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Nov 26

MEDEC: A Benchmark for Medical Error Detection and Correction in Clinical Notes

Several studies showed that Large Language Models (LLMs) can answer medical questions correctly, even outperforming the average human score in some medical exams. However, to our knowledge, no study has been conducted to assess the ability of language models to validate existing or generated medical text for correctness and consistency. In this paper, we introduce MEDEC (https://github.com/abachaa/MEDEC), the first publicly available benchmark for medical error detection and correction in clinical notes, covering five types of errors (Diagnosis, Management, Treatment, Pharmacotherapy, and Causal Organism). MEDEC consists of 3,848 clinical texts, including 488 clinical notes from three US hospital systems that were not previously seen by any LLM. The dataset has been used for the MEDIQA-CORR shared task to evaluate seventeen participating systems [Ben Abacha et al., 2024]. In this paper, we describe the data creation methods and we evaluate recent LLMs (e.g., o1-preview, GPT-4, Claude 3.5 Sonnet, and Gemini 2.0 Flash) for the tasks of detecting and correcting medical errors requiring both medical knowledge and reasoning capabilities. We also conducted a comparative study where two medical doctors performed the same task on the MEDEC test set. The results showed that MEDEC is a sufficiently challenging benchmark to assess the ability of models to validate existing or generated notes and to correct medical errors. We also found that although recent LLMs have a good performance in error detection and correction, they are still outperformed by medical doctors in these tasks. We discuss the potential factors behind this gap, the insights from our experiments, the limitations of current evaluation metrics, and share potential pointers for future research.

  • 7 authors
·
Dec 26, 2024

Leveraging LLMs for User Stories in AI Systems: UStAI Dataset

AI systems are gaining widespread adoption across various sectors and domains. Creating high-quality AI system requirements is crucial for aligning the AI system with business goals and consumer values and for social responsibility. However, with the uncertain nature of AI systems and the heavy reliance on sensitive data, more research is needed to address the elicitation and analysis of AI systems requirements. With the proprietary nature of many AI systems, there is a lack of open-source requirements artifacts and technical requirements documents for AI systems, limiting broader research and investigation. With Large Language Models (LLMs) emerging as a promising alternative to human-generated text, this paper investigates the potential use of LLMs to generate user stories for AI systems based on abstracts from scholarly papers. We conducted an empirical evaluation using three LLMs and generated 1260 user stories from 42 abstracts from 26 domains. We assess their quality using the Quality User Story (QUS) framework. Moreover, we identify relevant non-functional requirements (NFRs) and ethical principles. Our analysis demonstrates that the investigated LLMs can generate user stories inspired by the needs of various stakeholders, offering a promising approach for generating user stories for research purposes and for aiding in the early requirements elicitation phase of AI systems. We have compiled and curated a collection of stories generated by various LLMs into a dataset (UStAI), which is now publicly available for use.

  • 3 authors
·
Apr 1

Automatically Detecting Online Deceptive Patterns

Deceptive patterns in digital interfaces manipulate users into making unintended decisions, exploiting cognitive biases and psychological vulnerabilities. These patterns have become ubiquitous on various digital platforms. While efforts to mitigate deceptive patterns have emerged from legal and technical perspectives, a significant gap remains in creating usable and scalable solutions. We introduce our AutoBot framework to address this gap and help web stakeholders navigate and mitigate online deceptive patterns. AutoBot accurately identifies and localizes deceptive patterns from a screenshot of a website without relying on the underlying HTML code. AutoBot employs a two-stage pipeline that leverages the capabilities of specialized vision models to analyze website screenshots, identify interactive elements, and extract textual features. Next, using a large language model, AutoBot understands the context surrounding these elements to determine the presence of deceptive patterns. We also use AutoBot, to create a synthetic dataset to distill knowledge from 'teacher' LLMs to smaller language models. Through extensive evaluation, we demonstrate AutoBot's effectiveness in detecting deceptive patterns on the web, achieving an F1-score of 0.93 when detecting deceptive patterns, underscoring its potential as an essential tool for mitigating online deceptive patterns. We implement AutoBot, across three downstream applications targeting different web stakeholders: (1) a local browser extension providing users with real-time feedback, (2) a Lighthouse audit to inform developers of potential deceptive patterns on their sites, and (3) as a measurement tool designed for researchers and regulators.

  • 5 authors
·
Nov 11, 2024

Deep Learning Fusion For Effective Malware Detection: Leveraging Visual Features

Malware has become a formidable threat as it has been growing exponentially in number and sophistication, thus, it is imperative to have a solution that is easy to implement, reliable, and effective. While recent research has introduced deep learning multi-feature fusion algorithms, they lack a proper explanation. In this work, we investigate the power of fusing Convolutional Neural Network models trained on different modalities of a malware executable. We are proposing a novel multimodal fusion algorithm, leveraging three different visual malware features: Grayscale Image, Entropy Graph, and SimHash Image, with which we conducted exhaustive experiments independently on each feature and combinations of all three of them using fusion operators such as average, maximum, add, and concatenate for effective malware detection and classification. The proposed strategy has a detection rate of 1.00 (on a scale of 0-1) in identifying malware in the given dataset. We explained its interpretability with visualization techniques such as t-SNE and Grad-CAM. Experimental results show the model works even for a highly imbalanced dataset. We also assessed the effectiveness of the proposed method on obfuscated malware and achieved state-of-the-art results. The proposed methodology is more reliable as our findings prove VGG16 model can detect and classify malware in a matter of seconds in real-time.

  • 6 authors
·
May 23, 2024

A Modular Approach for Clinical SLMs Driven by Synthetic Data with Pre-Instruction Tuning, Model Merging, and Clinical-Tasks Alignment

High computation costs and latency of large language models such as GPT-4 have limited their deployment in clinical settings. Small language models (SLMs) offer a cost-effective alternative, but their limited capacity requires biomedical domain adaptation, which remains challenging. An additional bottleneck is the unavailability and high sensitivity of clinical data. To address these challenges, we propose a novel framework for adapting SLMs into high-performing clinical models. We introduce the MediPhi collection of 3.8B-parameter SLMs developed with our novel framework: pre-instruction tuning of experts on relevant medical and clinical corpora (PMC, Medical Guideline, MedWiki, etc.), model merging, and clinical-tasks alignment. To cover most clinical tasks, we extended the CLUE benchmark to CLUE+, doubling its size. Our expert models deliver relative improvements on this benchmark over the base model without any task-specific fine-tuning: 64.3% on medical entities, 49.5% on radiology reports, and 44% on ICD-10 coding (outperforming GPT-4-0125 by 14%). We unify the expert models into MediPhi via model merging, preserving gains across benchmarks. Furthermore, we built the MediFlow collection, a synthetic dataset of 2.5 million high-quality instructions on 14 medical NLP tasks, 98 fine-grained document types, and JSON format support. Alignment of MediPhi using supervised fine-tuning and direct preference optimization achieves further gains of 18.9% on average.

  • 10 authors
·
May 15 1

Post Hoc Explanations of Language Models Can Improve Language Models

Large Language Models (LLMs) have demonstrated remarkable capabilities in performing complex tasks. Moreover, recent research has shown that incorporating human-annotated rationales (e.g., Chain-of-Thought prompting) during in-context learning can significantly enhance the performance of these models, particularly on tasks that require reasoning capabilities. However, incorporating such rationales poses challenges in terms of scalability as this requires a high degree of human involvement. In this work, we present a novel framework, Amplifying Model Performance by Leveraging In-Context Learning with Post Hoc Explanations (AMPLIFY), which addresses the aforementioned challenges by automating the process of rationale generation. To this end, we leverage post hoc explanation methods which output attribution scores (explanations) capturing the influence of each of the input features on model predictions. More specifically, we construct automated natural language rationales that embed insights from post hoc explanations to provide corrective signals to LLMs. Extensive experimentation with real-world datasets demonstrates that our framework, AMPLIFY, leads to prediction accuracy improvements of about 10-25% over a wide range of tasks, including those where prior approaches which rely on human-annotated rationales such as Chain-of-Thought prompting fall short. Our work makes one of the first attempts at highlighting the potential of post hoc explanations as valuable tools for enhancing the effectiveness of LLMs. Furthermore, we conduct additional empirical analyses and ablation studies to demonstrate the impact of each of the components of AMPLIFY, which, in turn, leads to critical insights for refining in-context learning.

  • 6 authors
·
May 19, 2023

MedImageInsight: An Open-Source Embedding Model for General Domain Medical Imaging

In this work, we present MedImageInsight, an open-source medical imaging embedding model. MedImageInsight is trained on medical images with associated text and labels across a diverse collection of domains, including X-Ray, CT, MRI, dermoscopy, OCT, fundus photography, ultrasound, histopathology, and mammography. Rigorous evaluations demonstrate MedImageInsight's ability to achieve state-of-the-art (SOTA) or human expert level performance across classification, image-image search, and fine-tuning tasks. Specifically, on public datasets, MedImageInsight achieves SOTA in CT 3D medical image retrieval, as well as SOTA in disease classification and search for chest X-ray, dermatology, and OCT imaging. Furthermore, MedImageInsight achieves human expert performance in bone age estimation (on both public and partner data), as well as AUC above 0.9 in most other domains. When paired with a text decoder, MedImageInsight achieves near SOTA level single image report findings generation with less than 10\% the parameters of other models. Compared to fine-tuning GPT-4o with only MIMIC-CXR data for the same task, MedImageInsight outperforms in clinical metrics, but underperforms on lexical metrics where GPT-4o sets a new SOTA. Importantly for regulatory purposes, MedImageInsight can generate ROC curves, adjust sensitivity and specificity based on clinical need, and provide evidence-based decision support through image-image search (which can also enable retrieval augmented generation). In an independent clinical evaluation of image-image search in chest X-ray, MedImageInsight outperformed every other publicly available foundation model evaluated by large margins (over 6 points AUC), and significantly outperformed other models in terms of AI fairness (across age and gender). We hope releasing MedImageInsight will help enhance collective progress in medical imaging AI research and development.

  • 31 authors
·
Oct 9, 2024

Does Localization Inform Editing? Surprising Differences in Causality-Based Localization vs. Knowledge Editing in Language Models

Language models learn a great quantity of factual information during pretraining, and recent work localizes this information to specific model weights like mid-layer MLP weights. In this paper, we find that we can change how a fact is stored in a model by editing weights that are in a different location than where existing methods suggest that the fact is stored. This is surprising because we would expect that localizing facts to specific model parameters would tell us where to manipulate knowledge in models, and this assumption has motivated past work on model editing methods. Specifically, we show that localization conclusions from representation denoising (also known as Causal Tracing) do not provide any insight into which model MLP layer would be best to edit in order to override an existing stored fact with a new one. This finding raises questions about how past work relies on Causal Tracing to select which model layers to edit. Next, we consider several variants of the editing problem, including erasing and amplifying facts. For one of our editing problems, editing performance does relate to localization results from representation denoising, but we find that which layer we edit is a far better predictor of performance. Our results suggest, counterintuitively, that better mechanistic understanding of how pretrained language models work may not always translate to insights about how to best change their behavior. Our code is available at https://github.com/google/belief-localization

  • 4 authors
·
Jan 10, 2023

All Languages Matter: Evaluating LMMs on Culturally Diverse 100 Languages

Existing Large Multimodal Models (LMMs) generally focus on only a few regions and languages. As LMMs continue to improve, it is increasingly important to ensure they understand cultural contexts, respect local sensitivities, and support low-resource languages, all while effectively integrating corresponding visual cues. In pursuit of culturally diverse global multimodal models, our proposed All Languages Matter Benchmark (ALM-bench) represents the largest and most comprehensive effort to date for evaluating LMMs across 100 languages. ALM-bench challenges existing models by testing their ability to understand and reason about culturally diverse images paired with text in various languages, including many low-resource languages traditionally underrepresented in LMM research. The benchmark offers a robust and nuanced evaluation framework featuring various question formats, including true/false, multiple choice, and open-ended questions, which are further divided into short and long-answer categories. ALM-bench design ensures a comprehensive assessment of a model's ability to handle varied levels of difficulty in visual and linguistic reasoning. To capture the rich tapestry of global cultures, ALM-bench carefully curates content from 13 distinct cultural aspects, ranging from traditions and rituals to famous personalities and celebrations. Through this, ALM-bench not only provides a rigorous testing ground for state-of-the-art open and closed-source LMMs but also highlights the importance of cultural and linguistic inclusivity, encouraging the development of models that can serve diverse global populations effectively. Our benchmark is publicly available.

  • 69 authors
·
Nov 25, 2024 2

Kosmos: An AI Scientist for Autonomous Discovery

Data-driven scientific discovery requires iterative cycles of literature search, hypothesis generation, and data analysis. Substantial progress has been made towards AI agents that can automate scientific research, but all such agents remain limited in the number of actions they can take before losing coherence, thus limiting the depth of their findings. Here we present Kosmos, an AI scientist that automates data-driven discovery. Given an open-ended objective and a dataset, Kosmos runs for up to 12 hours performing cycles of parallel data analysis, literature search, and hypothesis generation before synthesizing discoveries into scientific reports. Unlike prior systems, Kosmos uses a structured world model to share information between a data analysis agent and a literature search agent. The world model enables Kosmos to coherently pursue the specified objective over 200 agent rollouts, collectively executing an average of 42,000 lines of code and reading 1,500 papers per run. Kosmos cites all statements in its reports with code or primary literature, ensuring its reasoning is traceable. Independent scientists found 79.4% of statements in Kosmos reports to be accurate, and collaborators reported that a single 20-cycle Kosmos run performed the equivalent of 6 months of their own research time on average. Furthermore, collaborators reported that the number of valuable scientific findings generated scales linearly with Kosmos cycles (tested up to 20 cycles). We highlight seven discoveries made by Kosmos that span metabolomics, materials science, neuroscience, and statistical genetics. Three discoveries independently reproduce findings from preprinted or unpublished manuscripts that were not accessed by Kosmos at runtime, while four make novel contributions to the scientific literature.

  • 37 authors
·
Nov 4

A Web-based Mpox Skin Lesion Detection System Using State-of-the-art Deep Learning Models Considering Racial Diversity

The recent 'Mpox' outbreak, formerly known as 'Monkeypox', has become a significant public health concern and has spread to over 110 countries globally. The challenge of clinically diagnosing mpox early on is due, in part, to its similarity to other types of rashes. Computer-aided screening tools have been proven valuable in cases where Polymerase Chain Reaction (PCR) based diagnosis is not immediately available. Deep learning methods are powerful in learning complex data representations, but their efficacy largely depends on adequate training data. To address this challenge, we present the "Mpox Skin Lesion Dataset Version 2.0 (MSLD v2.0)" as a follow-up to the previously released openly accessible dataset, one of the first datasets containing mpox lesion images. This dataset contains images of patients with mpox and five other non-mpox classes (chickenpox, measles, hand-foot-mouth disease, cowpox, and healthy). We benchmark the performance of several state-of-the-art deep learning models, including VGG16, ResNet50, DenseNet121, MobileNetV2, EfficientNetB3, InceptionV3, and Xception, to classify mpox and other infectious skin diseases. In order to reduce the impact of racial bias, we utilize a color space data augmentation method to increase skin color variability during training. Additionally, by leveraging transfer learning implemented with pre-trained weights generated from the HAM10000 dataset, an extensive collection of pigmented skin lesion images, we achieved the best overall accuracy of 83.59pm2.11%. Finally, the developed models are incorporated within a prototype web application to analyze uploaded skin images by a user and determine whether a subject is a suspected mpox patient.

  • 8 authors
·
Jun 25, 2023