graphical Structural Learning of rs-fMRI data in Heavy Smokers

arXiv.org Artificial Intelligence

Recent studies revealed structural and functional brain changes in heavy smokers. However, the specific changes in topological brain connections are not well understood. We used Gaussian Undirected Graphs with the graphical lasso algorithm on rs-fMRI data from smokers and non-smokers to identify significant changes in brain connections. Our results indicate high stability in the estimated graphs and identify several brain regions significantly affected by smoking, providing valuable insights for future clinical research.


Toward Mitigating Sex Bias in Pilot Trainees' Stress and Fatigue Modeling

arXiv.org Artificial Intelligence

While researchers have been trying to understand the stress and fatigue among pilots, especially pilot trainees, and to develop stress/fatigue models to automate the process of detecting stress/fatigue, they often do not consider biases such as sex in those models. However, in a critical profession like aviation, where the demographic distribution is disproportionately skewed to one sex, it is urgent to mitigate biases for fair and safe model predictions. In this work, we investigate the perceived stress/fatigue of 69 college students, including 40 pilot trainees with around 63% male. We construct models with decision trees first without bias mitigation and then with bias mitigation using a threshold optimizer with demographic parity and equalized odds constraints 30 times with random instances. Using bias mitigation, we achieve improvements of 88.31% (demographic parity difference) and 54.26% (equalized odds difference), which are also found to be statistically significant.


DDoS: Diffusion Distribution Similarity for Out-of-Distribution Detection

arXiv.org Artificial Intelligence

Out-of-Distribution (OoD) detection determines whether the given samples are from the training distribution of the classifier-under-protection, i.e., the In-Distribution (InD), or from a different OoD. Latest researches introduce diffusion models pre-trained on InD data to advocate OoD detection by transferring an OoD image into a generated one that is close to InD, so that one could capture the distribution disparities between original and generated images to detect OoD data. Existing diffusion-based detectors adopt perceptual metrics on the two images to measure such disparities, but ignore a fundamental fact: Perceptual metrics are devised essentially for human-perceived similarities of low-level image patterns, e.g., textures and colors, and are not advisable in evaluating distribution disparities, since images with different low-level patterns could possibly come from the same distribution. To address this issue, we formulate a diffusion-based detection framework that considers the distribution similarity between a tested image and its generated counterpart via a novel proper similarity metric in the informative feature space and probability space learned by the classifier-under-protection. An anomaly-removal strategy is further presented to enlarge such distribution disparities by removing abnormal OoD information in the feature space to facilitate the detection. Extensive empirical results unveil the insufficiency of perceptual metrics and the effectiveness of our distribution similarity framework with new state-of-the-art detection performance.