The Potential and Value of AI Chatbot in Personalized Cognitive Training

In recent years, the rapid aging of the global population has led to an increase in cognitive disorders, such as Alzheimer's disease, presenting significant public health challenges. Although no effective treatments currently exist to reverse Alzheimer's, prevention and early intervention, including cognitive training, are critical. This report explores the potential of AI chatbots in enhancing personalized cognitive training. We introduce ReMe, a web-based framework designed to create AI chatbots that facilitate cognitive training research, specifically targeting episodic memory tasks derived from personal life logs. By leveraging large language models, ReMe provides enhanced user-friendly, interactive, and personalized training experiences. Case studies demonstrate ReMe's effectiveness in engaging users through life recall and open-ended language puzzles, highlighting its potential to improve cognitive training design. Despite promising results, further research is needed to validate training effectiveness through large-scale studies that include cognitive ability evaluations. Overall, ReMe offers a promising approach to personalized cognitive training, utilizing AI capabilities to meet the growing demand for non-pharmacological interventions in cognitive health, with future research aiming to expand its applications and efficacy.

MixEHR-Nest: Identifying Subphenotypes within Electronic Health Records through Hierarchical Guided-Topic Modeling

Automatic subphenotyping from electronic health records (EHRs)provides numerous opportunities to understand diseases with unique subgroups and enhance personalized medicine for patients. However, existing machine learning algorithms either focus on specific diseases for better interpretability or produce coarse-grained phenotype topics without considering nuanced disease patterns. In this study, we propose a guided topic model, MixEHR-Nest, to infer sub-phenotype topics from thousands of disease using multi-modal EHR data. Specifically, MixEHR-Nest detects multiple subtopics from each phenotype topic, whose prior is guided by the expert-curated phenotype concepts such as Phenotype Codes (PheCodes) or Clinical Classification Software (CCS) codes. We evaluated MixEHR-Nest on two EHR datasets: (1) the MIMIC-III dataset consisting of over 38 thousand patients from intensive care unit (ICU) from Beth Israel Deaconess Medical Center (BIDMC) in Boston, USA; (2) the healthcare administrative database PopHR, comprising 1.3 million patients from Montreal, Canada. Experimental results demonstrate that MixEHR-Nest can identify subphenotypes with distinct patterns within each phenotype, which are predictive for disease progression and severity. Consequently, MixEHR-Nest distinguishes between type 1 and type 2 diabetes by inferring subphenotypes using CCS codes, which do not differentiate these two subtype concepts. Additionally, MixEHR-Nest not only improved the prediction accuracy of short-term mortality of ICU patients and initial insulin treatment in diabetic patients but also revealed the contributions of subphenotypes. For longitudinal analysis, MixEHR-Nest identified subphenotypes of distinct age prevalence under the same phenotypes, such as asthma, leukemia, epilepsy, and depression. The MixEHR-Nest software is available at GitHub: https://github.com/li-lab-mcgill/MixEHR-Nest.

Machine Unlearning in Forgettability Sequence

Machine unlearning (MU) is becoming a promising paradigm to achieve the "right to be forgotten", where the training trace of any chosen data points could be eliminated, while maintaining the model utility on general testing samples after unlearning. With the advancement of forgetting research, many fundamental open questions remain unanswered: do different samples exhibit varying levels of difficulty in being forgotten? Further, does the sequence in which samples are forgotten, determined by their respective difficulty levels, influence the performance of forgetting algorithms? In this paper, we identify key factor affecting unlearning difficulty and the performance of unlearning algorithms. We find that samples with higher privacy risks are more likely to be unlearning, indicating that the unlearning difficulty varies among different samples which motives a more precise unlearning mode. Built upon this insight, we propose a general unlearning framework, dubbed RSU, which consists of Ranking module and SeqUnlearn module.

TableRAG: Million-Token Table Understanding with Language Models

Recent advancements in language models (LMs) have notably enhanced their ability to reason with tabular data, primarily through program-aided mechanisms that manipulate and analyze tables. However, these methods often require the entire table as input, leading to scalability challenges due to the positional bias or context length constraints. In response to these challenges, we introduce TableRAG, a Retrieval-Augmented Generation (RAG) framework specifically designed for LM-based table understanding. TableRAG leverages query expansion combined with schema and cell retrieval to pinpoint crucial information before providing it to the LMs. This enables more efficient data encoding and precise retrieval, significantly reducing prompt lengths and mitigating information loss. We have developed two new million-token benchmarks from the Arcade and BIRD-SQL datasets to thoroughly evaluate TableRAG's effectiveness at scale. Our results demonstrate that TableRAG's retrieval design achieves the highest retrieval quality, leading to the new state-of-the-art performance on large-scale table understanding.

EnJa: Ensemble Jailbreak on Large Language Models

As Large Language Models (LLMs) are increasingly being deployed in safety-critical applications, their vulnerability to potential jailbreaks -- malicious prompts that can disable the safety mechanism of LLMs -- has attracted growing research attention. While alignment methods have been proposed to protect LLMs from jailbreaks, many have found that aligned LLMs can still be jailbroken by carefully crafted malicious prompts, producing content that violates policy regulations. Existing jailbreak attacks on LLMs can be categorized into prompt-level methods which make up stories/logic to circumvent safety alignment and token-level attack methods which leverage gradient methods to find adversarial tokens. In this work, we introduce the concept of Ensemble Jailbreak and explore methods that can integrate prompt-level and token-level jailbreak into a more powerful hybrid jailbreak attack. Specifically, we propose a novel EnJa attack to hide harmful instructions using prompt-level jailbreak, boost the attack success rate using a gradient-based attack, and connect the two types of jailbreak attacks via a template-based connector. We evaluate the effectiveness of EnJa on several aligned models and show that it achieves a state-of-the-art attack success rate with fewer queries and is much stronger than any individual jailbreak.

OfficeBench: Benchmarking Language Agents across Multiple Applications for Office Automation

Office automation significantly enhances human productivity by automatically finishing routine tasks in the workflow. Beyond the basic information extraction studied in much of the prior document AI literature, the office automation research should be extended to more realistic office tasks which require to integrate various information sources in the office system and produce outputs through a series of decision-making processes. We introduce OfficeBench, one of the first office automation benchmarks for evaluating current LLM agents' capability to address office tasks in realistic office workflows. OfficeBench requires LLM agents to perform feasible long-horizon planning, proficiently switch between applications in a timely manner, and accurately ground their actions within a large combined action space, based on the contextual demands of the workflow. Applying our customized evaluation methods on each task, we find that GPT-4 Omni achieves the highest pass rate of 47.00%, demonstrating a decent performance in handling office tasks. However, this is still far below the human performance and accuracy standards required by real-world office workflows. We further observe that most issues are related to operation redundancy and hallucinations, as well as limitations in switching between multiple applications, which may provide valuable insights for developing effective agent frameworks for office automation.

Speculative RAG: Enhancing Retrieval Augmented Generation through Drafting

Retrieval augmented generation (RAG) combines the generative abilities of large language models (LLMs) with external knowledge sources to provide more accurate and up-to-date responses. Recent RAG advancements focus on improving retrieval outcomes through iterative LLM refinement or self-critique capabilities acquired through additional instruction tuning of LLMs. In this work, we introduce Speculative RAG - a framework that leverages a larger generalist LM to efficiently verify multiple RAG drafts produced in parallel by a smaller, distilled specialist LM. Each draft is generated from a distinct subset of retrieved documents, offering diverse perspectives on the evidence while reducing input token counts per draft. This approach enhances comprehension of each subset and mitigates potential position bias over long context. Our method accelerates RAG by delegating drafting to the smaller specialist LM, with the larger generalist LM performing a single verification pass over the drafts. Extensive experiments demonstrate that Speculative RAG achieves state-of-the-art performance with reduced latency on TriviaQA, MuSiQue, PubHealth, and ARC-Challenge benchmarks. It notably enhances accuracy by up to 12.97% while reducing latency by 51% compared to conventional RAG systems on PubHealth.

ImageFlowNet: Forecasting Multiscale Trajectories of Disease Progression with Irregularly-Sampled Longitudinal Medical Images

The forecasting of disease progression from images is a holy grail for clinical decision making. However, this task is complicated by the inherent high dimensionality, temporal sparsity and sampling irregularity in longitudinal image acquisitions. Existing methods often rely on extracting hand-crafted features and performing time-series analysis in this vector space, leading to a loss of rich spatial information within the images. To overcome these challenges, we introduce ImageFlowNet, a novel framework that learns latent-space flow fields that evolve multiscale representations in joint embedding spaces using neural ODEs and SDEs to model disease progression in the image domain. Notably, ImageFlowNet learns multiscale joint representation spaces by combining cohorts of patients together so that information can be transferred between the patient samples. The dynamics then provide plausible trajectories of progression, with the SDE providing alternative trajectories from the same starting point. We provide theoretical insights that support our formulation of ODEs, and motivate our regularizations involving high-level visual features, latent space organization, and trajectory smoothness. We then demonstrate ImageFlowNet's effectiveness through empirical evaluations on three longitudinal medical image datasets depicting progression in retinal geographic atrophy, multiple sclerosis, and glioblastoma.

Position Engineering: Boosting Large Language Models through Positional Information Manipulation

The performance of large language models (LLMs) is significantly influenced by the quality of the prompts provided. In response, researchers have developed enormous prompt engineering strategies aimed at modifying the prompt text to enhance task performance. In this paper, we introduce a novel technique termed position engineering, which offers a more efficient way to guide large language models. Unlike prompt engineering, which requires substantial effort to modify the text provided to LLMs, position engineering merely involves altering the positional information in the prompt without modifying the text itself. We have evaluated position engineering in two widely-used LLM scenarios: retrieval-augmented generation (RAG) and in-context learning (ICL). Our findings show that position engineering substantially improves upon the baseline in both cases. Position engineering thus represents a promising new strategy for exploiting the capabilities of large language models.

LLM-RadJudge: Achieving Radiologist-Level Evaluation for X-Ray Report Generation

Evaluating generated radiology reports is crucial for the development of radiology AI, but existing metrics fail to reflect the task's clinical requirements. This study proposes a novel evaluation framework using large language models (LLMs) to compare radiology reports for assessment. We compare the performance of various LLMs and demonstrate that, when using GPT-4, our proposed metric achieves evaluation consistency close to that of radiologists. Furthermore, to reduce costs and improve accessibility, making this method practical, we construct a dataset using LLM evaluation results and perform knowledge distillation to train a smaller model. The distilled model achieves evaluation capabilities comparable to GPT-4. Our framework and distilled model offer an accessible and efficient evaluation method for radiology report generation, facilitating the development of more clinically relevant models. The model will be further open-sourced and accessible.