Clinical coding translates medical information from Electronic Health Records (EHRs) into structured codes such as ICD-10, which are essential for healthcare applications. Advances in deep learning and natural language processing have enabled automatic ICD coding models to achieve notable accuracy metrics on in-domain datasets when adequately trained. However, the scarcity of clinical medical texts and the variability across different datasets pose significant challenges, making it difficult for current state-of-the-art models to ensure robust generalization performance across diverse data distributions. Recent advances in Large Language Models (LLMs), such as GPT-4o, have shown great generalization capabilities across general domains and potential in medical information processing tasks. However, their performance in generating clinical codes remains suboptimal. In this study, we propose a novel ICD coding paradigm based on code verification to leverage the capabilities of LLMs. Instead of directly generating accurate codes from a vast code space, we simplify the task by verifying the code assignment from a given candidate set. Through extensive experiments, we demonstrate that LLMs function more effectively as code verifiers rather than code generators, with GPT-4o achieving the best performance on the CodiEsp dataset under zero-shot settings. Furthermore, our results indicate that LLM-based systems can perform on par with state-of-the-art clinical coding systems while offering superior generalizability across institutions, languages, and ICD versions.

Mean ensemble (i.e. averaging predictions from multiple models) is a commonly-used technique in machine learning that improves the performance of each individual model. We formalize it as feature alignment for ensemble in open-set face recognition and generalize it into Bayesian Ensemble Averaging (BEA) through the lens of probabilistic modeling. This generalization brings up two practical benefits that existing methods could not provide: (1) the uncertainty of a face image can be evaluated and further decomposed into aleatoric uncertainty and epistemic uncertainty, the latter of which can be used as a measure for out-of-distribution detection of faceness; (2) a BEA statistic provably reflects the aleatoric uncertainty of a face image, acting as a measure for face image quality to improve recognition performance. To inherit the uncertainty estimation capability from BEA without the loss of inference efficiency, we propose BEA-KD, a student model to distill knowledge from BEA. BEA-KD mimics the overall behavior of ensemble members and consistently outperforms SOTA knowledge distillation methods on various challenging benchmarks.

Knowledge distillation (KD) is a widely-used technique that utilizes large networks to improve the performance of compact models. Previous KD approaches usually aim to guide the student to mimic the teacher's behavior completely in the representation space. However, such one-to-one corresponding constraints may lead to inflexible knowledge transfer from the teacher to the student, especially those with low model capacities. Inspired by the ultimate goal of KD methods, we propose a novel Evaluation-oriented KD method (EKD) for deep face recognition to directly reduce the performance gap between the teacher and student models during training. Specifically, we adopt the commonly used evaluation metrics in face recognition, i.e., False Positive Rate (FPR) and True Positive Rate (TPR) as the performance indicator. According to the evaluation protocol, the critical pair relations that cause the TPR and FPR difference between the teacher and student models are selected. Then, the critical relations in the student are constrained to approximate the corresponding ones in the teacher by a novel rank-based loss function, giving more flexibility to the student with low capacity. Extensive experimental results on popular benchmarks demonstrate the superiority of our EKD over state-of-the-art competitors.

Eye pupil localization is an important part in computer vision applications such as face recognition, gaze estimation and so on. In this paper, we propose an improved method for precise and fast eye pupil localization. Based on gradient boosting decision tree(GBDT) algorithm, a more accurate localization is achieved by increasing the weight of the training samples with larger errors in a moderate rate. Furthermore, a pruning strategy is utilized to avoid overfitting and reduce the localization time without accuracy loss. Experimental results show that the improved method achieves an accuracy of 92.39% at a speed as fast as 1.7ms to locate in the range of eye pupil on BioID database. The proposed method outperforms most state-of-the-art methods in terms of localization accuracy and consumed time.