Zero-shot Medical Event Prediction Using a Generative Pre-trained Transformer on Electronic Health Records

Longitudinal data in electronic health records (EHRs) represent an individual`s clinical history through a sequence of codified concepts, including diagnoses, procedures, medications, and laboratory tests. Foundational models, such as generative pre-trained transformers (GPT), can leverage this data to predict future events. While fine-tuning of these models enhances task-specific performance, it is costly, complex, and unsustainable for every target. We show that a foundation model trained on EHRs can perform predictive tasks in a zero-shot manner, eliminating the need for fine-tuning. This study presents the first comprehensive analysis of zero-shot forecasting with GPT-based foundational models in EHRs, introducing a novel pipeline that formulates medical concept prediction as a generative modeling task. Unlike supervised approaches requiring extensive labeled data, our method enables the model to forecast a next medical event purely from a pretraining knowledge. We evaluate performance across multiple time horizons and clinical categories, demonstrating model`s ability to capture latent temporal dependencies and complex patient trajectories without task supervision. Model performance for predicting the next medical concept was evaluated using precision and recall metrics, achieving an average top1 precision of 0.614 and recall of 0.524. For 12 major diagnostic conditions, the model demonstrated strong zero-shot performance, achieving high true positive rates while maintaining low false positives. We demonstrate the power of a foundational EHR GPT model in capturing diverse phenotypes and enabling robust, zero-shot forecasting of clinical outcomes. This capability enhances the versatility of predictive healthcare models and reduces the need for task-specific training, enabling more scalable applications in clinical settings.

C2F-TP: A Coarse-to-Fine Denoising Framework for Uncertainty-Aware Trajectory Prediction

Accurately predicting the trajectory of vehicles is critically important for ensuring safety and reliability in autonomous driving. Although considerable research efforts have been made recently, the inherent trajectory uncertainty caused by various factors including the dynamic driving intends and the diverse driving scenarios still poses significant challenges to accurate trajectory prediction. To address this issue, we propose C2F-TP, a coarse-to-fine denoising framework for uncertainty-aware vehicle trajectory prediction. C2F-TP features an innovative two-stage coarse-to-fine prediction process. Specifically, in the spatial-temporal interaction stage, we propose a spatial-temporal interaction module to capture the inter-vehicle interactions and learn a multimodal trajectory distribution, from which a certain number of noisy trajectories are sampled. Next, in the trajectory refinement stage, we design a conditional denoising model to reduce the uncertainty of the sampled trajectories through a step-wise denoising operation. Extensive experiments are conducted on two real datasets NGSIM and highD that are widely adopted in trajectory prediction. The result demonstrates the effectiveness of our proposal.

Online Experimental Design With Estimation-Regret Trade-off Under Network Interference

Network interference has garnered significant interest in the field of causal inference. It reflects diverse sociological behaviors, wherein the treatment assigned to one individual within a network may influence the outcome of other individuals, such as their neighbors. To estimate the causal effect, one classical way is to randomly assign experimental candidates into different groups and compare their differences. However, in the context of sequential experiments, such treatment assignment may result in a large regret. In this paper, we develop a unified interference-based online experimental design framework. Compared to existing literature, we expand the definition of arm space by leveraging the statistical concept of exposure mapping. Importantly, we establish the Pareto-optimal trade-off between the estimation accuracy and regret with respect to both time period and arm space, which remains superior to the baseline even in the absence of network interference. We further propose an algorithmic implementation and model generalization.

Underload: Defending against Latency Attacks for Object Detectors on Edge Devices

Object detection is a fundamental enabler for many real-time downstream applications such as autonomous driving, augmented reality and supply chain management. However, the algorithmic backbone of neural networks is brittle to imperceptible perturbations in the system inputs, which were generally known as misclassifying attacks. By targeting the real-time processing capability, a new class of latency attacks are reported recently. They exploit new attack surfaces in object detectors by creating a computational bottleneck in the post-processing module, that leads to cascading failure and puts the real-time downstream tasks at risks. In this work, we take an initial attempt to defend against this attack via background-attentive adversarial training that is also cognizant of the underlying hardware capabilities. We first draw system-level connections between latency attack and hardware capacity across heterogeneous GPU devices. Based on the particular adversarial behaviors, we utilize objectness loss as a proxy and build background attention into the adversarial training pipeline, and achieve a reasonable balance between clean and robust accuracy. The extensive experiments demonstrate the defense effectiveness of restoring real-time processing capability from $13$ FPS to $43$ FPS on Jetson Orin NX, with a better trade-off between the clean and robust accuracy.

Pushing the Limits of All-Atom Geometric Graph Neural Networks: Pre-Training, Scaling and Zero-Shot Transfer

Constructing transferable descriptors for conformation representation of molecular and biological systems finds numerous applications in drug discovery, learning-based molecular dynamics, and protein mechanism analysis. Geometric graph neural networks (Geom-GNNs) with all-atom information have transformed atomistic simulations by serving as a general learnable geometric descriptors for downstream tasks including prediction of interatomic potential and molecular properties. However, common practices involve supervising Geom-GNNs on specific downstream tasks, which suffer from the lack of high-quality data and inaccurate labels leading to poor generalization and performance degradation on out-of-distribution (OOD) scenarios. In this work, we explored the possibility of using pre-trained Geom-GNNs as transferable and highly effective geometric descriptors for improved generalization. To explore their representation power, we studied the scaling behaviors of Geom-GNNs under self-supervised pre-training, supervised and unsupervised learning setups. We find that the expressive power of different architectures can differ on the pre-training task. Interestingly, Geom-GNNs do not follow the power-law scaling on the pre-training task, and universally lack predictable scaling behavior on the supervised tasks with quantum chemical labels important for screening and design of novel molecules. More importantly, we demonstrate how all-atom graph embedding can be organically combined with other neural architectures to enhance the expressive power. Meanwhile, the low-dimensional projection of the latent space shows excellent agreement with conventional geometrical descriptors.

Retrieval Augmented Diffusion Model for Structure-informed Antibody Design and Optimization

Antibodies are essential proteins responsible for immune responses in organisms, capable of specifically recognizing antigen molecules of pathogens. Recent advances in generative models have significantly enhanced rational antibody design. However, existing methods mainly create antibodies from scratch without template constraints, leading to model optimization challenges and unnatural sequences. To address these issues, we propose a retrieval-augmented diffusion framework, termed RADAb, for efficient antibody design. Our method leverages a set of structural homologous motifs that align with query structural constraints to guide the generative model in inversely optimizing antibodies according to desired design criteria. Specifically, we introduce a structure-informed retrieval mechanism that integrates these exemplar motifs with the input backbone through a novel dual-branch denoising module, utilizing both structural and evolutionary information. Additionally, we develop a conditional diffusion model that iteratively refines the optimization process by incorporating both global context and local evolutionary conditions. Our approach is agnostic to the choice of generative models. Empirical experiments demonstrate that our method achieves state-of-the-art performance in multiple antibody inverse folding and optimization tasks, offering a new perspective on biomolecular generative models.

Digital Volumetric Biopsy Cores Improve Gleason Grading of Prostate Cancer Using Deep Learning

Prostate cancer (PCa) was the most frequently diagnosed cancer among American men in 2023. The histological grading of biopsies is essential for diagnosis, and various deep learning-based solutions have been developed to assist with this task. Existing deep learning frameworks are typically applied to individual 2D cross-sections sliced from 3D biopsy tissue specimens. This process impedes the analysis of complex tissue structures such as glands, which can vary depending on the tissue slice examined. We propose a novel digital pathology data source called a "volumetric core," obtained via the extraction and co-alignment of serially sectioned tissue sections using a novel morphology-preserving alignment framework. We trained an attention-based multiple-instance learning (ABMIL) framework on deep features extracted from volumetric patches to automatically classify the Gleason Grade Group (GGG). To handle volumetric patches, we used a modified video transformer with a deep feature extractor pretrained using self-supervised learning. We ran our morphology-preserving alignment framework to construct 10,210 volumetric cores, leaving out 30% for pretraining. The rest of the dataset was used to train ABMIL, which resulted in a 0.958 macro-average AUC, 0.671 F1 score, 0.661 precision, and 0.695 recall averaged across all five GGG significantly outperforming the 2D baselines.

Real-Time Human Action Recognition on Embedded Platforms

With advancements in computer vision and deep learning, video-based human action recognition (HAR) has become practical. However, due to the complexity of the computation pipeline, running HAR on live video streams incurs excessive delays on embedded platforms. This work tackles the real-time performance challenges of HAR with four contributions: 1) an experimental study identifying a standard Optical Flow (OF) extraction technique as the latency bottleneck in a state-of-the-art HAR pipeline, 2) an exploration of the latency-accuracy tradeoff between the standard and deep learning approaches to OF extraction, which highlights the need for a novel, efficient motion feature extractor, 3) the design of Integrated Motion Feature Extractor (IMFE), a novel single-shot neural network architecture for motion feature extraction with drastic improvement in latency, 4) the development of RT-HARE, a real-time HAR system tailored for embedded platforms. Experimental results on an Nvidia Jetson Xavier NX platform demonstrated that RT-HARE realizes real-time HAR at a video frame rate of 30 frames per second while delivering high levels of recognition accuracy.

XNet v2: Fewer Limitations, Better Results and Greater Universality

XNet introduces a wavelet-based X-shaped unified architecture for fully- and semi-supervised biomedical segmentation. So far, however, XNet still faces the limitations, including performance degradation when images lack high-frequency (HF) information, underutilization of raw images and insufficient fusion. To address these issues, we propose XNet v2, a low- and high-frequency complementary model. XNet v2 performs wavelet-based image-level complementary fusion, using fusion results along with raw images inputs three different sub-networks to construct consistency loss. Furthermore, we introduce a feature-level fusion module to enhance the transfer of low-frequency (LF) information and HF information. XNet v2 achieves state-of-the-art in semi-supervised segmentation while maintaining competitve results in fully-supervised learning. More importantly, XNet v2 excels in scenarios where XNet fails. Compared to XNet, XNet v2 exhibits fewer limitations, better results and greater universality. Extensive experiments on three 2D and two 3D datasets demonstrate the effectiveness of XNet v2. Code is available at https://github.com/Yanfeng-Zhou/XNetv2 .

DiffusionPDE: Generative PDE-Solving Under Partial Observation

We introduce a general framework for solving partial differential equations (PDEs) using generative diffusion models. In particular, we focus on the scenarios where we do not have the full knowledge of the scene necessary to apply classical solvers. Most existing forward or inverse PDE approaches perform poorly when the observations on the data or the underlying coefficients are incomplete, which is a common assumption for real-world measurements. In this work, we propose DiffusionPDE that can simultaneously fill in the missing information and solve a PDE by modeling the joint distribution of the solution and coefficient spaces. We show that the learned generative priors lead to a versatile framework for accurately solving a wide range of PDEs under partial observation, significantly outperforming the state-of-the-art methods for both forward and inverse directions.