Objectives Extraction of PICO (Populations, Interventions, Comparison, and Outcomes) entities is fundamental to evidence retrieval. We present a novel method PICOX to extract overlapping PICO entities. Materials and Methods PICOX first identifies entities by assessing whether a word marks the beginning or conclusion of an entity. Then it uses a multi-label classifier to assign one or more PICO labels to a span candidate. PICOX was evaluated using one of the best-performing baselines, EBM-NLP, and three more datasets, i.e., PICO-Corpus, and RCT publications on Alzheimer's Disease or COVID-19, using entity-level precision, recall, and F1 scores. Results PICOX achieved superior precision, recall, and F1 scores across the board, with the micro F1 score improving from 45.05 to 50.87 (p << 0.01). On the PICO-Corpus, PICOX obtained higher recall and F1 scores than the baseline and improved the micro recall score from 56.66 to 67.33. On the COVID-19 dataset, PICOX also outperformed the baseline and improved the micro F1 score from 77.10 to 80.32. On the AD dataset, PICOX demonstrated comparable F1 scores with higher precision when compared to the baseline. Conclusion PICOX excels in identifying overlapping entities and consistently surpasses a leading baseline across multiple datasets. Ablation studies reveal that its data augmentation strategy effectively minimizes false positives and improves precision.

Pre-training speech models on large volumes of data has achieved remarkable success. OpenAI Whisper is a multilingual multitask model trained on 680k hours of supervised speech data. It generalizes well to various speech recognition and translation benchmarks even in a zero-shot setup. However, the full pipeline for developing such models (from data collection to training) is not publicly accessible, which makes it difficult for researchers to further improve its performance and address training-related issues such as efficiency, robustness, fairness, and bias. This work presents an Open Whisper-style Speech Model (OWSM), which reproduces Whisper-style training using an open-source toolkit and publicly available data. OWSM even supports more translation directions and can be more efficient to train. We will publicly release all scripts used for data preparation, training, inference, and scoring as well as pre-trained models and training logs to promote open science.

Computer-assisted diagnostic and prognostic systems of the future should be capable of simultaneously processing multimodal data. Multimodal deep learning (MDL), which involves the integration of multiple sources of data, such as images and text, has the potential to revolutionize the analysis and interpretation of biomedical data. However, it only caught researchers' attention recently. To this end, there is a critical need to conduct a systematic review on this topic, identify the limitations of current work, and explore future directions. In this scoping review, we aim to provide a comprehensive overview of the current state of the field and identify key concepts, types of studies, and research gaps with a focus on biomedical images and texts joint learning, mainly because these two were the most commonly available data types in MDL research. This study reviewed the current uses of multimodal deep learning on five tasks: (1) Report generation, (2) Visual question answering, (3) Cross-modal retrieval, (4) Computer-aided diagnosis, and (5) Semantic segmentation. Our results highlight the diverse applications and potential of MDL and suggest directions for future research in the field. We hope our review will facilitate the collaboration of natural language processing (NLP) and medical imaging communities and support the next generation of decision-making and computer-assisted diagnostic system development.

Despite the reduction in turn-around times in radiology reports with the use of speech recognition software, persistent communication errors can significantly impact the interpretation of the radiology report. Pre-filling a radiology report holds promise in mitigating reporting errors, and despite efforts in the literature to generate medical reports, there exists a lack of approaches that exploit the longitudinal nature of patient visit records in the MIMIC-CXR dataset. To address this gap, we propose to use longitudinal multi-modal data, i.e., previous patient visit CXR, current visit CXR, and previous visit report, to pre-fill the 'findings' section of a current patient visit report. We first gathered the longitudinal visit information for 26,625 patients from the MIMIC-CXR dataset and created a new dataset called Longitudinal-MIMIC. With this new dataset, a transformer-based model was trained to capture the information from longitudinal patient visit records containing multi-modal data (CXR images + reports) via a cross-attention-based multi-modal fusion module and a hierarchical memory-driven decoder. In contrast to previous work that only uses current visit data as input to train a model, our work exploits the longitudinal information available to pre-fill the 'findings' section of radiology reports. Experiments show that our approach outperforms several recent approaches. Code will be published at https://github.com/CelestialShine/Longitudinal-Chest-X-Ray.

Recent studies have demonstrated promising outcomes by employing large language models with multi-tasking capabilities. They utilize prompts to guide the model's behavior and surpass performance of task-specific models. Motivated by this, we ask: can we build a single model that jointly perform various spoken language understanding (SLU) tasks? To address this, we utilize pre-trained automatic speech recognition (ASR) models and employ various task and dataset specifiers as discrete prompts. We demonstrate efficacy of our single multi-task learning (MTL) model "UniverSLU" for 12 different speech classification and sequence generation tasks across 17 datasets and 9 languages. Results show that UniverSLU achieves competitive performance and even surpasses task-specific models. We also conduct preliminary investigations into enabling human-interpretable natural phrases instead of task specifiers as discrete prompts and test the model's generalization capabilities to new paraphrases.

Multilingual self-supervised learning (SSL) has often lagged behind state-of-the-art (SOTA) methods due to the expenses and complexity required to handle many languages. This further harms the reproducibility of SSL, which is already limited to few research groups due to its resource usage. We show that more powerful techniques can actually lead to more efficient pre-training, opening SSL to more research groups. We propose WavLabLM, which extends WavLM's joint prediction and denoising to 40k hours of data across 136 languages. To build WavLabLM, we devise a novel multi-stage pre-training method, designed to address the language imbalance of multilingual data. WavLabLM achieves comparable performance to XLS-R on ML-SUPERB with less than 10% of the training data, making SSL realizable with academic compute. We show that further efficiency can be achieved with a vanilla HuBERT Base model, which can maintain 94% of XLS-R's performance with only 3% of the data, 4 GPUs, and limited trials. We open-source all code and models in ESPnet.

Text language models have shown remarkable zero-shot capability in generalizing to unseen tasks when provided with well-formulated instructions. However, existing studies in speech processing primarily focus on limited or specific tasks. Moreover, the lack of standardized benchmarks hinders a fair comparison across different approaches. Thus, we present Dynamic-SUPERB, a benchmark designed for building universal speech models capable of leveraging instruction tuning to perform multiple tasks in a zero-shot fashion. To achieve comprehensive coverage of diverse speech tasks and harness instruction tuning, we invite the community to collaborate and contribute, facilitating the dynamic growth of the benchmark. To initiate, Dynamic-SUPERB features 55 evaluation instances by combining 33 tasks and 22 datasets. This spans a broad spectrum of dimensions, providing a comprehensive platform for evaluation. Additionally, we propose several approaches to establish benchmark baselines. These include the utilization of speech models, text language models, and the multimodal encoder. Evaluation results indicate that while these baselines perform reasonably on seen tasks, they struggle with unseen ones. We also conducted an ablation study to assess the robustness and seek improvements in the performance. We release all materials to the public and welcome researchers to collaborate on the project, advancing technologies in the field together.

Pruning has emerged as a powerful technique for compressing deep neural networks, reducing memory usage and inference time without significantly affecting overall performance. However, the nuanced ways in which pruning impacts model behavior are not well understood, particularly for long-tailed, multi-label datasets commonly found in clinical settings. This knowledge gap could have dangerous implications when deploying a pruned model for diagnosis, where unexpected model behavior could impact patient well-being. To fill this gap, we perform the first analysis of pruning's effect on neural networks trained to diagnose thorax diseases from chest X-rays (CXRs). On two large CXR datasets, we examine which diseases are most affected by pruning and characterize class "forgettability" based on disease frequency and co-occurrence behavior. Further, we identify individual CXRs where uncompressed and heavily pruned models disagree, known as pruning-identified exemplars (PIEs), and conduct a human reader study to evaluate their unifying qualities. We find that radiologists perceive PIEs as having more label noise, lower image quality, and higher diagnosis difficulty. This work represents a first step toward understanding the impact of pruning on model behavior in deep long-tailed, multi-label medical image classification.

Although deep learning techniques have shown significant achievements, they frequently depend on extensive amounts of hand-labeled data and tend to perform inadequately in few-shot scenarios. The objective of this study is to devise a strategy that can improve the model's capability to recognize biomedical entities in scenarios of few-shot learning. By redefining biomedical named entity recognition (BioNER) as a machine reading comprehension (MRC) problem, we propose a demonstration-based learning method to address few-shot BioNER, which involves constructing appropriate task demonstrations. In assessing our proposed method, we compared the proposed method with existing advanced methods using six benchmark datasets, including BC4CHEMD, BC5CDR-Chemical, BC5CDR-Disease, NCBI-Disease, BC2GM, and JNLPBA. We examined the models' efficacy by reporting F1 scores from both the 25-shot and 50-shot learning experiments. In 25-shot learning, we observed 1.1% improvements in the average F1 scores compared to the baseline method, reaching 61.7%, 84.1%, 69.1%, 70.1%, 50.6%, and 59.9% on six datasets, respectively. In 50-shot learning, we further improved the average F1 scores by 1.0% compared to the baseline method, reaching 73.1%, 86.8%, 76.1%, 75.6%, 61.7%, and 65.4%, respectively. We reported that in the realm of few-shot learning BioNER, MRC-based language models are much more proficient in recognizing biomedical entities compared to the sequence labeling approach. Furthermore, our MRC-language models can compete successfully with fully-supervised learning methodologies that rely heavily on the availability of abundant annotated data. These results highlight possible pathways for future advancements in few-shot BioNER methodologies.

In 2020, the U.S. Department of Defense officially disclosed a set of ethical principles to guide the use of Artificial Intelligence (AI) technologies on future battlefields. Despite stark differences, there are core similarities between the military and medical service. Warriors on battlefields often face life-altering circumstances that require quick decision-making. Medical providers experience similar challenges in a rapidly changing healthcare environment, such as in the emergency department or during surgery treating a life-threatening condition. Generative AI, an emerging technology designed to efficiently generate valuable information, holds great promise. As computing power becomes more accessible and the abundance of health data, such as electronic health records, electrocardiograms, and medical images, increases, it is inevitable that healthcare will be revolutionized by this technology. Recently, generative AI has captivated the research community, leading to debates about its application in healthcare, mainly due to concerns about transparency and related issues. Meanwhile, concerns about the potential exacerbation of health disparities due to modeling biases have raised notable ethical concerns regarding the use of this technology in healthcare. However, the ethical principles for generative AI in healthcare have been understudied, and decision-makers often fail to consider the significance of generative AI. In this paper, we propose GREAT PLEA ethical principles, encompassing governance, reliability, equity, accountability, traceability, privacy, lawfulness, empathy, and autonomy, for generative AI in healthcare. We aim to proactively address the ethical dilemmas and challenges posed by the integration of generative AI in healthcare.