Retrospective Comparative Analysis of Prostate Cancer In-Basket Messages: Responses from Closed-Domain LLM vs. Clinical Teams

In-basket message interactions play a crucial role in physician-patient communication, occurring during all phases (pre-, during, and post) of a patient's care journey. However, responding to these patients' inquiries has become a significant burden on healthcare workflows, consuming considerable time for clinical care teams. To address this, we introduce RadOnc-GPT, a specialized Large Language Model (LLM) powered by GPT-4 that has been designed with a focus on radiotherapeutic treatment of prostate cancer with advanced prompt engineering, and specifically designed to assist in generating responses. We integrated RadOnc-GPT with patient electronic health records (EHR) from both the hospital-wide EHR database and an internal, radiation-oncology-specific database. RadOnc-GPT was evaluated on 158 previously recorded in-basket message interactions. Quantitative natural language processing (NLP) analysis and two grading studies with clinicians and nurses were used to assess RadOnc-GPT's responses. Our findings indicate that RadOnc-GPT slightly outperformed the clinical care team in "Clarity" and "Empathy," while achieving comparable scores in "Completeness" and "Correctness." RadOnc-GPT is estimated to save 5.2 minutes per message for nurses and 2.4 minutes for clinicians, from reading the inquiry to sending the response. Employing RadOnc-GPT for in-basket message draft generation has the potential to alleviate the workload of clinical care teams and reduce healthcare costs by producing high-quality, timely responses.

Attention Round for Post-Training Quantization

At present, the quantification methods of neural network models are mainly divided into post-training quantization (PTQ) and quantization aware training (QAT). Post-training quantization only need a small part of the data to complete the quantification process, but the performance of its quantitative model is not as good as the quantization aware training. This paper presents a novel quantification method called Attention Round. This method gives parameters w the opportunity to be mapped to all possible quantized values, rather than just the two quantized values nearby w in the process of quantization. The probability of being mapped to different quantified values is negatively correlated with the distance between the quantified values and w, and decay with a Gaussian function. In addition, this paper uses the lossy coding length as a measure to assign bit widths to the different layers of the model to solve the problem of mixed precision quantization, which effectively avoids to solve combinatorial optimization problem. This paper also performs quantitative experiments on different models, the results confirm the effectiveness of the proposed method. For ResNet18 and MobileNetV2, the post-training quantization proposed in this paper only require 1,024 training data and 10 minutes to complete the quantization process, which can achieve quantization performance on par with quantization aware training.

REST: Debiased Social Recommendation via Reconstructing Exposure Strategies

The recommendation system, relying on historical observational data to model the complex relationships among the users and items, has achieved great success in real-world applications. Selection bias is one of the most important issues of the existing observational data based approaches, which is actually caused by multiple types of unobserved exposure strategies (e.g. promotions and holiday effects). Though various methods have been proposed to address this problem, they are mainly relying on the implicit debiasing techniques but not explicitly modeling the unobserved exposure strategies. By explicitly Reconstructing Exposure STrategies (REST in short), we formalize the recommendation problem as the counterfactual reasoning and propose the debiased social recommendation method. In REST, we assume that the exposure of an item is controlled by the latent exposure strategies, the user, and the item. Based on the above generation process, we first provide the theoretical guarantee of our method via identification analysis. Second, we employ a variational auto-encoder to reconstruct the latent exposure strategies, with the help of the social networks and the items. Third, we devise a counterfactual reasoning based recommendation algorithm by leveraging the recovered exposure strategies. Experiments on four real-world datasets, including three published datasets and one private WeChat Official Account dataset, demonstrate significant improvements over several state-of-the-art methods.

TEA: A Sequential Recommendation Framework via Temporally Evolving Aggregations

Sequential recommendation aims to choose the most suitable items for a user at a specific timestamp given historical behaviors. Existing methods usually model the user behavior sequence based on the transition-based methods like Markov Chain. However, these methods also implicitly assume that the users are independent of each other without considering the influence between users. In fact, this influence plays an important role in sequence recommendation since the behavior of a user is easily affected by others. Therefore, it is desirable to aggregate both user behaviors and the influence between users, which are evolved temporally and involved in the heterogeneous graph of users and items. In this paper, we incorporate dynamic user-item heterogeneous graphs to propose a novel sequential recommendation framework. As a result, the historical behaviors as well as the influence between users can be taken into consideration. To achieve this, we firstly formalize sequential recommendation as a problem to estimate conditional probability given temporal dynamic heterogeneous graphs and user behavior sequences. After that, we exploit the conditional random field to aggregate the heterogeneous graphs and user behaviors for probability estimation, and employ the pseudo-likelihood approach to derive a tractable objective function. Finally, we provide scalable and flexible implementations of the proposed framework. Experimental results on three real-world datasets not only demonstrate the effectiveness of our proposed method but also provide some insightful discoveries on sequential recommendation.

TAG : Type Auxiliary Guiding for Code Comment Generation

Existing leading code comment generation approaches with the structure-to-sequence framework ignores the type information of the interpretation of the code, e.g., operator, string, etc. However, introducing the type information into the existing framework is non-trivial due to the hierarchical dependence among the type information. In order to address the issues above, we propose a Type Auxiliary Guiding encoder-decoder framework for the code comment generation task which considers the source code as an N-ary tree with type information associated with each node. Specifically, our framework is featured with a Type-associated Encoder and a Type-restricted Decoder which enables adaptive summarization of the source code. We further propose a hierarchical reinforcement learning method to resolve the training difficulties of our proposed framework. Extensive evaluations demonstrate the state-of-the-art performance of our framework with both the auto-evaluated metrics and case studies.

Joint Extraction of Entities and Relations Based on a Novel Tagging Scheme

Joint extraction of entities and relations is an important task in information extraction. To tackle this problem, we firstly propose a novel tagging scheme that can convert the joint extraction task to a tagging problem. Then, based on our tagging scheme, we study different end-to-end models to extract entities and their relations directly, without identifying entities and relations separately. We conduct experiments on a public dataset produced by distant supervision method and the experimental results show that the tagging based methods are better than most of the existing pipelined and joint learning methods. What's more, the end-to-end model proposed in this paper, achieves the best results on the public dataset.