Advancing Pancreatic Cancer Prediction with a Next Visit Token Prediction Head on top of Med-BERT

Background: Recently, numerous foundation models pretrained on extensive data have demonstrated efficacy in disease prediction using Electronic Health Records (EHRs). However, there remains some unanswered questions on how to best utilize such models especially with very small fine-tuning cohorts. Methods: We utilized Med-BERT, an EHR-specific foundation model, and reformulated the disease binary prediction task into a token prediction task and a next visit mask token prediction task to align with Med-BERT's pretraining task format in order to improve the accuracy of pancreatic cancer (PaCa) prediction in both few-shot and fully supervised settings. Results: The reformulation of the task into a token prediction task, referred to as Med-BERT-Sum, demonstrates slightly superior performance in both few-shot scenarios and larger data samples. Furthermore, reformulating the prediction task as a Next Visit Mask Token Prediction task (Med-BERT-Mask) significantly outperforms the conventional Binary Classification (BC) prediction task (Med-BERT-BC) by 3% to 7% in few-shot scenarios with data sizes ranging from 10 to 500 samples. These findings highlight that aligning the downstream task with Med-BERT's pretraining objectives substantially enhances the model's predictive capabilities, thereby improving its effectiveness in predicting both rare and common diseases. Conclusion: Reformatting disease prediction tasks to align with the pretraining of foundation models enhances prediction accuracy, leading to earlier detection and timely intervention. This approach improves treatment effectiveness, survival rates, and overall patient outcomes for PaCa and potentially other cancers.

Prompting Large Language Models for Clinical Temporal Relation Extraction

Objective: This paper aims to prompt large language models (LLMs) for clinical temporal relation extraction (CTRE) in both few-shot and fully supervised settings. Materials and Methods: This study utilizes four LLMs: Encoder-based GatorTron-Base (345M)/Large (8.9B); Decoder-based LLaMA3-8B/MeLLaMA-13B. We developed full (FFT) and parameter-efficient (PEFT) fine-tuning strategies and evaluated these strategies on the 2012 i2b2 CTRE task. We explored four fine-tuning strategies for GatorTron-Base: (1) Standard Fine-Tuning, (2) Hard-Prompting with Unfrozen LLMs, (3) Soft-Prompting with Frozen LLMs, and (4) Low-Rank Adaptation (LoRA) with Frozen LLMs. For GatorTron-Large, we assessed two PEFT strategies-Soft-Prompting and LoRA with Frozen LLMs-leveraging Quantization techniques. Additionally, LLaMA3-8B and MeLLaMA-13B employed two PEFT strategies: LoRA strategy with Quantization (QLoRA) applied to Frozen LLMs using instruction tuning and standard fine-tuning. Results: Under fully supervised settings, Hard-Prompting with Unfrozen GatorTron-Base achieved the highest F1 score (89.54%), surpassing the SOTA model (85.70%) by 3.74%. Additionally, two variants of QLoRA adapted to GatorTron-Large and Standard Fine-Tuning of GatorTron-Base exceeded the SOTA model by 2.36%, 1.88%, and 0.25%, respectively. Decoder-based models with frozen parameters outperformed their Encoder-based counterparts in this setting; however, the trend reversed in few-shot scenarios. Discussions and Conclusions: This study presented new methods that significantly improved CTRE performance, benefiting downstream tasks reliant on CTRE systems. The findings underscore the importance of selecting appropriate models and fine-tuning strategies based on task requirements and data availability. Future work will explore larger models and broader CTRE applications.

Smart Predict-then-Optimize Method with Dependent Data: Risk Bounds and Calibration of Autoregression

The predict-then-optimize (PTO) framework is indispensable for addressing practical stochastic decision-making tasks. It consists of two crucial steps: initially predicting unknown parameters of an optimization model and subsequently solving the problem based on these predictions. Elmachtoub and Grigas [1] introduced the Smart Predict-then-Optimize (SPO) loss for the framework, which gauges the decision error arising from predicted parameters, and a convex surrogate, the SPO+ loss, which incorporates the underlying structure of the optimization model. The consistency of these different loss functions is guaranteed under the assumption of i.i.d. training data. Nevertheless, various types of data are often dependent, such as power load fluctuations over time. This dependent nature can lead to diminished model performance in testing or real-world applications. Motivated to make intelligent predictions for time series data, we present an autoregressive SPO method directly targeting the optimization problem at the decision stage in this paper, where the conditions of consistency are no longer met. Therefore, we first analyze the generalization bounds of the SPO loss within our autoregressive model. Subsequently, the uniform calibration results in Liu and Grigas [2] are extended in the proposed model. Finally, we conduct experiments to empirically demonstrate the effectiveness of the SPO+ surrogate compared to the absolute loss and the least squares loss, especially when the cost vectors are determined by stationary dynamical systems and demonstrate the relationship between normalized regret and mixing coefficients.

Stochastic Trajectory Optimization for Demonstration Imitation

Humans often learn new skills by imitating the experts and gradually developing their proficiency. In this work, we introduce Stochastic Trajectory Optimization for Demonstration Imitation (STODI), a trajectory optimization framework for robots to imitate the shape of demonstration trajectories with improved dynamic performance. Consistent with the human learning process, demonstration imitation serves as an initial step, while trajectory optimization aims to enhance robot motion performance. By generating random noise and constructing proper cost functions, the STODI effectively explores and exploits generated noisy trajectories while preserving the demonstration shape characteristics. We employ three metrics to measure the similarity of trajectories in both the time and frequency domains to help with demonstration imitation. Theoretical analysis reveals relationships among these metrics, emphasizing the benefits of frequency-domain analysis for specific tasks. Experiments on a 7-DOF robotic arm in the PyBullet simulator validate the efficacy of the STODI framework, showcasing the improved optimization performance and stability compared to previous methods.

The Dark Side of Function Calling: Pathways to Jailbreaking Large Language Models

Large language models (LLMs) have demonstrated remarkable capabilities, but their power comes with significant security considerations. While extensive research has been conducted on the safety of LLMs in chat mode, the security implications of their function calling feature have been largely overlooked. This paper uncovers a critical vulnerability in the function calling process of LLMs, introducing a novel "jailbreak function" attack method that exploits alignment discrepancies, user coercion, and the absence of rigorous safety filters. Our empirical study, conducted on six state-of-the-art LLMs including GPT-4o, Claude-3.5-Sonnet, and Gemini-1.5-pro, reveals an alarming average success rate of over 90\% for this attack. We provide a comprehensive analysis of why function calls are susceptible to such attacks and propose defensive strategies, including the use of defensive prompts. Our findings highlight the urgent need for enhanced security measures in the function calling capabilities of LLMs, contributing to the field of AI safety by identifying a previously unexplored risk, designing an effective attack method, and suggesting practical defensive measures. Our code is available at https://github.com/wooozihui/jailbreakfunction.

LU2Net: A Lightweight Network for Real-time Underwater Image Enhancement

Computer vision techniques have empowered underwater robots to effectively undertake a multitude of tasks, including object tracking and path planning. However, underwater optical factors like light refraction and absorption present challenges to underwater vision, which cause degradation of underwater images. A variety of underwater image enhancement methods have been proposed to improve the effectiveness of underwater vision perception. Nevertheless, for real-time vision tasks on underwater robots, it is necessary to overcome the challenges associated with algorithmic efficiency and real-time capabilities. In this paper, we introduce Lightweight Underwater Unet (LU2Net), a novel U-shape network designed specifically for real-time enhancement of underwater images. The proposed model incorporates axial depthwise convolution and the channel attention module, enabling it to significantly reduce computational demands and model parameters, thereby improving processing speed. The extensive experiments conducted on the dataset and real-world underwater robots demonstrate the exceptional performance and speed of proposed model. It is capable of providing well-enhanced underwater images at a speed 8 times faster than the current state-of-the-art underwater image enhancement method. Moreover, LU2Net is able to handle real-time underwater video enhancement.

Inverse Reinforcement Learning with Unknown Reward Model based on Structural Risk Minimization

Inverse reinforcement learning (IRL) usually assumes the model of the reward function is pre-specified and estimates the parameter only. However, how to determine a proper reward model is nontrivial. A simplistic model is less likely to contain the real reward function, while a model with high complexity leads to substantial computation cost and risks overfitting. This paper addresses this trade-off in IRL model selection by introducing the structural risk minimization (SRM) method from statistical learning. SRM selects an optimal reward function class from a hypothesis set minimizing both estimation error and model complexity. To formulate an SRM scheme for IRL, we estimate policy gradient by demonstration serving as empirical risk and establish the upper bound of Rademacher complexity of hypothesis classes as model penalty. The learning guarantee is further presented. In particular, we provide explicit SRM for the common linear weighted sum setting in IRL. Simulations demonstrate the performance and efficiency of our scheme.

AE-GPT: Using Large Language Models to Extract Adverse Events from Surveillance Reports-A Use Case with Influenza Vaccine Adverse Events

Though Vaccines are instrumental in global health, mitigating infectious diseases and pandemic outbreaks, they can occasionally lead to adverse events (AEs). Recently, Large Language Models (LLMs) have shown promise in effectively identifying and cataloging AEs within clinical reports. Utilizing data from the Vaccine Adverse Event Reporting System (VAERS) from 1990 to 2016, this study particularly focuses on AEs to evaluate LLMs' capability for AE extraction. A variety of prevalent LLMs, including GPT-2, GPT-3 variants, GPT-4, and Llama 2, were evaluated using Influenza vaccine as a use case. The fine-tuned GPT 3.5 model (AE-GPT) stood out with a 0.704 averaged micro F1 score for strict match and 0.816 for relaxed match. The encouraging performance of the AE-GPT underscores LLMs' potential in processing medical data, indicating a significant stride towards advanced AE detection, thus presumably generalizable to other AE extraction tasks.

HiCRISP: A Hierarchical Closed-Loop Robotic Intelligent Self-Correction Planner

The integration of Large Language Models (LLMs) into robotics has revolutionized human-robot interactions and autonomous task planning. However, these systems are often unable to self-correct during the task execution, which hinders their adaptability in dynamic real-world environments. To address this issue, we present a Hierarchical Closed-loop Robotic Intelligent Self-correction Planner (HiCRISP), an innovative framework that enables robots to correct errors within individual steps during the task execution. HiCRISP actively monitors and adapts the task execution process, addressing both high-level planning and low-level action errors. Extensive benchmark experiments, encompassing virtual and real-world scenarios, showcase HiCRISP's exceptional performance, positioning it as a promising solution for robotic task planning with LLMs.

Affordance-Driven Next-Best-View Planning for Robotic Grasping

Grasping occluded objects in cluttered environments is an essential component in complex robotic manipulation tasks. In this paper, we introduce an AffordanCE-driven Next-Best-View planning policy (ACE-NBV) that tries to find a feasible grasp for target object via continuously observing scenes from new viewpoints. This policy is motivated by the observation that the grasp affordances of an occluded object can be better-measured under the view when the view-direction are the same as the grasp view. Specifically, our method leverages the paradigm of novel view imagery to predict the grasps affordances under previously unobserved view, and select next observation view based on the gain of the highest imagined grasp quality of the target object. The experimental results in simulation and on the real robot demonstrate the effectiveness of the proposed affordance-driven next-best-view planning policy. Additional results, code, and videos of real robot experiments can be found in the supplementary materials.