Learning over von Mises-Fisher Distributions via a Wasserstein-like Geometry

We introduce a novel, geometry-aware distance metric for the family of von Mises-Fisher (vMF) distributions, which are fundamental models for directional data on the unit hypersphere. Although the vMF distribution is widely employed in a variety of probabilistic learning tasks involving spherical data, principled tools for comparing vMF distributions remain limited, primarily due to the intractability of normalization constants and the absence of suitable geometric metrics. Motivated by the theory of optimal transport, we propose a Wasserstein-like distance that decomposes the discrepancy between two vMF distributions into two interpretable components: a geodesic term capturing the angular separation between mean directions, and a variance-like term quantifying differences in concentration parameters. The derivation leverages a Gaussian approximation in the high-concentration regime to yield a tractable, closed-form expression that respects the intrinsic spherical geometry. We show that the proposed distance exhibits desirable theoretical properties and induces a latent geometric structure on the space of non-degenerate vMF distributions. As a primary application, we develop the efficient algorithms for vMF mixture reduction, enabling structure-preserving compression of mixture models in high-dimensional settings. Empirical results on synthetic datasets and real-world high-dimensional embeddings, including biomedical sentence representations and deep visual features, demonstrate the effectiveness of the proposed geometry in distinguishing distributions and supporting interpretable inference. This work expands the statistical toolbox for directional data analysis by introducing a tractable, transport-inspired distance tailored to the geometry of the hypersphere.

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.