Generative AI (GenAI) models have demonstrated remarkable capabilities in a wide variety of medical tasks. However, as these models are trained using generalist datasets with very limited human oversight, they can learn uses of medical products that have not been adequately evaluated for safety and efficacy, nor approved by regulatory agencies. Given the scale at which GenAI may reach users, unvetted recommendations pose a public health risk. In this work, we propose an approach to identify potentially harmful product recommendations, and demonstrate it using a recent multimodal large language model.

While it has been well known in the ML community that deep learning models suffer from instability, the consequences for healthcare deployments are under characterised. We study the stability of different model architectures trained on electronic health records, using a set of outpatient prediction tasks as a case study. We show that repeated training runs of the same deep learning model on the same training data can result in significantly different outcomes at a patient level even though global performance metrics remain stable. We propose two stability metrics for measuring the effect of randomness of model training, as well as mitigation strategies for improving model stability.

Affective states have a critical role in driving performance and safety. They can degrade driver situation awareness and negatively impact cognitive processes, severely diminishing road safety. Therefore, detecting and assessing drivers' affective states is crucial in order to help improve the driving experience, and increase safety, comfort and well-being. Recent advances in affective computing have enabled the detection of such states. This may lead to empathic automotive user interfaces that account for the driver's emotional state and influence the driver in order to improve safety. In this work, we propose a multiview multi-task machine learning method for the detection of driver's affective states using physiological signals. The proposed approach is able to account for inter-drive variability in physiological responses while enabling interpretability of the learned models, a factor that is especially important in systems deployed in the real world. We evaluate the models on three different datasets containing real-world driving experiences. Our results indicate that accounting for drive-specific differences significantly improves model performance.

Opioids are the preferred medications for the treatment of pain in the intensive care unit. While undertreatment leads to unrelieved pain and poor clinical outcomes, excessive use of opioids puts patients at risk of experiencing multiple adverse effects. In this work, we present a sequential decision making framework for opioid dosing based on deep reinforcement learning. It provides real-time clinically interpretable dosing recommendations, personalized according to each patient's evolving pain and physiological condition. We focus on morphine, one of the most commonly prescribed opioids. To train and evaluate the model, we used retrospective data from the publicly available MIMIC-3 database. Our results demonstrate that reinforcement learning may be used to aid decision making in the intensive care setting by providing personalized pain management interventions.

Currently there is no validated objective measure of pain. Recent neuroimaging studies have explored the feasibility of using functional near-infrared spectroscopy (fNIRS) to measure alterations in brain function in evoked and ongoing pain. In this study, we applied multi-task machine learning methods to derive a practical algorithm for pain detection derived from fNIRS signals in healthy volunteers exposed to a painful stimulus. Especially, we employed multi-task multiple kernel learning to account for the inter-subject variability in pain response. Our results support the use of fNIRS and machine learning techniques in developing objective pain detection, and also highlight the importance of adopting personalized analysis in the process.