Assessing the Usability of GutGPT: A Simulation Study of an AI Clinical Decision Support System for Gastrointestinal Bleeding Risk

Applications of large language models (LLMs) like ChatGPT have potential to enhance clinical decision support through conversational interfaces. However, challenges of human-algorithmic interaction and clinician trust are poorly understood. GutGPT, a LLM for gastrointestinal (GI) bleeding risk prediction and management guidance, was deployed in clinical simulation scenarios alongside the electronic health record (EHR) with emergency medicine physicians, internal medicine physicians, and medical students to evaluate its effect on physician acceptance and trust in AI clinical decision support systems (AI-CDSS). GutGPT provides risk predictions from a validated machine learning model and evidence-based answers by querying extracted clinical guidelines. Participants were randomized to GutGPT and an interactive dashboard, or the interactive dashboard and a search engine. Surveys and educational assessments taken before and after measured technology acceptance and content mastery. Preliminary results showed mixed effects on acceptance after using GutGPT compared to the dashboard or search engine but appeared to improve content mastery based on simulation performance. Overall, this study demonstrates LLMs like GutGPT could enhance effective AI-CDSS if implemented optimally and paired with interactive interfaces.

PCA, SVD, and Centering of Data

The research detailed in this paper scrutinizes Principal Component Analysis (PCA), a seminal method employed in statistics and machine learning for the purpose of reducing data dimensionality. Singular Value Decomposition (SVD) is often employed as the primary means for computing PCA, a process that indispensably includes the step of centering - the subtraction of the mean location from the data set. In our study, we delve into a detailed exploration of the influence of this critical yet often ignored or downplayed data centering step. Our research meticulously investigates the conditions under which two PCA embeddings, one derived from SVD with centering and the other without, can be viewed as aligned. As part of this exploration, we analyze the relationship between the first singular vector and the mean direction, subsequently linking this observation to the congruity between two SVDs of centered and uncentered matrices. Furthermore, we explore the potential implications arising from the absence of centering in the context of performing PCA via SVD from a spectral analysis standpoint. Our investigation emphasizes the importance of a comprehensive understanding and acknowledgment of the subtleties involved in the computation of PCA. As such, we believe this paper offers a crucial contribution to the nuanced understanding of this foundational statistical method and stands as a valuable addition to the academic literature in the field of statistics.

Shape-Preserving Dimensionality Reduction : An Algorithm and Measures of Topological Equivalence

We introduce a linear dimensionality reduction technique preserving topological features via persistent homology. The method is designed to find linear projection $L$ which preserves the persistent diagram of a point cloud $\mathbb{X}$ via simulated annealing. The projection $L$ induces a set of canonical simplicial maps from the Rips (or \v{C}ech) filtration of $\mathbb{X}$ to that of $L\mathbb{X}$. In addition to the distance between persistent diagrams, the projection induces a map between filtrations, called filtration homomorphism. Using the filtration homomorphism, one can measure the difference between shapes of two filtrations directly comparing simplicial complexes with respect to quasi-isomorphism $\mu_{\operatorname{quasi-iso}}$ or strong homotopy equivalence $\mu_{\operatorname{equiv}}$. These $\mu_{\operatorname{quasi-iso}}$ and $\mu_{\operatorname{equiv}}$ measures how much portion of corresponding simplicial complexes is quasi-isomorphic or homotopy equivalence respectively. We validate the effectiveness of our framework with simple examples.

Rdimtools: An R package for Dimension Reduction and Intrinsic Dimension Estimation

Discovering patterns of the complex high-dimensional data is a long-standing problem. Dimension Reduction (DR) and Intrinsic Dimension Estimation (IDE) are two fundamental thematic programs that facilitate geometric understanding of the data. We present Rdimtools - an R package that supports 133 DR and 17 IDE algorithms whose extent makes multifaceted scrutiny of the data in one place easier. Rdimtools is distributed under the MIT license and is accessible from CRAN, GitHub, and its package website, all of which deliver instruction for installation, self-contained examples, and API documentation.