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1.
IEEE Trans Pattern Anal Mach Intell ; 45(12): 14337-14352, 2023 Dec.
Article En | MEDLINE | ID: mdl-37738203

Continual learning (CL) aims to learn a non-stationary data distribution and not forget previous knowledge. The effectiveness of existing approaches that rely on memory replay can decrease over time as the model tends to overfit the stored examples. As a result, the model's ability to generalize well is significantly constrained. Additionally, these methods often overlook the inherent uncertainty in the memory data distribution, which differs significantly from the distribution of all previous data examples. To overcome these issues, we propose a principled memory evolution framework that dynamically adjusts the memory data distribution. This evolution is achieved by employing distributionally robust optimization (DRO) to make the memory buffer increasingly difficult to memorize. We consider two types of constraints in DRO: f-divergence and Wasserstein ball constraints. For f-divergence constraint, we derive a family of methods to evolve the memory buffer data in the continuous probability measure space with Wasserstein gradient flow (WGF). For Wasserstein ball constraint, we directly solve it in the euclidean space. Extensive experiments on existing benchmarks demonstrate the effectiveness of the proposed methods for alleviating forgetting. As a by-product of the proposed framework, our method is more robust to adversarial examples than compared CL methods.

2.
IEEE Trans Nanobioscience ; 17(3): 219-227, 2018 07.
Article En | MEDLINE | ID: mdl-29994534

Predicting patients' risk of developing certain diseases is an important research topic in healthcare. Accurately identifying and ranking the similarity among patients based on their historical records is a key step in personalized healthcare. The electric health records (EHRs), which are irregularly sampled and have varied patient visit lengths, cannot be directly used to measure patient similarity due to the lack of an appropriate representation. Moreover, there needs an effective approach to measure patient similarity on EHRs. In this paper, we propose two novel deep similarity learning frameworks which simultaneously learn patient representations and measure pairwise similarity. We use a convolutional neural network (CNN) to capture local important information in EHRs and then feed the learned representation into triplet loss or softmax cross entropy loss. After training, we can obtain pairwise distances and similarity scores. Utilizing the similarity information, we then perform disease predictions and patient clustering. Experimental results show that CNN can better represent the longitudinal EHR sequences, and our proposed frameworks outperform state-of-the-art distance metric learning methods.


Algorithms , Computational Biology/methods , Deep Learning , Precision Medicine , Electronic Health Records , Humans , Models, Statistical
3.
AMIA Annu Symp Proc ; 2017: 1665-1674, 2017.
Article En | MEDLINE | ID: mdl-29854237

Monitoring the future health status of patients from the historical Electronic Health Record (EHR) is a core research topic in predictive healthcare. The most important challenges are to model the temporality of sequential EHR data and to interpret the prediction results. In order to reduce the future risk of diseases, we propose a multi-task framework that can monitor the multiple status ofdiagnoses. Patients' historical records are directly fed into a Recurrent Neural Network (RNN) which memorizes all the past visit information, and then a task-specific layer is trained to predict multiple diagnoses. Moreover, three attention mechanisms for RNNs are introduced to measure the relationships between past visits and current status. Experimental results show that the proposed attention-based RNNs can significantly improve the prediction accuracy compared to widely used approaches. With the attention mechanisms, the proposed framework is able to identify the visit information which is important to the final prediction.


Disease Progression , Electronic Health Records , Neural Networks, Computer , Patient Care Management/methods , Deep Learning , Humans
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