Information Flow in Graph Neural Networks: A Clinical Triage Use Case

Graph Neural Networks (GNNs) have gained popularity in healthcare and other domains due to their ability to process multi-modal and multi-relational graphs. However, efficient training of GNNs remains challenging, with several open research questions. In this paper, we investigate how the flow of embedding information within GNNs affects the prediction of links in Knowledge Graphs (KGs). Specifically, we propose a mathematical model that decouples the GNN connectivity from the connectivity of the graph data and evaluate the performance of GNNs in a clinical triage use case. Our results demonstrate that incorporating domain knowledge into the GNN connectivity leads to better performance than using the same connectivity as the KG or allowing unconstrained embedding propagation. Moreover, we show that negative edges play a crucial role in achieving good predictions, and that using too many GNN layers can degrade performance.

A recommender for the management of chronic pain in patients undergoing spinal cord stimulation

Spinal cord stimulation (SCS) is a therapeutic approach used for the management of chronic pain. It involves the delivery of electrical impulses to the spinal cord via an implanted device, which when given suitable stimulus parameters can mask or block pain signals. Selection of optimal stimulation parameters usually happens in the clinic under the care of a provider whereas at-home SCS optimization is managed by the patient. In this paper, we propose a recommender system for the management of pain in chronic pain patients undergoing SCS. In particular, we use a contextual multi-armed bandit (CMAB) approach to develop a system that recommends SCS settings to patients with the aim of improving their condition. These recommendations, sent directly to patients though a digital health ecosystem, combined with a patient monitoring system closes the therapeutic loop around a chronic pain patient over their entire patient journey. We evaluated the system in a cohort of SCS-implanted ENVISION study subjects (Clinicaltrials.gov ID: NCT03240588) using a combination of quality of life metrics and Patient States (PS), a novel measure of holistic outcomes. SCS recommendations provided statistically significant improvement in clinical outcomes (pain and/or QoL) in 85\% of all subjects (N=21). Among subjects in moderate PS (N=7) prior to receiving recommendations, 100\% showed statistically significant improvements and 5/7 had improved PS dwell time. This analysis suggests SCS patients may benefit from SCS recommendations, resulting in additional clinical improvement on top of benefits already received from SCS therapy.

Otter-Knowledge: benchmarks of multimodal knowledge graph representation learning from different sources for drug discovery

Recent research in representation learning utilizes large databases of proteins or molecules to acquire knowledge of drug and protein structures through unsupervised learning techniques. These pre-trained representations have proven to significantly enhance the accuracy of subsequent tasks, such as predicting the affinity between drugs and target proteins. In this study, we demonstrate that by incorporating knowledge graphs from diverse sources and modalities into the sequences or SMILES representation, we can further enrich the representation and achieve state-of-the-art results on established benchmark datasets. We provide preprocessed and integrated data obtained from 7 public sources, which encompass over 30M triples. Additionally, we make available the pre-trained models based on this data, along with the reported outcomes of their performance on three widely-used benchmark datasets for drug-target binding affinity prediction found in the Therapeutic Data Commons (TDC) benchmarks. Additionally, we make the source code for training models on benchmark datasets publicly available. Our objective in releasing these pre-trained models, accompanied by clean data for model pretraining and benchmark results, is to encourage research in knowledge-enhanced representation learning.

Super Resolution for Turbulent Flows in 2D: Stabilized Physics Informed Neural Networks

We propose a new design of a neural network for solving a zero shot super resolution problem for turbulent flows. We embed Luenberger-type observer into the network's architecture to inform the network of the physics of the process, and to provide error correction and stabilization mechanisms. In addition, to compensate for decrease of observer's performance due to the presence of unknown destabilizing forcing, the network is designed to estimate the contribution of the unknown forcing implicitly from the data over the course of training. By running a set of numerical experiments, we demonstrate that the proposed network does recover unknown forcing from data and is capable of predicting turbulent flows in high resolution from low resolution noisy observations.