Listen to the Patient: Enhancing Medical Dialogue Generation with Patient Hallucination Detection and Mitigation

Medical dialogue systems aim to provide medical services through patient-agent conversations. Previous methods typically regard patients as ideal users, focusing mainly on common challenges in dialogue systems, while neglecting the potential biases or misconceptions that might be introduced by real patients, who are typically non-experts. This study investigates the discrepancy between patients' expressions during medical consultations and their actual health conditions, defined as patient hallucination. Such phenomena often arise from patients' lack of knowledge and comprehension, concerns, and anxieties, resulting in the transmission of inaccurate or wrong information during consultations. To address this issue, we propose MedPH, a Medical dialogue generation method for mitigating the problem of Patient Hallucinations designed to detect and cope with hallucinations. MedPH incorporates a detection method that utilizes one-dimensional structural entropy over a temporal dialogue entity graph, and a mitigation strategy based on hallucination-related information to guide patients in expressing their actual conditions. Experimental results indicate the high effectiveness of MedPH when compared to existing approaches in both medical entity prediction and response generation tasks, while also demonstrating its effectiveness in mitigating hallucinations within interactive scenarios.

FedBiP: Heterogeneous One-Shot Federated Learning with Personalized Latent Diffusion Models

One-Shot Federated Learning (OSFL), a special decentralized machine learning paradigm, has recently gained significant attention. OSFL requires only a single round of client data or model upload, which reduces communication costs and mitigates privacy threats compared to traditional FL. Despite these promising prospects, existing methods face challenges due to client data heterogeneity and limited data quantity when applied to real-world OSFL systems. Recently, Latent Diffusion Models (LDM) have shown remarkable advancements in synthesizing high-quality images through pretraining on large-scale datasets, thereby presenting a potential solution to overcome these issues. However, directly applying pretrained LDM to heterogeneous OSFL results in significant distribution shifts in synthetic data, leading to performance degradation in classification models trained on such data. This issue is particularly pronounced in rare domains, such as medical imaging, which are underrepresented in LDM's pretraining data. To address this challenge, we propose Federated Bi-Level Personalization (FedBiP), which personalizes the pretrained LDM at both instance-level and concept-level. Hereby, FedBiP synthesizes images following the client's local data distribution without compromising the privacy regulations. FedBiP is also the first approach to simultaneously address feature space heterogeneity and client data scarcity in OSFL. Our method is validated through extensive experiments on three OSFL benchmarks with feature space heterogeneity, as well as on challenging medical and satellite image datasets with label heterogeneity. The results demonstrate the effectiveness of FedBiP, which substantially outperforms other OSFL methods.

Posterior Conformal Prediction

Conformal prediction is a popular technique for constructing prediction intervals with distribution-free coverage guarantees. The coverage is marginal, meaning it only holds on average over the entire population but not necessarily for any specific subgroup. This article introduces a new method, posterior conformal prediction (PCP), which generates prediction intervals with both marginal and approximate conditional validity for clusters (or subgroups) naturally discovered in the data. PCP achieves these guarantees by modelling the conditional conformity score distribution as a mixture of cluster distributions. Compared to other methods with approximate conditional validity, this approach produces tighter intervals, particularly when the test data is drawn from clusters that are well represented in the validation data. PCP can also be applied to guarantee conditional coverage on user-specified subgroups, in which case it achieves robust coverage on smaller subgroups within the specified subgroups. In classification, the theory underlying PCP allows for adjusting the coverage level based on the classifier's confidence, achieving significantly smaller sets than standard conformal prediction sets. We evaluate the performance of PCP on diverse datasets from socio-economic, scientific and healthcare applications.

WebPilot: A Versatile and Autonomous Multi-Agent System for Web Task Execution with Strategic Exploration

LLM-based autonomous agents often fail to execute complex web tasks that require dynamic interaction due to the inherent uncertainty and complexity of these environments. Existing LLM-based web agents typically rely on rigid, expert-designed policies specific to certain states and actions, which lack the flexibility and generalizability needed to adapt to unseen tasks. In contrast, humans excel by exploring unknowns, continuously adapting strategies, and resolving ambiguities through exploration. To emulate human-like adaptability, web agents need strategic exploration and complex decision-making. Monte Carlo Tree Search (MCTS) is well-suited for this, but classical MCTS struggles with vast action spaces, unpredictable state transitions, and incomplete information in web tasks. In light of this, we develop WebPilot, a multi-agent system with a dual optimization strategy that improves MCTS to better handle complex web environments. Specifically, the Global Optimization phase involves generating a high-level plan by breaking down tasks into manageable subtasks and continuously refining this plan, thereby focusing the search process and mitigating the challenges posed by vast action spaces in classical MCTS. Subsequently, the Local Optimization phase executes each subtask using a tailored MCTS designed for complex environments, effectively addressing uncertainties and managing incomplete information. Experimental results on WebArena and MiniWoB++ demonstrate the effectiveness of WebPilot. Notably, on WebArena, WebPilot achieves SOTA performance with GPT-4, achieving a 93% relative increase in success rate over the concurrent tree search-based method. WebPilot marks a significant advancement in general autonomous agent capabilities, paving the way for more advanced and reliable decision-making in practical environments.

Robust Principal Component Analysis via Discriminant Sample Weight Learning

Principal component analysis (PCA) is a classical feature extraction method, but it may be adversely affected by outliers, resulting in inaccurate learning of the projection matrix. This paper proposes a robust method to estimate both the data mean and the PCA projection matrix by learning discriminant sample weights from data containing outliers. Each sample in the dataset is assigned a weight, and the proposed algorithm iteratively learns the weights, the mean, and the projection matrix, respectively. Specifically, when the mean and the projection matrix are available, via fine-grained analysis of outliers, a weight for each sample is learned hierarchically so that outliers have small weights while normal samples have large weights. With the learned weights available, a weighted optimization problem is solved to estimate both the data mean and the projection matrix. Because the learned weights discriminate outliers from normal samples, the adverse influence of outliers is mitigated due to the corresponding small weights. Experiments on toy data, UCI dataset, and face dataset demonstrate the effectiveness of the proposed method in estimating the mean and the projection matrix from the data containing outliers.

Automatic Organ and Pan-cancer Segmentation in Abdomen CT: the FLARE 2023 Challenge

Organ and cancer segmentation in abdomen Computed Tomography (CT) scans is the prerequisite for precise cancer diagnosis and treatment. Most existing benchmarks and algorithms are tailored to specific cancer types, limiting their ability to provide comprehensive cancer analysis. This work presents the first international competition on abdominal organ and pan-cancer segmentation by providing a large-scale and diverse dataset, including 4650 CT scans with various cancer types from over 40 medical centers. The winning team established a new state-of-the-art with a deep learning-based cascaded framework, achieving average Dice Similarity Coefficient scores of 92.3% for organs and 64.9% for lesions on the hidden multi-national testing set. The dataset and code of top teams are publicly available, offering a benchmark platform to drive further innovations https://codalab.lisn.upsaclay.fr/competitions/12239.

DTFormer: A Transformer-Based Method for Discrete-Time Dynamic Graph Representation Learning

Discrete-Time Dynamic Graphs (DTDGs), which are prevalent in real-world implementations and notable for their ease of data acquisition, have garnered considerable attention from both academic researchers and industry practitioners. The representation learning of DTDGs has been extensively applied to model the dynamics of temporally changing entities and their evolving connections. Currently, DTDG representation learning predominantly relies on GNN+RNN architectures, which manifest the inherent limitations of both Graph Neural Networks (GNNs) and Recurrent Neural Networks (RNNs). GNNs suffer from the over-smoothing issue as the models architecture goes deeper, while RNNs struggle to capture long-term dependencies effectively. GNN+RNN architectures also grapple with scaling to large graph sizes and long sequences. Additionally, these methods often compute node representations separately and focus solely on individual node characteristics, thereby overlooking the behavior intersections between the two nodes whose link is being predicted, such as instances where the two nodes appear together in the same context or share common neighbors. This paper introduces a novel representation learning method DTFormer for DTDGs, pivoting from the traditional GNN+RNN framework to a Transformer-based architecture. Our approach exploits the attention mechanism to concurrently process topological information within the graph at each timestamp and temporal dynamics of graphs along the timestamps, circumventing the aforementioned fundamental weakness of both GNNs and RNNs. Moreover, we enhance the model's expressive capability by incorporating the intersection relationships among nodes and integrating a multi-patching module. Extensive experiments conducted on six public dynamic graph benchmark datasets confirm our model's efficacy, achieving the SOTA performance.

Towards Adaptive Neighborhood for Advancing Temporal Interaction Graph Modeling

Temporal Graph Networks (TGNs) have demonstrated their remarkable performance in modeling temporal interaction graphs. These works can generate temporal node representations by encoding the surrounding neighborhoods for the target node. However, an inherent limitation of existing TGNs is their reliance on fixed, hand-crafted rules for neighborhood encoding, overlooking the necessity for an adaptive and learnable neighborhood that can accommodate both personalization and temporal evolution across different timestamps. In this paper, we aim to enhance existing TGNs by introducing an adaptive neighborhood encoding mechanism. We present SEAN, a flexible plug-and-play model that can be seamlessly integrated with existing TGNs, effectively boosting their performance. To achieve this, we decompose the adaptive neighborhood encoding process into two phases: (i) representative neighbor selection, and (ii) temporal-aware neighborhood information aggregation. Specifically, we propose the Representative Neighbor Selector component, which automatically pinpoints the most important neighbors for the target node. It offers a tailored understanding of each node's unique surrounding context, facilitating personalization. Subsequently, we propose a Temporal-aware Aggregator, which synthesizes neighborhood aggregation by selectively determining the utilization of aggregation routes and decaying the outdated information, allowing our model to adaptively leverage both the contextually significant and current information during aggregation. We conduct extensive experiments by integrating SEAN into three representative TGNs, evaluating their performance on four public datasets and one financial benchmark dataset introduced in this paper. The results demonstrate that SEAN consistently leads to performance improvements across all models, achieving SOTA performance and exceptional robustness.

Fair Evaluation of Federated Learning Algorithms for Automated Breast Density Classification: The Results of the 2022 ACR-NCI-NVIDIA Federated Learning Challenge

The correct interpretation of breast density is important in the assessment of breast cancer risk. AI has been shown capable of accurately predicting breast density, however, due to the differences in imaging characteristics across mammography systems, models built using data from one system do not generalize well to other systems. Though federated learning (FL) has emerged as a way to improve the generalizability of AI without the need to share data, the best way to preserve features from all training data during FL is an active area of research. To explore FL methodology, the breast density classification FL challenge was hosted in partnership with the American College of Radiology, Harvard Medical School's Mass General Brigham, University of Colorado, NVIDIA, and the National Institutes of Health National Cancer Institute. Challenge participants were able to submit docker containers capable of implementing FL on three simulated medical facilities, each containing a unique large mammography dataset. The breast density FL challenge ran from June 15 to September 5, 2022, attracting seven finalists from around the world. The winning FL submission reached a linear kappa score of 0.653 on the challenge test data and 0.413 on an external testing dataset, scoring comparably to a model trained on the same data in a central location.

Prompt Learning on Temporal Interaction Graphs

Temporal Interaction Graphs (TIGs) are widely utilized to represent real-world systems. To facilitate representation learning on TIGs, researchers have proposed a series of TIG models. However, these models are still facing two tough gaps between the pre-training and downstream predictions in their ``pre-train, predict'' training paradigm. First, the temporal discrepancy between the pre-training and inference data severely undermines the models' applicability in distant future predictions on the dynamically evolving data. Second, the semantic divergence between pretext and downstream tasks hinders their practical applications, as they struggle to align with their learning and prediction capabilities across application scenarios. Recently, the ``pre-train, prompt'' paradigm has emerged as a lightweight mechanism for model generalization. Applying this paradigm is a potential solution to solve the aforementioned challenges. However, the adaptation of this paradigm to TIGs is not straightforward. The application of prompting in static graph contexts falls short in temporal settings due to a lack of consideration for time-sensitive dynamics and a deficiency in expressive power. To address this issue, we introduce Temporal Interaction Graph Prompting (TIGPrompt), a versatile framework that seamlessly integrates with TIG models, bridging both the temporal and semantic gaps. In detail, we propose a temporal prompt generator to offer temporally-aware prompts for different tasks. These prompts stand out for their minimalistic design, relying solely on the tuning of the prompt generator with very little supervision data. To cater to varying computational resource demands, we propose an extended ``pre-train, prompt-based fine-tune'' paradigm, offering greater flexibility. Through extensive experiments, the TIGPrompt demonstrates the SOTA performance and remarkable efficiency advantages.