Beyond Label Attention: Transparency in Language Models for Automated Medical Coding via Dictionary Learning

Medical coding, the translation of unstructured clinical text into standardized medical codes, is a crucial but time-consuming healthcare practice. Though large language models (LLM) could automate the coding process and improve the efficiency of such tasks, interpretability remains paramount for maintaining patient trust. Current efforts in interpretability of medical coding applications rely heavily on label attention mechanisms, which often leads to the highlighting of extraneous tokens irrelevant to the ICD code. To facilitate accurate interpretability in medical language models, this paper leverages dictionary learning that can efficiently extract sparsely activated representations from dense language model embeddings in superposition. Compared with common label attention mechanisms, our model goes beyond token-level representations by building an interpretable dictionary which enhances the mechanistic-based explanations for each ICD code prediction, even when the highlighted tokens are medically irrelevant. We show that dictionary features can steer model behavior, elucidate the hidden meanings of upwards of 90% of medically irrelevant tokens, and are human interpretable.

DILA: Dictionary Label Attention for Mechanistic Interpretability in High-dimensional Multi-label Medical Coding Prediction

Predicting high-dimensional or extreme multilabels, such as in medical coding, requires both accuracy and interpretability. Existing works often rely on local interpretability methods, failing to provide comprehensive explanations of the overall mechanism behind each label prediction within a multilabel set. We propose a mechanistic interpretability module called DIctionary Label Attention (\method) that disentangles uninterpretable dense embeddings into a sparse embedding space, where each nonzero element (a dictionary feature) represents a globally learned medical concept. Through human evaluations, we show that our sparse embeddings are more human understandable than its dense counterparts by at least 50 percent. Our automated dictionary feature identification pipeline, leveraging large language models (LLMs), uncovers thousands of learned medical concepts by examining and summarizing the highest activating tokens for each dictionary feature. We represent the relationships between dictionary features and medical codes through a sparse interpretable matrix, enhancing the mechanistic and global understanding of the model's predictions while maintaining competitive performance and scalability without extensive human annotation.

The Virtues of Pessimism in Inverse Reinforcement Learning

Inverse Reinforcement Learning (IRL) is a powerful framework for learning complex behaviors from expert demonstrations. However, it traditionally requires repeatedly solving a computationally expensive reinforcement learning (RL) problem in its inner loop. It is desirable to reduce the exploration burden by leveraging expert demonstrations in the inner-loop RL. As an example, recent work resets the learner to expert states in order to inform the learner of high-reward expert states. However, such an approach is infeasible in the real world. In this work, we consider an alternative approach to speeding up the RL subroutine in IRL: \emph{pessimism}, i.e., staying close to the expert's data distribution, instantiated via the use of offline RL algorithms. We formalize a connection between offline RL and IRL, enabling us to use an arbitrary offline RL algorithm to improve the sample efficiency of IRL. We validate our theory experimentally by demonstrating a strong correlation between the efficacy of an offline RL algorithm and how well it works as part of an IRL procedure. By using a strong offline RL algorithm as part of an IRL procedure, we are able to find policies that match expert performance significantly more efficiently than the prior art.

Accelerating Inverse Reinforcement Learning with Expert Bootstrapping

Existing inverse reinforcement learning methods (e.g. MaxEntIRL, $f$-IRL) search over candidate reward functions and solve a reinforcement learning problem in the inner loop. This creates a rather strange inversion where a harder problem, reinforcement learning, is in the inner loop of a presumably easier problem, imitation learning. In this work, we show that better utilization of expert demonstrations can reduce the need for hard exploration in the inner RL loop, hence accelerating learning. Specifically, we propose two simple recipes: (1) placing expert transitions into the replay buffer of the inner RL algorithm (e.g. Soft-Actor Critic) which directly informs the learner about high reward states instead of forcing the learner to discover them through extensive exploration, and (2) using expert actions in Q value bootstrapping in order to improve the target Q value estimates and more accurately describe high value expert states. Our methods show significant gains over a MaxEntIRL baseline on the benchmark MuJoCo suite of tasks, speeding up recovery to 70\% of deterministic expert performance by 2.13x on HalfCheetah-v2, 2.6x on Ant-v2, 18x on Hopper-v2, and 3.36x on Walker2d-v2.

The KiTS21 Challenge: Automatic segmentation of kidneys, renal tumors, and renal cysts in corticomedullary-phase CT

This paper presents the challenge report for the 2021 Kidney and Kidney Tumor Segmentation Challenge (KiTS21) held in conjunction with the 2021 international conference on Medical Image Computing and Computer Assisted Interventions (MICCAI). KiTS21 is a sequel to its first edition in 2019, and it features a variety of innovations in how the challenge was designed, in addition to a larger dataset. A novel annotation method was used to collect three separate annotations for each region of interest, and these annotations were performed in a fully transparent setting using a web-based annotation tool. Further, the KiTS21 test set was collected from an outside institution, challenging participants to develop methods that generalize well to new populations. Nonetheless, the top-performing teams achieved a significant improvement over the state of the art set in 2019, and this performance is shown to inch ever closer to human-level performance. An in-depth meta-analysis is presented describing which methods were used and how they faired on the leaderboard, as well as the characteristics of which cases generally saw good performance, and which did not. Overall KiTS21 facilitated a significant advancement in the state of the art in kidney tumor segmentation, and provides useful insights that are applicable to the field of semantic segmentation as a whole.

CryptOpt: Automatic Optimization of Straightline Code

Manual engineering of high-performance implementations typically consumes many resources and requires in-depth knowledge of the hardware. Compilers try to address these problems; however, they are limited by design in what they can do. To address this, we present CryptOpt, an automatic optimizer for long stretches of straightline code. Experimental results across eight hardware platforms show that CryptOpt achieves a speed-up factor of up to 2.56 over current off-the-shelf compilers.

Robust Risk-Aware Option Hedging

The objectives of option hedging/trading extend beyond mere protection against downside risks, with a desire to seek gains also driving agent's strategies. In this study, we showcase the potential of robust risk-aware reinforcement learning (RL) in mitigating the risks associated with path-dependent financial derivatives. We accomplish this by leveraging a policy gradient approach that optimises robust risk-aware performance criteria. We specifically apply this methodology to the hedging of barrier options, and highlight how the optimal hedging strategy undergoes distortions as the agent moves from being risk-averse to risk-seeking. As well as how the agent robustifies their strategy. We further investigate the performance of the hedge when the data generating process (DGP) varies from the training DGP, and demonstrate that the robust strategies outperform the non-robust ones.

Improving Chess Commentaries by Combining Language Models with Symbolic Reasoning Engines

Despite many recent advancements in language modeling, state-of-the-art language models lack grounding in the real world and struggle with tasks involving complex reasoning. Meanwhile, advances in the symbolic reasoning capabilities of AI have led to systems that outperform humans in games like chess and Go (Silver et al., 2018). Chess commentary provides an interesting domain for bridging these two fields of research, as it requires reasoning over a complex board state and providing analyses in natural language. In this work we demonstrate how to combine symbolic reasoning engines with controllable language models to generate chess commentaries. We conduct experiments to demonstrate that our approach generates commentaries that are preferred by human judges over previous baselines.

CryptOpt: Verified Compilation with Random Program Search for Cryptographic Primitives

Most software domains rely on compilers to translate high-level code to multiple different machine languages, with performance not too much worse than what developers would have the patience to write directly in assembly language. However, cryptography has been an exception, where many performance-critical routines have been written directly in assembly (sometimes through metaprogramming layers). Some past work has shown how to do formal verification of that assembly, and other work has shown how to generate C code automatically along with formal proof, but with consequent performance penalties vs. the best-known assembly. We present CryptOpt, the first compilation pipeline that specializes high-level cryptographic functional programs into assembly code significantly faster than what GCC or Clang produce, with mechanized proof (in Coq) whose final theorem statement mentions little beyond the input functional program and the operational semantics of x86-64 assembly. On the optimization side, we apply randomized search through the space of assembly programs, with repeated automatic benchmarking on target CPUs. On the formal-verification side, we connect to the Fiat Cryptography framework (which translates functional programs into C-like IR code) and extend it with a new formally verified program-equivalence checker, incorporating a modest subset of known features of SMT solvers and symbolic-execution engines. The overall prototype is quite practical, e.g. producing new fastest-known implementations for the relatively new Intel i9 12G, of finite-field arithmetic for both Curve25519 (part of the TLS standard) and the Bitcoin elliptic curve secp256k1.

$AIR^2$ for Interaction Prediction

The 2021 Waymo Interaction Prediction Challenge introduced a problem of predicting the future trajectories and confidences of two interacting agents jointly. We developed a solution that takes an anchored marginal motion prediction model with rasterization and augments it to model agent interaction. We do this by predicting the joint confidences using a rasterized image that highlights the ego agent and the interacting agent. Our solution operates on the cartesian product space of the anchors; hence the $"^2"$ in $AIR^2$. Our model achieved the highest mAP (the primary metric) on the leaderboard.