Sifting through vast textual data and summarizing key information from electronic health records (EHR) imposes a substantial burden on how clinicians allocate their time. Although large language models (LLMs) have shown immense promise in natural language processing (NLP) tasks, their efficacy on a diverse range of clinical summarization tasks has not yet been rigorously demonstrated. In this work, we apply domain adaptation methods to eight LLMs, spanning six datasets and four distinct clinical summarization tasks: radiology reports, patient questions, progress notes, and doctor-patient dialogue. Our thorough quantitative assessment reveals trade-offs between models and adaptation methods in addition to instances where recent advances in LLMs may not improve results. Further, in a clinical reader study with ten physicians, we show that summaries from our best-adapted LLMs are preferable to human summaries in terms of completeness and correctness. Our ensuing qualitative analysis highlights challenges faced by both LLMs and human experts. Lastly, we correlate traditional quantitative NLP metrics with reader study scores to enhance our understanding of how these metrics align with physician preferences. Our research marks the first evidence of LLMs outperforming human experts in clinical text summarization across multiple tasks. This implies that integrating LLMs into clinical workflows could alleviate documentation burden, empowering clinicians to focus more on personalized patient care and the inherently human aspects of medicine.

We systematically investigate lightweight strategies to adapt large language models (LLMs) for the task of radiology report summarization (RRS). Specifically, we focus on domain adaptation via pretraining (on natural language, biomedical text, or clinical text) and via discrete prompting or parameter-efficient fine-tuning. Our results consistently achieve best performance by maximally adapting to the task via pretraining on clinical text and fine-tuning on RRS examples. Importantly, this method fine-tunes a mere 0.32% of parameters throughout the model, in contrast to end-to-end fine-tuning (100% of parameters). Additionally, we study the effect of in-context examples and out-of-distribution (OOD) training before concluding with a radiologist reader study and qualitative analysis. Our findings highlight the importance of domain adaptation in RRS and provide valuable insights toward developing effective natural language processing solutions for clinical tasks.

Generative Adversarial Networks (GANs) are commonly used for modeling complex distributions of data. Both the generators and discriminators of GANs are often modeled by neural networks, posing a non-transparent optimization problem which is non-convex and non-concave over the generator and discriminator, respectively. Such networks are often heuristically optimized with gradient descent-ascent (GDA), but it is unclear whether the optimization problem contains any saddle points, or whether heuristic methods can find them in practice. In this work, we analyze the training of Wasserstein GANs with two-layer neural network discriminators through the lens of convex duality, and for a variety of generators expose the conditions under which Wasserstein GANs can be solved exactly with convex optimization approaches, or can be represented as convex-concave games. Using this convex duality interpretation, we further demonstrate the impact of different activation functions of the discriminator. Our observations are verified with numerical results demonstrating the power of the convex interpretation, with applications in progressive training of convex architectures corresponding to linear generators and quadratic-activation discriminators for CelebA image generation.

Batch Normalization (BN) is a commonly used technique to accelerate and stabilize training of deep neural networks. Despite its empirical success, a full theoretical understanding of BN is yet to be developed. In this work, we analyze BN through the lens of convex optimization. We introduce an analytic framework based on convex duality to obtain exact convex representations of weight-decay regularized ReLU networks with BN, which can be trained in polynomial-time. Our analyses also show that optimal layer weights can be obtained as simple closed-form formulas in the high-dimensional and/or overparameterized regimes. Furthermore, we find that Gradient Descent provides an algorithmic bias effect on the standard non-convex BN network, and we design an approach to explicitly encode this implicit regularization into the convex objective. Experiments with CIFAR image classification highlight the effectiveness of this explicit regularization for mimicking and substantially improving the performance of standard BN networks.

We describe the convex semi-infinite dual of the two-layer vector-output ReLU neural network training problem. This semi-infinite dual admits a finite dimensional representation, but its support is over a convex set which is difficult to characterize. In particular, we demonstrate that the non-convex neural network training problem is equivalent to a finite-dimensional convex copositive program. Our work is the first to identify this strong connection between the global optima of neural networks and those of copositive programs. We thus demonstrate how neural networks implicitly attempt to solve copositive programs via semi-nonnegative matrix factorization, and draw key insights from this formulation. We describe the first algorithms for provably finding the global minimum of the vector output neural network training problem, which are polynomial in the number of samples for a fixed data rank, yet exponential in the dimension. However, in the case of convolutional architectures, the computational complexity is exponential in only the filter size and polynomial in all other parameters. We describe the circumstances in which we can find the global optimum of this neural network training problem exactly with soft-thresholded SVD, and provide a copositive relaxation which is guaranteed to be exact for certain classes of problems, and which corresponds with the solution of Stochastic Gradient Descent in practice.

Neural networks have shown tremendous potential for reconstructing highresolution images in inverse problems. The non-convex and opaque nature of neural networks, however, hinders their utility in sensitive applications such as medical imaging. To cope with this challenge, this paper advocates a convex duality framework that makes a two-layer fully-convolutional ReLU denoising network amenable to convex optimization. The convex dual network not only offers the optimum training with convex solvers, but also facilitates interpreting training and prediction. In particular, it implies training neural networks with weight decay regularization induces path sparsity while the prediction is piecewise linear filtering. A range of experiments with MNIST and fastMRI datasets confirm the efficacy of the dual network optimization problem. In the age of AI, image reconstruction has witnessed a paradigm shift that impacts several applications ranging from natural image super-resolution to medical imaging.

Unrolled neural networks emerged recently as an effective model for learning inverse maps appearing in image restoration tasks. However, their generalization risk (i.e., test mean-squared-error) and its link to network design and train sample size remains mysterious. Leveraging the Stein's Unbiased Risk Estimator (SURE), this paper analyzes the generalization risk with its bias and variance components for recurrent unrolled networks. We particularly investigate the degrees-of-freedom (DOF) component of SURE, trace of the end-to-end network Jacobian, to quantify the prediction variance. We prove that DOF is well-approximated by the weighted \textit{path sparsity} of the network under incoherence conditions on the trained weights. Empirically, we examine the SURE components as a function of train sample size for both recurrent and non-recurrent (with many more parameters) unrolled networks. Our key observations indicate that: 1) DOF increases with train sample size and converges to the generalization risk for both recurrent and non-recurrent schemes; 2) recurrent network converges significantly faster (with less train samples) compared with non-recurrent scheme, hence recurrence serves as a regularization for low sample size regimes.

Recovering high-resolution images from limited sensory data typically leads to a serious ill-posed inverse problem, demanding inversion algorithms that effectively capture the prior information. Learning a good inverse mapping from training data faces severe challenges, including: (i) scarcity of training data; (ii) need for plausible reconstructionsthat are physically feasible; (iii) need for fast reconstruction, especially in real-time applications. We develop a successful system solving all these challenges, using as basic architecture the recurrent application of proximal gradient algorithm. We learn a proximal map that works well with real images based on residual networks. Contraction of the resulting map is analyzed, and incoherence conditions are investigated that drive the convergence of the iterates. Extensive experiments are carried out under different settings: (a) reconstructing abdominal MRI of pediatric patients from highly undersampled Fourier-space data and (b) superresolving natural face images. Our key findings include: 1. a recurrent ResNet with a single residual block unrolled from an iterative algorithm yields an effective proximal which accurately reveals MR image details. 2. Our architecture significantly outperforms conventional non-recurrent deep ResNets by 2dB SNR; it is also trained much more rapidly.

Recovering high-resolution images from limited sensory data typically leads to a serious ill-posed inverse problem, demanding inversion algorithms that effectively capture the prior information. Learning a good inverse mapping from training data faces severe challenges, including: (i) scarcity of training data; (ii) need for plausible reconstructions that are physically feasible; (iii) need for fast reconstruction, especially in real-time applications. We develop a successful system solving all these challenges, using as basic architecture the repetitive application of alternating proximal and data fidelity constraints. We learn a proximal map that works well with real images based on residual networks with recurrent blocks. Extensive experiments are carried out under different settings: (a) reconstructing abdominal MRI of pediatric patients from highly undersampled k-space data and (b) super-resolving natural face images. Our key findings include: 1. a recurrent ResNet with a single residual block (10-fold repetition) yields an effective proximal which accurately reveals MR image details. 2. Our architecture significantly outperforms conventional non-recurrent deep ResNets by 2dB SNR; it is also trained much more rapidly. 3. It outperforms state-of-the-art compressed-sensing Wavelet-based methods by 4dB SNR, with 100x speedups in reconstruction time.

Fetal brain imaging is a cornerstone of prenatal screening and early diagnosis of congenital anomalies. Knowledge of fetal gestational age is the key to the accurate assessment of brain development. This study develops an attention-based deep learning model to predict gestational age of the fetal brain. The proposed model is an end-to-end framework that combines key insights from multi-view MRI including axial, coronal, and sagittal views. The model also uses age-activated weakly-supervised attention maps to enable rotation-invariant localization of the fetal brain among background noise. We evaluate our methods on the collected fetal brain MRI cohort with a large age distribution from 125 to 273 days. Our extensive experiments show age prediction performance with R2 = 0.94 using multi-view MRI and attention.