Understanding eGFR Trajectories and Kidney Function Decline via Large Multimodal Models

The estimated Glomerular Filtration Rate (eGFR) is an essential indicator of kidney function in clinical practice. Although traditional equations and Machine Learning (ML) models using clinical and laboratory data can estimate eGFR, accurately predicting future eGFR levels remains a significant challenge for nephrologists and ML researchers. Recent advances demonstrate that Large Language Models (LLMs) and Large Multimodal Models (LMMs) can serve as robust foundation models for diverse applications. This study investigates the potential of LMMs to predict future eGFR levels with a dataset consisting of laboratory and clinical values from 50 patients. By integrating various prompting techniques and ensembles of LMMs, our findings suggest that these models, when combined with precise prompts and visual representations of eGFR trajectories, offer predictive performance comparable to existing ML models. This research extends the application of foundation models and suggests avenues for future studies to harness these models in addressing complex medical forecasting challenges.

Subgroup Analysis via Model-based Rule Forest

Machine learning models are often criticized for their black-box nature, raising concerns about their applicability in critical decision-making scenarios. Consequently, there is a growing demand for interpretable models in such contexts. In this study, we introduce Model-based Deep Rule Forests (mobDRF), an interpretable representation learning algorithm designed to extract transparent models from data. By leveraging IF-THEN rules with multi-level logic expressions, mobDRF enhances the interpretability of existing models without compromising accuracy. We apply mobDRF to identify key risk factors for cognitive decline in an elderly population, demonstrating its effectiveness in subgroup analysis and local model optimization. Our method offers a promising solution for developing trustworthy and interpretable machine learning models, particularly valuable in fields like healthcare, where understanding differential effects across patient subgroups can lead to more personalized and effective treatments.

Causal Rule Forest: Toward Interpretable and Precise Treatment Effect Estimation

Understanding and inferencing Heterogeneous Treatment Effects (HTE) and Conditional Average Treatment Effects (CATE) are vital for developing personalized treatment recommendations. Many state-of-the-art approaches achieve inspiring performance in estimating HTE on benchmark datasets or simulation studies. However, the indirect predicting manner and complex model architecture reduce the interpretability of these approaches. To mitigate the gap between predictive performance and heterogeneity interpretability, we introduce the Causal Rule Forest (CRF), a novel approach to learning hidden patterns from data and transforming the patterns into interpretable multi-level Boolean rules. By training the other interpretable causal inference models with data representation learned by CRF, we can reduce the predictive errors of these models in estimating HTE and CATE, while keeping their interpretability for identifying subgroups that a treatment is more effective. Our experiments underscore the potential of CRF to advance personalized interventions and policies, paving the way for future research to enhance its scalability and application across complex causal inference challenges.

Toward Transparent Sequence Models with Model-Based Tree Markov Model

In this study, we address the interpretability issue in complex, black-box Machine Learning models applied to sequence data. We introduce the Model-Based tree Hidden Semi-Markov Model (MOB-HSMM), an inherently interpretable model aimed at detecting high mortality risk events and discovering hidden patterns associated with the mortality risk in Intensive Care Units (ICU). This model leverages knowledge distilled from Deep Neural Networks (DNN) to enhance predictive performance while offering clear explanations. Our experimental results indicate the improved performance of Model-Based trees (MOB trees) via employing LSTM for learning sequential patterns, which are then transferred to MOB trees. Integrating MOB trees with the Hidden Semi-Markov Model (HSMM) in the MOB-HSMM enables uncovering potential and explainable sequences using available information.

Towards Model-informed Precision Dosing with Expert-in-the-loop Machine Learning

Machine Learning (ML) and its applications have been transforming our lives but it is also creating issues related to the development of fair, accountable, transparent, and ethical Artificial Intelligence. As the ML models are not fully comprehensible yet, it is obvious that we still need humans to be part of algorithmic decision-making processes. In this paper, we consider a ML framework that may accelerate model learning and improve its interpretability by incorporating human experts into the model learning loop. We propose a novel human-in-the-loop ML framework aimed at dealing with learning problems that the cost of data annotation is high and the lack of appropriate data to model the association between the target tasks and the input features. With an application to precision dosing, our experimental results show that the approach can learn interpretable rules from data and may potentially lower experts' workload by replacing data annotation with rule representation editing. The approach may also help remove algorithmic bias by introducing experts' feedback into the iterative model learning process.

Topic Diffusion Discovery Based on Deep Non-negative Autoencoder

Researchers have been overwhelmed by the explosion of research articles published by various research communities. Many research scholarly websites, search engines, and digital libraries have been created to help researchers identify potential research topics and keep up with recent progress on research of interests. However, it is still difficult for researchers to keep track of the research topic diffusion and evolution without spending a large amount of time reviewing numerous relevant and irrelevant articles. In this paper, we consider a novel topic diffusion discovery technique. Specifically, we propose using a Deep Non-negative Autoencoder with information divergence measurement that monitors evolutionary distance of the topic diffusion to understand how research topics change with time. The experimental results show that the proposed approach is able to identify the evolution of research topics as well as to discover topic diffusions in online fashions.

Discovering Drug-Drug and Drug-Disease Interactions Inducing Acute Kidney Injury Using Deep Rule Forests

Patients with Acute Kidney Injury (AKI) increase mortality, morbidity, and long-term adverse events. Therefore, early identification of AKI may improve renal function recovery, decrease comorbidities, and further improve patients' survival. To control certain risk factors and develop targeted prevention strategies are important to reduce the risk of AKI. Drug-drug interactions and drug-disease interactions are critical issues for AKI. Typical statistical approaches cannot handle the complexity of drug-drug and drug-disease interactions. In this paper, we propose a novel learning algorithm, Deep Rule Forests (DRF), which discovers rules from multilayer tree models as the combinations of drug usages and disease indications to help identify such interactions. We found that several disease and drug usages are considered having significant impact on the occurrence of AKI. Our experimental results also show that the DRF model performs comparatively better than typical tree-based and other state-of-the-art algorithms in terms of prediction accuracy and model interpretability.

Towards Interpretable Deep Extreme Multi-label Learning

Many Machine Learning algorithms, such as deep neural networks, have long been criticized for being "black-boxes"-a kind of models unable to provide how it arrive at a decision without further efforts to interpret. This problem has raised concerns on model applications' trust, safety, nondiscrimination, and other ethical issues. In this paper, we discuss the machine learning interpretability of a real-world application, eXtreme Multi-label Learning (XML), which involves learning models from annotated data with many pre-defined labels. We propose a two-step XML approach that combines deep non-negative autoencoder with other multi-label classifiers to tackle different data applications with a large number of labels. Our experimental result shows that the proposed approach is able to cope with many-label problems as well as to provide interpretable label hierarchies and dependencies that helps us understand how the model recognizes the existences of objects in an image.

Process Discovery using Classification Tree Hidden Semi-Markov Model

Various and ubiquitous information systems are being used in monitoring, exchanging, and collecting information. These systems are generating massive amount of event sequence logs that may help us understand underlying phenomenon. By analyzing these logs, we can learn process models that describe system procedures, predict the development of the system, or check whether the changes are expected. In this paper, we consider a novel technique that models these sequences of events in temporal-probabilistic manners. Specifically, we propose a probabilistic process model that combines hidden semi-Markov model and classification trees learning. Our experimental result shows that the proposed approach can answer a kind of question-"what are the most frequent sequence of system dynamics relevant to a given sequence of observable events?". For example, "Given a series of medical treatments, what are the most relevant patients' health condition pattern changes at different times?"

Topic Diffusion Discovery based on Sparseness-constrained Non-negative Matrix Factorization

Due to recent explosion of text data, researchers have been overwhelmed by ever-increasing volume of articles produced by different research communities. Various scholarly search websites, citation recommendation engines, and research databases have been created to simplify the text search tasks. However, it is still difficult for researchers to be able to identify potential research topics without doing intensive reviews on a tremendous number of articles published by journals, conferences, meetings, and workshops. In this paper, we consider a novel topic diffusion discovery technique that incorporates sparseness-constrained Non-negative Matrix Factorization with generalized Jensen-Shannon divergence to help understand term-topic evolutions and identify topic diffusions. Our experimental result shows that this approach can extract more prominent topics from large article databases, visualize relationships between terms of interest and abstract topics, and further help researchers understand whether given terms/topics have been widely explored or whether new topics are emerging from literature.