Improving VTE Identification through Language Models from Radiology Reports: A Comparative Study of Mamba, Phi-3 Mini, and BERT

Venous thromboembolism (VTE) is a critical cardiovascular condition, encompassing deep vein thrombosis (DVT) and pulmonary embolism (PE). Accurate and timely identification of VTE is essential for effective medical care. This study builds upon our previous work, which addressed VTE detection using deep learning methods for DVT and a hybrid approach combining deep learning and rule-based classification for PE. Our earlier approaches, while effective, had two major limitations: they were complex and required expert involvement for feature engineering of the rule set. To overcome these challenges, we utilize the Mamba architecture-based classifier. This model achieves remarkable results, with a 97\% accuracy and F1 score on the DVT dataset and a 98\% accuracy and F1 score on the PE dataset. In contrast to the previous hybrid method on PE identification, the Mamba classifier eliminates the need for hand-engineered rules, significantly reducing model complexity while maintaining comparable performance. Additionally, we evaluated a lightweight Large Language Model (LLM), Phi-3 Mini, in detecting VTE. While this model delivers competitive results, outperforming the baseline BERT models, it proves to be computationally intensive due to its larger parameter set. Our evaluation shows that the Mamba-based model demonstrates superior performance and efficiency in VTE identification, offering an effective solution to the limitations of previous approaches.

Improving VTE Identification through Adaptive NLP Model Selection and Clinical Expert Rule-based Classifier from Radiology Reports

Rapid and accurate identification of Venous thromboembolism (VTE), a severe cardiovascular condition including deep vein thrombosis (DVT) and pulmonary embolism (PE), is important for effective treatment. Leveraging Natural Language Processing (NLP) on radiology reports, automated methods have shown promising advancements in identifying VTE events from retrospective data cohorts or aiding clinical experts in identifying VTE events from radiology reports. However, effectively training Deep Learning (DL) and the NLP models is challenging due to limited labeled medical text data, the complexity and heterogeneity of radiology reports, and data imbalance. This study proposes novel method combinations of DL methods, along with data augmentation, adaptive pre-trained NLP model selection, and a clinical expert NLP rule-based classifier, to improve the accuracy of VTE identification in unstructured (free-text) radiology reports. Our experimental results demonstrate the model's efficacy, achieving an impressive 97\% accuracy and 97\% F1 score in predicting DVT, and an outstanding 98.3\% accuracy and 98.4\% F1 score in predicting PE. These findings emphasize the model's robustness and its potential to significantly contribute to VTE research.

Enabling Quartile-based Estimated-Mean Gradient Aggregation As Baseline for Federated Image Classifications

Federated Learning (FL) has revolutionized how we train deep neural networks by enabling decentralized collaboration while safeguarding sensitive data and improving model performance. However, FL faces two crucial challenges: the diverse nature of data held by individual clients and the vulnerability of the FL system to security breaches. This paper introduces an innovative solution named Estimated Mean Aggregation (EMA) that not only addresses these challenges but also provides a fundamental reference point as a $\mathsf{baseline}$ for advanced aggregation techniques in FL systems. EMA's significance lies in its dual role: enhancing model security by effectively handling malicious outliers through trimmed means and uncovering data heterogeneity to ensure that trained models are adaptable across various client datasets. Through a wealth of experiments, EMA consistently demonstrates high accuracy and area under the curve (AUC) compared to alternative methods, establishing itself as a robust baseline for evaluating the effectiveness and security of FL aggregation methods. EMA's contributions thus offer a crucial step forward in advancing the efficiency, security, and versatility of decentralized deep learning in the context of FL.