LLMs-based Few-Shot Disease Predictions using EHR: A Novel Approach Combining Predictive Agent Reasoning and Critical Agent Instruction

Electronic health records (EHRs) contain valuable patient data for health-related prediction tasks, such as disease prediction. Traditional approaches rely on supervised learning methods that require large labeled datasets, which can be expensive and challenging to obtain. In this study, we investigate the feasibility of applying Large Language Models (LLMs) to convert structured patient visit data (e.g., diagnoses, labs, prescriptions) into natural language narratives. We evaluate the zero-shot and few-shot performance of LLMs using various EHR-prediction-oriented prompting strategies. Furthermore, we propose a novel approach that utilizes LLM agents with different roles: a predictor agent that makes predictions and generates reasoning processes and a critic agent that analyzes incorrect predictions and provides guidance for improving the reasoning of the predictor agent. Our results demonstrate that with the proposed approach, LLMs can achieve decent few-shot performance compared to traditional supervised learning methods in EHR-based disease predictions, suggesting its potential for health-oriented applications.

Range Resolution Enhanced Method with Spectral Properties for Hyperspectral Lidar

Waveform decomposition is needed as a first step in the extraction of various types of geometric and spectral information from hyperspectral full-waveform LiDAR echoes. We present a new approach to deal with the "Pseudo-monopulse" waveform formed by the overlapped waveforms from multi-targets when they are very close. We use one single skew-normal distribution (SND) model to fit waveforms of all spectral channels first and count the geometric center position distribution of the echoes to decide whether it contains multi-targets. The geometric center position distribution of the "Pseudo-monopulse" presents aggregation and asymmetry with the change of wavelength, while such an asymmetric phenomenon cannot be found from the echoes of the single target. Both theoretical and experimental data verify the point. Based on such observation, we further propose a hyperspectral waveform decomposition method utilizing the SND mixture model with: 1) initializing new waveform component parameters and their ranges based on the distinction of the three characteristics (geometric center position, pulse width, and skew-coefficient) between the echo and fitted SND waveform and 2) conducting single-channel waveform decomposition for all channels and 3) setting thresholds to find outlier channels based on statistical parameters of all single-channel decomposition results (the standard deviation and the means of geometric center position) and 4) re-conducting single-channel waveform decomposition for these outlier channels. The proposed method significantly improves the range resolution from 60cm to 5cm at most for a 4ns width laser pulse and represents the state-of-the-art in "Pseudo-monopulse" waveform decomposition.