[Vision Paper] PRObot: Enhancing Patient-Reported Outcome Measures for Diabetic Retinopathy using Chatbots and Generative AI

We present an outline of the first large language model (LLM) based chatbot application in the context of patient-reported outcome measures (PROMs) for diabetic retinopathy. By utilizing the capabilities of current LLMs, we enable patients to provide feedback about their quality of life and treatment progress via an interactive application. The proposed framework offers significant advantages over the current approach, which encompasses only qualitative collection of survey data or a static survey with limited answer options. Using the PROBot LLM-PROM application, patients will be asked tailored questions about their individual challenges, and can give more detailed feedback on the progress of their treatment. Based on this input, we will use machine learning to infer conventional PROM scores, which can be used by clinicians to evaluate the treatment status. The goal of the application is to improve adherence to the healthcare system and treatments, and thus ultimately reduce cases of subsequent vision impairment. The approach needs to be further validated using a survey and a clinical study.

Informed Deep Abstaining Classifier: Investigating noise-robust training for diagnostic decision support systems

Image-based diagnostic decision support systems (DDSS) utilizing deep learning have the potential to optimize clinical workflows. However, developing DDSS requires extensive datasets with expert annotations and is therefore costly. Leveraging report contents from radiological data bases with Natural Language Processing to annotate the corresponding image data promises to replace labor-intensive manual annotation. As mining "real world" databases can introduce label noise, noise-robust training losses are of great interest. However, current noise-robust losses do not consider noise estimations that can for example be derived based on the performance of the automatic label generator used. In this study, we expand the noise-robust Deep Abstaining Classifier (DAC) loss to an Informed Deep Abstaining Classifier (IDAC) loss by incorporating noise level estimations during training. Our findings demonstrate that IDAC enhances the noise robustness compared to DAC and several state-of-the-art loss functions. The results are obtained on various simulated noise levels using a public chest X-ray data set. These findings are reproduced on an in-house noisy data set, where labels were extracted from the clinical systems of the University Hospital Bonn by a text-based transformer. The IDAC can therefore be a valuable tool for researchers, companies or clinics aiming to develop accurate and reliable DDSS from routine clinical data.

Pointer-Guided Pre-Training: Infusing Large Language Models with Paragraph-Level Contextual Awareness

We introduce "pointer-guided segment ordering" (SO), a novel pre-training technique aimed at enhancing the contextual understanding of paragraph-level text representations in large language models. Our methodology leverages a self-attention-driven pointer network to restore the original sequence of shuffled text segments, addressing the challenge of capturing the structural coherence and contextual dependencies within documents. This pre-training approach is complemented by a fine-tuning methodology that incorporates dynamic sampling, augmenting the diversity of training instances and improving sample efficiency for various downstream applications. We evaluate our method on a diverse set of datasets, demonstrating its efficacy in tasks requiring sequential text classification across scientific literature and financial reporting domains. Our experiments show that pointer-guided pre-training significantly enhances the model's ability to understand complex document structures, leading to state-of-the-art performance in downstream classification tasks.

Model-agnostic Body Part Relevance Assessment for Pedestrian Detection

Model-agnostic explanation methods for deep learning models are flexible regarding usability and availability. However, due to the fact that they can only manipulate input to see changes in output, they suffer from weak performance when used with complex model architectures. For models with large inputs as, for instance, in object detection, sampling-based methods like KernelSHAP are inefficient due to many computation-heavy forward passes through the model. In this work, we present a framework for using sampling-based explanation models in a computer vision context by body part relevance assessment for pedestrian detection. Furthermore, we introduce a novel sampling-based method similar to KernelSHAP that shows more robustness for lower sampling sizes and, thus, is more efficient for explainability analyses on large-scale datasets.

SugarViT -- Multi-objective Regression of UAV Images with Vision Transformers and Deep Label Distribution Learning Demonstrated on Disease Severity Prediction in Sugar Beet

Remote sensing and artificial intelligence are pivotal technologies of precision agriculture nowadays. The efficient retrieval of large-scale field imagery combined with machine learning techniques shows success in various tasks like phenotyping, weeding, cropping, and disease control. This work will introduce a machine learning framework for automatized large-scale plant-specific trait annotation for the use case disease severity scoring for Cercospora Leaf Spot (CLS) in sugar beet. With concepts of Deep Label Distribution Learning (DLDL), special loss functions, and a tailored model architecture, we develop an efficient Vision Transformer based model for disease severity scoring called SugarViT. One novelty in this work is the combination of remote sensing data with environmental parameters of the experimental sites for disease severity prediction. Although the model is evaluated on this special use case, it is held as generic as possible to also be applicable to various image-based classification and regression tasks. With our framework, it is even possible to learn models on multi-objective problems as we show by a pretraining on environmental metadata.

Generating Prototypes for Contradiction Detection Using Large Language Models and Linguistic Rules

We introduce a novel data generation method for contradiction detection, which leverages the generative power of large language models as well as linguistic rules. Our vision is to provide a condensed corpus of prototypical contradictions, allowing for in-depth linguistic analysis as well as efficient language model fine-tuning. To this end, we instruct the generative models to create contradicting statements with respect to descriptions of specific contradiction types. In addition, the model is also instructed to come up with completely new contradiction typologies. As an auxiliary approach, we use linguistic rules to construct simple contradictions such as those arising from negation, antonymy and numeric mismatch. We find that our methods yield promising results in terms of coherence and variety of the data. Further studies, as well as manual refinement are necessary to make use of this data in a machine learning setup.

Controlled Randomness Improves the Performance of Transformer Models

During the pre-training step of natural language models, the main objective is to learn a general representation of the pre-training dataset, usually requiring large amounts of textual data to capture the complexity and diversity of natural language. Contrasting this, in most cases, the size of the data available to solve the specific downstream task is often dwarfed by the aforementioned pre-training dataset, especially in domains where data is scarce. We introduce controlled randomness, i.e. noise, into the training process to improve fine-tuning language models and explore the performance of targeted noise in addition to the parameters of these models. We find that adding such noise can improve the performance in our two downstream tasks of joint named entity recognition and relation extraction and text summarization.

Tokenizer Choice For LLM Training: Negligible or Crucial?

The recent success of LLMs has been predominantly driven by curating the training dataset composition, scaling of model architectures and dataset sizes and advancements in pretraining objectives, leaving tokenizer influence as a blind spot. Shedding light on this underexplored area, we conduct a comprehensive study on the influence of tokenizer choice on LLM downstream performance by training 24 mono- and multilingual LLMs at a 2.6B parameter scale, ablating different tokenizer algorithms and parameterizations. Our studies highlight that the tokenizer choice can significantly impact the model's downstream performance, training and inference costs. In particular, we find that the common tokenizer evaluation metrics fertility and parity are not always predictive of model downstream performance, rendering these metrics a questionable proxy for the model's downstream performance. Furthermore, we show that multilingual tokenizers trained on the five most frequent European languages require vocabulary size increases of factor three in comparison to English. While English-only tokenizers have been applied to the training of multi-lingual LLMs, we find that this approach results in a severe downstream performance degradation and additional training costs of up to 68%, due to an inefficient tokenization vocabulary.

Informed Named Entity Recognition Decoding for Generative Language Models

Ever-larger language models with ever-increasing capabilities are by now well-established text processing tools. Alas, information extraction tasks such as named entity recognition are still largely unaffected by this progress as they are primarily based on the previous generation of encoder-only transformer models. Here, we propose a simple yet effective approach, Informed Named Entity Recognition Decoding (iNERD), which treats named entity recognition as a generative process. It leverages the language understanding capabilities of recent generative models in a future-proof manner and employs an informed decoding scheme incorporating the restricted nature of information extraction into open-ended text generation, improving performance and eliminating any risk of hallucinations. We coarse-tune our model on a merged named entity corpus to strengthen its performance, evaluate five generative language models on eight named entity recognition datasets, and achieve remarkable results, especially in an environment with an unknown entity class set, demonstrating the adaptability of the approach.

Improving Zero-Shot Text Matching for Financial Auditing with Large Language Models

Auditing financial documents is a very tedious and time-consuming process. As of today, it can already be simplified by employing AI-based solutions to recommend relevant text passages from a report for each legal requirement of rigorous accounting standards. However, these methods need to be fine-tuned regularly, and they require abundant annotated data, which is often lacking in industrial environments. Hence, we present ZeroShotALI, a novel recommender system that leverages a state-of-the-art large language model (LLM) in conjunction with a domain-specifically optimized transformer-based text-matching solution. We find that a two-step approach of first retrieving a number of best matching document sections per legal requirement with a custom BERT-based model and second filtering these selections using an LLM yields significant performance improvements over existing approaches.