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Mar 11

Training Models to Extract Treatment Plans from Clinical Notes Using Contents of Sections with Headings

Objective: Using natural language processing (NLP) to find sentences that state treatment plans in a clinical note, would automate plan extraction and would further enable their use in tools that help providers and care managers. However, as in the most NLP tasks on clinical text, creating gold standard to train and test NLP models is tedious and expensive. Fortuitously, sometimes but not always clinical notes contain sections with a heading that identifies the section as a plan. Leveraging contents of such labeled sections as a noisy training data, we assessed accuracy of NLP models trained with the data. Methods: We used common variations of plan headings and rule-based heuristics to find plan sections with headings in clinical notes, and we extracted sentences from them and formed a noisy training data of plan sentences. We trained Support Vector Machine (SVM) and Convolutional Neural Network (CNN) models with the data. We measured accuracy of the trained models on the noisy dataset using ten-fold cross validation and separately on a set-aside manually annotated dataset. Results: About 13% of 117,730 clinical notes contained treatment plans sections with recognizable headings in the 1001 longitudinal patient records that were obtained from Cleveland Clinic under an IRB approval. We were able to extract and create a noisy training data of 13,492 plan sentences from the clinical notes. CNN achieved best F measures, 0.91 and 0.97 in the cross-validation and set-aside evaluation experiments respectively. SVM slightly underperformed with F measures of 0.89 and 0.96 in the same experiments. Conclusion: Our study showed that the training supervised learning models using noisy plan sentences was effective in identifying them in all clinical notes. More broadly, sections with informal headings in clinical notes can be a good source for generating effective training data.

SALMONN: Towards Generic Hearing Abilities for Large Language Models

Hearing is arguably an essential ability of artificial intelligence (AI) agents in the physical world, which refers to the perception and understanding of general auditory information consisting of at least three types of sounds: speech, audio events, and music. In this paper, we propose SALMONN, a speech audio language music open neural network, built by integrating a pre-trained text-based large language model (LLM) with speech and audio encoders into a single multimodal model. SALMONN enables the LLM to directly process and understand general audio inputs and achieve competitive performances on a number of speech and audio tasks used in training, such as automatic speech recognition and translation, auditory-information-based question answering, emotion recognition, speaker verification, and music and audio captioning etc. SALMONN also has a diverse set of emergent abilities unseen in the training, which includes but is not limited to speech translation to untrained languages, speech-based slot filling, spoken-query-based question answering, audio-based storytelling, and speech audio co-reasoning etc. The presence of the cross-modal emergent abilities is studied, and a novel few-shot activation tuning approach is proposed to activate such abilities of SALMONN. To our knowledge, SALMONN is the first model of its type and can be regarded as a step towards AI with generic hearing abilities. An interactive demo of SALMONN is available at \url{https://github.com/bytedance/SALMONN}, and the training code and model checkpoints will be released upon acceptance.

Hearing Lips: Improving Lip Reading by Distilling Speech Recognizers

Lip reading has witnessed unparalleled development in recent years thanks to deep learning and the availability of large-scale datasets. Despite the encouraging results achieved, the performance of lip reading, unfortunately, remains inferior to the one of its counterpart speech recognition, due to the ambiguous nature of its actuations that makes it challenging to extract discriminant features from the lip movement videos. In this paper, we propose a new method, termed as Lip by Speech (LIBS), of which the goal is to strengthen lip reading by learning from speech recognizers. The rationale behind our approach is that the features extracted from speech recognizers may provide complementary and discriminant clues, which are formidable to be obtained from the subtle movements of the lips, and consequently facilitate the training of lip readers. This is achieved, specifically, by distilling multi-granularity knowledge from speech recognizers to lip readers. To conduct this cross-modal knowledge distillation, we utilize an efficacious alignment scheme to handle the inconsistent lengths of the audios and videos, as well as an innovative filtering strategy to refine the speech recognizer's prediction. The proposed method achieves the new state-of-the-art performance on the CMLR and LRS2 datasets, outperforming the baseline by a margin of 7.66% and 2.75% in character error rate, respectively.

Helping or Herding? Reward Model Ensembles Mitigate but do not Eliminate Reward Hacking

Reward models play a key role in aligning language model applications towards human preferences. However, this setup creates an incentive for the language model to exploit errors in the reward model to achieve high estimated reward, a phenomenon often termed reward hacking. A natural mitigation is to train an ensemble of reward models, aggregating over model outputs to obtain a more robust reward estimate. We explore the application of reward ensembles to alignment at both training time (through reinforcement learning) and inference time (through reranking). First, we show that reward models are underspecified: reward models that perform similarly in-distribution can yield very different rewards when used in alignment, due to distribution shift. Second, underspecification results in overoptimization, where alignment to one reward model does not improve reward as measured by another reward model trained on the same data. Third, overoptimization is mitigated by the use of reward ensembles, and ensembles that vary by their pretraining seeds lead to better generalization than ensembles that differ only by their fine-tuning seeds, with both outperforming individual reward models. However, even pretrain reward ensembles do not eliminate reward hacking: we show several qualitative reward hacking phenomena that are not mitigated by ensembling because all reward models in the ensemble exhibit similar error patterns.

Look Once to Hear: Target Speech Hearing with Noisy Examples

In crowded settings, the human brain can focus on speech from a target speaker, given prior knowledge of how they sound. We introduce a novel intelligent hearable system that achieves this capability, enabling target speech hearing to ignore all interfering speech and noise, but the target speaker. A naive approach is to require a clean speech example to enroll the target speaker. This is however not well aligned with the hearable application domain since obtaining a clean example is challenging in real world scenarios, creating a unique user interface problem. We present the first enrollment interface where the wearer looks at the target speaker for a few seconds to capture a single, short, highly noisy, binaural example of the target speaker. This noisy example is used for enrollment and subsequent speech extraction in the presence of interfering speakers and noise. Our system achieves a signal quality improvement of 7.01 dB using less than 5 seconds of noisy enrollment audio and can process 8 ms of audio chunks in 6.24 ms on an embedded CPU. Our user studies demonstrate generalization to real-world static and mobile speakers in previously unseen indoor and outdoor multipath environments. Finally, our enrollment interface for noisy examples does not cause performance degradation compared to clean examples, while being convenient and user-friendly. Taking a step back, this paper takes an important step towards enhancing the human auditory perception with artificial intelligence. We provide code and data at: https://github.com/vb000/LookOnceToHear.

A New Era in Software Security: Towards Self-Healing Software via Large Language Models and Formal Verification

In this paper we present a novel solution that combines the capabilities of Large Language Models (LLMs) with Formal Verification strategies to verify and automatically repair software vulnerabilities. Initially, we employ Bounded Model Checking (BMC) to locate the software vulnerability and derive a counterexample. The counterexample provides evidence that the system behaves incorrectly or contains a vulnerability. The counterexample that has been detected, along with the source code, are provided to the LLM engine. Our approach involves establishing a specialized prompt language for conducting code debugging and generation to understand the vulnerability's root cause and repair the code. Finally, we use BMC to verify the corrected version of the code generated by the LLM. As a proof of concept, we create ESBMC-AI based on the Efficient SMT-based Context-Bounded Model Checker (ESBMC) and a pre-trained Transformer model, specifically gpt-3.5-turbo, to detect and fix errors in C programs. Our experimentation involved generating a dataset comprising 1000 C code samples, each consisting of 20 to 50 lines of code. Notably, our proposed method achieved an impressive success rate of up to 80% in repairing vulnerable code encompassing buffer overflow and pointer dereference failures. We assert that this automated approach can effectively incorporate into the software development lifecycle's continuous integration and deployment (CI/CD) process.

Do uHear? Validation of uHear App for Preliminary Screening of Hearing Ability in Soundscape Studies

Studies involving soundscape perception often exclude participants with hearing loss to prevent impaired perception from affecting experimental results. Participants are typically screened with pure tone audiometry, the "gold standard" for identifying and quantifying hearing loss at specific frequencies, and excluded if a study-dependent threshold is not met. However, procuring professional audiometric equipment for soundscape studies may be cost-ineffective, and manually performing audiometric tests is labour-intensive. Moreover, testing requirements for soundscape studies may not require sensitivities and specificities as high as that in a medical diagnosis setting. Hence, in this study, we investigate the effectiveness of the uHear app, an iOS application, as an affordable and automatic alternative to a conventional audiometer in screening participants for hearing loss for the purpose of soundscape studies or listening tests in general. Based on audiometric comparisons with the audiometer of 163 participants, the uHear app was found to have high precision (98.04%) when using the World Health Organization (WHO) grading scheme for assessing normal hearing. Precision is further improved (98.69%) when all frequencies assessed with the uHear app is considered in the grading, which lends further support to this cost-effective, automated alternative to screen for normal hearing.