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Diagnosis extraction from unstructured Dutch echocardiogram reports using span- and document-level characteristic classification

Clinical machine learning research and AI driven clinical decision support models rely on clinically accurate labels. Manually extracting these labels with the help of clinical specialists is often time-consuming and expensive. This study tests the feasibility of automatic span- and document-level diagnosis extraction from unstructured Dutch echocardiogram reports. We included 115,692 unstructured echocardiogram reports from the UMCU a large university hospital in the Netherlands. A randomly selected subset was manually annotated for the occurrence and severity of eleven commonly described cardiac characteristics. We developed and tested several automatic labelling techniques at both span and document levels, using weighted and macro F1-score, precision, and recall for performance evaluation. We compared the performance of span labelling against document labelling methods, which included both direct document classifiers and indirect document classifiers that rely on span classification results. The SpanCategorizer and MedRoBERTa.nl models outperformed all other span and document classifiers, respectively. The weighted F1-score varied between characteristics, ranging from 0.60 to 0.93 in SpanCategorizer and 0.96 to 0.98 in MedRoBERTa.nl. Direct document classification was superior to indirect document classification using span classifiers. SetFit achieved competitive document classification performance using only 10\% of the training data. Utilizing a reduced label set yielded near-perfect document classification results. We recommend using our published SpanCategorizer and MedRoBERTa.nl models for span- and document-level diagnosis extraction from Dutch echocardiography reports. For settings with limited training data, SetFit may be a promising alternative for document classification.

Neural models for Factual Inconsistency Classification with Explanations

Factual consistency is one of the most important requirements when editing high quality documents. It is extremely important for automatic text generation systems like summarization, question answering, dialog modeling, and language modeling. Still, automated factual inconsistency detection is rather under-studied. Existing work has focused on (a) finding fake news keeping a knowledge base in context, or (b) detecting broad contradiction (as part of natural language inference literature). However, there has been no work on detecting and explaining types of factual inconsistencies in text, without any knowledge base in context. In this paper, we leverage existing work in linguistics to formally define five types of factual inconsistencies. Based on this categorization, we contribute a novel dataset, FICLE (Factual Inconsistency CLassification with Explanation), with ~8K samples where each sample consists of two sentences (claim and context) annotated with type and span of inconsistency. When the inconsistency relates to an entity type, it is labeled as well at two levels (coarse and fine-grained). Further, we leverage this dataset to train a pipeline of four neural models to predict inconsistency type with explanations, given a (claim, context) sentence pair. Explanations include inconsistent claim fact triple, inconsistent context span, inconsistent claim component, coarse and fine-grained inconsistent entity types. The proposed system first predicts inconsistent spans from claim and context; and then uses them to predict inconsistency types and inconsistent entity types (when inconsistency is due to entities). We experiment with multiple Transformer-based natural language classification as well as generative models, and find that DeBERTa performs the best. Our proposed methods provide a weighted F1 of ~87% for inconsistency type classification across the five classes.

HiNER: A Large Hindi Named Entity Recognition Dataset

Named Entity Recognition (NER) is a foundational NLP task that aims to provide class labels like Person, Location, Organisation, Time, and Number to words in free text. Named Entities can also be multi-word expressions where the additional I-O-B annotation information helps label them during the NER annotation process. While English and European languages have considerable annotated data for the NER task, Indian languages lack on that front -- both in terms of quantity and following annotation standards. This paper releases a significantly sized standard-abiding Hindi NER dataset containing 109,146 sentences and 2,220,856 tokens, annotated with 11 tags. We discuss the dataset statistics in all their essential detail and provide an in-depth analysis of the NER tag-set used with our data. The statistics of tag-set in our dataset show a healthy per-tag distribution, especially for prominent classes like Person, Location and Organisation. Since the proof of resource-effectiveness is in building models with the resource and testing the model on benchmark data and against the leader-board entries in shared tasks, we do the same with the aforesaid data. We use different language models to perform the sequence labelling task for NER and show the efficacy of our data by performing a comparative evaluation with models trained on another dataset available for the Hindi NER task. Our dataset helps achieve a weighted F1 score of 88.78 with all the tags and 92.22 when we collapse the tag-set, as discussed in the paper. To the best of our knowledge, no available dataset meets the standards of volume (amount) and variability (diversity), as far as Hindi NER is concerned. We fill this gap through this work, which we hope will significantly help NLP for Hindi. We release this dataset with our code and models at https://github.com/cfiltnlp/HiNER

Benchmarking Large Language Models on CMExam -- A Comprehensive Chinese Medical Exam Dataset

Recent advancements in large language models (LLMs) have transformed the field of question answering (QA). However, evaluating LLMs in the medical field is challenging due to the lack of standardized and comprehensive datasets. To address this gap, we introduce CMExam, sourced from the Chinese National Medical Licensing Examination. CMExam consists of 60K+ multiple-choice questions for standardized and objective evaluations, as well as solution explanations for model reasoning evaluation in an open-ended manner. For in-depth analyses of LLMs, we invited medical professionals to label five additional question-wise annotations, including disease groups, clinical departments, medical disciplines, areas of competency, and question difficulty levels. Alongside the dataset, we further conducted thorough experiments with representative LLMs and QA algorithms on CMExam. The results show that GPT-4 had the best accuracy of 61.6% and a weighted F1 score of 0.617. These results highlight a great disparity when compared to human accuracy, which stood at 71.6%. For explanation tasks, while LLMs could generate relevant reasoning and demonstrate improved performance after finetuning, they fall short of a desired standard, indicating ample room for improvement. To the best of our knowledge, CMExam is the first Chinese medical exam dataset to provide comprehensive medical annotations. The experiments and findings of LLM evaluation also provide valuable insights into the challenges and potential solutions in developing Chinese medical QA systems and LLM evaluation pipelines. The dataset and relevant code are available at https://github.com/williamliujl/CMExam.

Harnessing Earnings Reports for Stock Predictions: A QLoRA-Enhanced LLM Approach

Accurate stock market predictions following earnings reports are crucial for investors. Traditional methods, particularly classical machine learning models, struggle with these predictions because they cannot effectively process and interpret extensive textual data contained in earnings reports and often overlook nuances that influence market movements. This paper introduces an advanced approach by employing Large Language Models (LLMs) instruction fine-tuned with a novel combination of instruction-based techniques and quantized low-rank adaptation (QLoRA) compression. Our methodology integrates 'base factors', such as financial metric growth and earnings transcripts, with 'external factors', including recent market indices performances and analyst grades, to create a rich, supervised dataset. This comprehensive dataset enables our models to achieve superior predictive performance in terms of accuracy, weighted F1, and Matthews correlation coefficient (MCC), especially evident in the comparison with benchmarks such as GPT-4. We specifically highlight the efficacy of the llama-3-8b-Instruct-4bit model, which showcases significant improvements over baseline models. The paper also discusses the potential of expanding the output capabilities to include a 'Hold' option and extending the prediction horizon, aiming to accommodate various investment styles and time frames. This study not only demonstrates the power of integrating cutting-edge AI with fine-tuned financial data but also paves the way for future research in enhancing AI-driven financial analysis tools.

Image Labels Are All You Need for Coarse Seagrass Segmentation

Seagrass meadows serve as critical carbon sinks, but accurately estimating the amount of carbon they store requires knowledge of the seagrass species present. Using underwater and surface vehicles equipped with machine learning algorithms can help to accurately estimate the composition and extent of seagrass meadows at scale. However, previous approaches for seagrass detection and classification have required full supervision from patch-level labels. In this paper, we reframe seagrass classification as a weakly supervised coarse segmentation problem where image-level labels are used during training (25 times fewer labels compared to patch-level labeling) and patch-level outputs are obtained at inference time. To this end, we introduce SeaFeats, an architecture that uses unsupervised contrastive pretraining and feature similarity to separate background and seagrass patches, and SeaCLIP, a model that showcases the effectiveness of large language models as a supervisory signal in domain-specific applications. We demonstrate that an ensemble of SeaFeats and SeaCLIP leads to highly robust performance, with SeaCLIP conservatively predicting the background class to avoid false seagrass misclassifications in blurry or dark patches. Our method outperforms previous approaches that require patch-level labels on the multi-species 'DeepSeagrass' dataset by 6.8% (absolute) for the class-weighted F1 score, and by 12.1% (absolute) F1 score for seagrass presence/absence on the 'Global Wetlands' dataset. We also present two case studies for real-world deployment: outlier detection on the Global Wetlands dataset, and application of our method on imagery collected by FloatyBoat, an autonomous surface vehicle.

Countering Malicious Content Moderation Evasion in Online Social Networks: Simulation and Detection of Word Camouflage

Content moderation is the process of screening and monitoring user-generated content online. It plays a crucial role in stopping content resulting from unacceptable behaviors such as hate speech, harassment, violence against specific groups, terrorism, racism, xenophobia, homophobia, or misogyny, to mention some few, in Online Social Platforms. These platforms make use of a plethora of tools to detect and manage malicious information; however, malicious actors also improve their skills, developing strategies to surpass these barriers and continuing to spread misleading information. Twisting and camouflaging keywords are among the most used techniques to evade platform content moderation systems. In response to this recent ongoing issue, this paper presents an innovative approach to address this linguistic trend in social networks through the simulation of different content evasion techniques and a multilingual Transformer model for content evasion detection. In this way, we share with the rest of the scientific community a multilingual public tool, named "pyleetspeak" to generate/simulate in a customizable way the phenomenon of content evasion through automatic word camouflage and a multilingual Named-Entity Recognition (NER) Transformer-based model tuned for its recognition and detection. The multilingual NER model is evaluated in different textual scenarios, detecting different types and mixtures of camouflage techniques, achieving an overall weighted F1 score of 0.8795. This article contributes significantly to countering malicious information by developing multilingual tools to simulate and detect new methods of evasion of content on social networks, making the fight against information disorders more effective.

SubjECTive-QA: Measuring Subjectivity in Earnings Call Transcripts' QA Through Six-Dimensional Feature Analysis

Fact-checking is extensively studied in the context of misinformation and disinformation, addressing objective inaccuracies. However, a softer form of misinformation involves responses that are factually correct but lack certain features such as clarity and relevance. This challenge is prevalent in formal Question-Answer (QA) settings such as press conferences in finance, politics, sports, and other domains, where subjective answers can obscure transparency. Despite this, there is a lack of manually annotated datasets for subjective features across multiple dimensions. To address this gap, we introduce SubjECTive-QA, a human annotated dataset on Earnings Call Transcripts' (ECTs) QA sessions as the answers given by company representatives are often open to subjective interpretations and scrutiny. The dataset includes 49,446 annotations for long-form QA pairs across six features: Assertive, Cautious, Optimistic, Specific, Clear, and Relevant. These features are carefully selected to encompass the key attributes that reflect the tone of the answers provided during QA sessions across different domain. Our findings are that the best-performing Pre-trained Language Model (PLM), RoBERTa-base, has similar weighted F1 scores to Llama-3-70b-Chat on features with lower subjectivity, such as Relevant and Clear, with a mean difference of 2.17% in their weighted F1 scores. The models perform significantly better on features with higher subjectivity, such as Specific and Assertive, with a mean difference of 10.01% in their weighted F1 scores. Furthermore, testing SubjECTive-QA's generalizability using QAs from White House Press Briefings and Gaggles yields an average weighted F1 score of 65.97% using our best models for each feature, demonstrating broader applicability beyond the financial domain. SubjECTive-QA is publicly available under the CC BY 4.0 license

M2FNet: Multi-modal Fusion Network for Emotion Recognition in Conversation

Emotion Recognition in Conversations (ERC) is crucial in developing sympathetic human-machine interaction. In conversational videos, emotion can be present in multiple modalities, i.e., audio, video, and transcript. However, due to the inherent characteristics of these modalities, multi-modal ERC has always been considered a challenging undertaking. Existing ERC research focuses mainly on using text information in a discussion, ignoring the other two modalities. We anticipate that emotion recognition accuracy can be improved by employing a multi-modal approach. Thus, in this study, we propose a Multi-modal Fusion Network (M2FNet) that extracts emotion-relevant features from visual, audio, and text modality. It employs a multi-head attention-based fusion mechanism to combine emotion-rich latent representations of the input data. We introduce a new feature extractor to extract latent features from the audio and visual modality. The proposed feature extractor is trained with a novel adaptive margin-based triplet loss function to learn emotion-relevant features from the audio and visual data. In the domain of ERC, the existing methods perform well on one benchmark dataset but not on others. Our results show that the proposed M2FNet architecture outperforms all other methods in terms of weighted average F1 score on well-known MELD and IEMOCAP datasets and sets a new state-of-the-art performance in ERC.

Revisiting Table Detection Datasets for Visually Rich Documents

Table Detection has become a fundamental task for visually rich document understanding with the surging number of electronic documents. However, popular public datasets widely used in related studies have inherent limitations, including noisy and inconsistent samples, limited training samples, and limited data sources. These limitations make these datasets unreliable to evaluate the model performance and cannot reflect the actual capacity of models. Therefore, this study revisits some open datasets with high-quality annotations, identifies and cleans the noise, and aligns the annotation definitions of these datasets to merge a larger dataset, termed Open-Tables. Moreover, to enrich the data sources, we propose a new ICT-TD dataset using the PDF files of Information and Communication Technologies (ICT) commodities, a different domain containing unique samples that hardly appear in open datasets. To ensure the label quality of the dataset, we annotated the dataset manually following the guidance of a domain expert. The proposed dataset is challenging and can be a sample of actual cases in the business context. We built strong baselines using various state-of-the-art object detection models. Our experimental results show that the domain differences among existing open datasets are minor despite having different data sources. Our proposed Open-Tables and ICT-TD can provide a more reliable evaluation for models because of their high quality and consistent annotations. Besides, they are more suitable for cross-domain settings. Our experimental results show that in the cross-domain setting, benchmark models trained with cleaned Open-Tables dataset can achieve 0.6\%-2.6\% higher weighted average F1 than the corresponding ones trained with the noisy version of Open-Tables, demonstrating the reliability of the proposed datasets. The datasets are public available.

Meningioma segmentation in T1-weighted MRI leveraging global context and attention mechanisms

Meningiomas are the most common type of primary brain tumor, accounting for approximately 30% of all brain tumors. A substantial number of these tumors are never surgically removed but rather monitored over time. Automatic and precise meningioma segmentation is therefore beneficial to enable reliable growth estimation and patient-specific treatment planning. In this study, we propose the inclusion of attention mechanisms over a U-Net architecture: (i) Attention-gated U-Net (AGUNet) and (ii) Dual Attention U-Net (DAUNet), using a 3D MRI volume as input. Attention has the potential to leverage the global context and identify features' relationships across the entire volume. To limit spatial resolution degradation and loss of detail inherent to encoder-decoder architectures, we studied the impact of multi-scale input and deep supervision components. The proposed architectures are trainable end-to-end and each concept can be seamlessly disabled for ablation studies. The validation studies were performed using a 5-fold cross validation over 600 T1-weighted MRI volumes from St. Olavs University Hospital, Trondheim, Norway. For the best performing architecture, an average Dice score of 81.6% was reached for an F1-score of 95.6%. With an almost perfect precision of 98%, meningiomas smaller than 3ml were occasionally missed hence reaching an overall recall of 93%. Leveraging global context from a 3D MRI volume provided the best performances, even if the native volume resolution could not be processed directly. Overall, near-perfect detection was achieved for meningiomas larger than 3ml which is relevant for clinical use. In the future, the use of multi-scale designs and refinement networks should be further investigated to improve the performance. A larger number of cases with meningiomas below 3ml might also be needed to improve the performance for the smallest tumors.

Fast meningioma segmentation in T1-weighted MRI volumes using a lightweight 3D deep learning architecture

Automatic and consistent meningioma segmentation in T1-weighted MRI volumes and corresponding volumetric assessment is of use for diagnosis, treatment planning, and tumor growth evaluation. In this paper, we optimized the segmentation and processing speed performances using a large number of both surgically treated meningiomas and untreated meningiomas followed at the outpatient clinic. We studied two different 3D neural network architectures: (i) a simple encoder-decoder similar to a 3D U-Net, and (ii) a lightweight multi-scale architecture (PLS-Net). In addition, we studied the impact of different training schemes. For the validation studies, we used 698 T1-weighted MR volumes from St. Olav University Hospital, Trondheim, Norway. The models were evaluated in terms of detection accuracy, segmentation accuracy and training/inference speed. While both architectures reached a similar Dice score of 70% on average, the PLS-Net was more accurate with an F1-score of up to 88%. The highest accuracy was achieved for the largest meningiomas. Speed-wise, the PLS-Net architecture tended to converge in about 50 hours while 130 hours were necessary for U-Net. Inference with PLS-Net takes less than a second on GPU and about 15 seconds on CPU. Overall, with the use of mixed precision training, it was possible to train competitive segmentation models in a relatively short amount of time using the lightweight PLS-Net architecture. In the future, the focus should be brought toward the segmentation of small meningiomas (less than 2ml) to improve clinical relevance for automatic and early diagnosis as well as speed of growth estimates.

Not all tokens are created equal: Perplexity Attention Weighted Networks for AI generated text detection

The rapid advancement in large language models (LLMs) has significantly enhanced their ability to generate coherent and contextually relevant text, raising concerns about the misuse of AI-generated content and making it critical to detect it. However, the task remains challenging, particularly in unseen domains or with unfamiliar LLMs. Leveraging LLM next-token distribution outputs offers a theoretically appealing approach for detection, as they encapsulate insights from the models' extensive pre-training on diverse corpora. Despite its promise, zero-shot methods that attempt to operationalize these outputs have met with limited success. We hypothesize that one of the problems is that they use the mean to aggregate next-token distribution metrics across tokens, when some tokens are naturally easier or harder to predict and should be weighted differently. Based on this idea, we propose the Perplexity Attention Weighted Network (PAWN), which uses the last hidden states of the LLM and positions to weight the sum of a series of features based on metrics from the next-token distribution across the sequence length. Although not zero-shot, our method allows us to cache the last hidden states and next-token distribution metrics on disk, greatly reducing the training resource requirements. PAWN shows competitive and even better performance in-distribution than the strongest baselines (fine-tuned LMs) with a fraction of their trainable parameters. Our model also generalizes better to unseen domains and source models, with smaller variability in the decision boundary across distribution shifts. It is also more robust to adversarial attacks, and if the backbone has multilingual capabilities, it presents decent generalization to languages not seen during supervised training, with LLaMA3-1B reaching a mean macro-averaged F1 score of 81.46% in cross-validation with nine languages.

Local Graph Clustering with Noisy Labels

The growing interest in machine learning problems over graphs with additional node information such as texts, images, or labels has popularized methods that require the costly operation of processing the entire graph. Yet, little effort has been made to the development of fast local methods (i.e. without accessing the entire graph) that extract useful information from such data. To that end, we propose a study of local graph clustering using noisy node labels as a proxy for additional node information. In this setting, nodes receive initial binary labels based on cluster affiliation: 1 if they belong to the target cluster and 0 otherwise. Subsequently, a fraction of these labels is flipped. We investigate the benefits of incorporating noisy labels for local graph clustering. By constructing a weighted graph with such labels, we study the performance of graph diffusion-based local clustering method on both the original and the weighted graphs. From a theoretical perspective, we consider recovering an unknown target cluster with a single seed node in a random graph with independent noisy node labels. We provide sufficient conditions on the label noise under which, with high probability, using diffusion in the weighted graph yields a more accurate recovery of the target cluster. This approach proves more effective than using the given labels alone or using diffusion in the label-free original graph. Empirically, we show that reliable node labels can be obtained with just a few samples from an attributed graph. Moreover, utilizing these labels via diffusion in the weighted graph leads to significantly better local clustering performance across several real-world datasets, improving F1 scores by up to 13%.

GFG -- Gender-Fair Generation: A CALAMITA Challenge

Gender-fair language aims at promoting gender equality by using terms and expressions that include all identities and avoid reinforcing gender stereotypes. Implementing gender-fair strategies is particularly challenging in heavily gender-marked languages, such as Italian. To address this, the Gender-Fair Generation challenge intends to help shift toward gender-fair language in written communication. The challenge, designed to assess and monitor the recognition and generation of gender-fair language in both mono- and cross-lingual scenarios, includes three tasks: (1) the detection of gendered expressions in Italian sentences, (2) the reformulation of gendered expressions into gender-fair alternatives, and (3) the generation of gender-fair language in automatic translation from English to Italian. The challenge relies on three different annotated datasets: the GFL-it corpus, which contains Italian texts extracted from administrative documents provided by the University of Brescia; GeNTE, a bilingual test set for gender-neutral rewriting and translation built upon a subset of the Europarl dataset; and Neo-GATE, a bilingual test set designed to assess the use of non-binary neomorphemes in Italian for both fair formulation and translation tasks. Finally, each task is evaluated with specific metrics: average of F1-score obtained by means of BERTScore computed on each entry of the datasets for task 1, an accuracy measured with a gender-neutral classifier, and a coverage-weighted accuracy for tasks 2 and 3.

One Initialization to Rule them All: Fine-tuning via Explained Variance Adaptation

Foundation models (FMs) are pre-trained on large-scale datasets and then fine-tuned on a downstream task for a specific application. The most successful and most commonly used fine-tuning method is to update the pre-trained weights via a low-rank adaptation (LoRA). LoRA introduces new weight matrices that are usually initialized at random with a uniform rank distribution across model weights. Recent works focus on weight-driven initialization or learning of adaptive ranks during training. Both approaches have only been investigated in isolation, resulting in slow convergence or a uniform rank distribution, in turn leading to sub-optimal performance. We propose to enhance LoRA by initializing the new weights in a data-driven manner by computing singular value decomposition on minibatches of activation vectors. Then, we initialize the LoRA matrices with the obtained right-singular vectors and re-distribute ranks among all weight matrices to explain the maximal amount of variance and continue the standard LoRA fine-tuning procedure. This results in our new method Explained Variance Adaptation (EVA). We apply EVA to a variety of fine-tuning tasks ranging from language generation and understanding to image classification and reinforcement learning. EVA exhibits faster convergence than competitors and attains the highest average score across a multitude of tasks per domain.

One-step Diffusion Models with f-Divergence Distribution Matching

Sampling from diffusion models involves a slow iterative process that hinders their practical deployment, especially for interactive applications. To accelerate generation speed, recent approaches distill a multi-step diffusion model into a single-step student generator via variational score distillation, which matches the distribution of samples generated by the student to the teacher's distribution. However, these approaches use the reverse Kullback-Leibler (KL) divergence for distribution matching which is known to be mode seeking. In this paper, we generalize the distribution matching approach using a novel f-divergence minimization framework, termed f-distill, that covers different divergences with different trade-offs in terms of mode coverage and training variance. We derive the gradient of the f-divergence between the teacher and student distributions and show that it is expressed as the product of their score differences and a weighting function determined by their density ratio. This weighting function naturally emphasizes samples with higher density in the teacher distribution, when using a less mode-seeking divergence. We observe that the popular variational score distillation approach using the reverse-KL divergence is a special case within our framework. Empirically, we demonstrate that alternative f-divergences, such as forward-KL and Jensen-Shannon divergences, outperform the current best variational score distillation methods across image generation tasks. In particular, when using Jensen-Shannon divergence, f-distill achieves current state-of-the-art one-step generation performance on ImageNet64 and zero-shot text-to-image generation on MS-COCO. Project page: https://research.nvidia.com/labs/genair/f-distill

Comparing Rule-Based and Deep Learning Models for Patient Phenotyping

Objective: We investigate whether deep learning techniques for natural language processing (NLP) can be used efficiently for patient phenotyping. Patient phenotyping is a classification task for determining whether a patient has a medical condition, and is a crucial part of secondary analysis of healthcare data. We assess the performance of deep learning algorithms and compare them with classical NLP approaches. Materials and Methods: We compare convolutional neural networks (CNNs), n-gram models, and approaches based on cTAKES that extract pre-defined medical concepts from clinical notes and use them to predict patient phenotypes. The performance is tested on 10 different phenotyping tasks using 1,610 discharge summaries extracted from the MIMIC-III database. Results: CNNs outperform other phenotyping algorithms in all 10 tasks. The average F1-score of our model is 76 (PPV of 83, and sensitivity of 71) with our model having an F1-score up to 37 points higher than alternative approaches. We additionally assess the interpretability of our model by presenting a method that extracts the most salient phrases for a particular prediction. Conclusion: We show that NLP methods based on deep learning improve the performance of patient phenotyping. Our CNN-based algorithm automatically learns the phrases associated with each patient phenotype. As such, it reduces the annotation complexity for clinical domain experts, who are normally required to develop task-specific annotation rules and identify relevant phrases. Our method performs well in terms of both performance and interpretability, which indicates that deep learning is an effective approach to patient phenotyping based on clinicians' notes.