OBJECTIVES: Patients are increasingly being given direct access to their medical records. However, radiology reports are written for clinicians and typically contain medical jargon, which can be confusing. One solution is for radiologists to provide a "colloquial" version that is accessible to the layperson. Because manually generating these colloquial translations would represent a significant burden for radiologists, a way to automatically produce accurate, accessible patient-facing reports is desired. We propose a novel method to produce colloquial translations of radiology reports by providing specialized prompts to a large language model (LLM). MATERIALS AND METHODS: Our method automatically extracts and defines medical terms and includes their definitions in the LLM prompt. Using our method and a naive strategy, translations were generated at 4 different reading levels for 100 de-identified neuroradiology reports from an academic medical center. Translations were evaluated by a panel of radiologists for accuracy, likability, harm potential, and readability. RESULTS: Our approach translated the Findings and Impression sections at the 8th-grade level with accuracies of 88% and 93%, respectively. Across all grade levels, our approach was 20% more accurate than the baseline method. Overall, translations were more readable than the original reports, as evaluated using standard readability indices. CONCLUSION: We find that our translations at the eighth-grade level strike an optimal balance between accuracy and readability. Notably, this corresponds to nationally recognized recommendations for patient-facing health communication. We believe that using this approach to draft patient-accessible reports will benefit patients without significantly increasing the burden on radiologists.

Attention mechanisms take an expectation of a data representation with respect to probability weights. Recently, (Martins et al. 2020, 2021) proposed continuous attention mechanisms, focusing on unimodal attention densities from the exponential and deformed exponential families: the latter has sparse support. (Farinhas et al 2021) extended this to to multimodality via Gaussian mixture attention densities. In this paper, we extend this to kernel exponential families (Canu and Smola 2006) and our new sparse counterpart, kernel deformed exponential families. Theoretically, we show new existence results for both kernel exponential and deformed exponential families, and that the deformed case has similar approximation capabilities to kernel exponential families. Lacking closed form expressions for the context vector, we use numerical integration: we show exponential convergence for both kernel exponential and deformed exponential families. Experiments show that kernel continuous attention often outperforms unimodal continuous attention, and the sparse variant tends to highlight peaks of time series.

The promise of Mobile Health (mHealth) is the ability to use wearable sensors to monitor participant physiology at high frequencies during daily life to enable temporally-precise health interventions. However, a major challenge is frequent missing data. Despite a rich imputation literature, existing techniques are ineffective for the pulsative signals which comprise many mHealth applications, and a lack of available datasets has stymied progress. We address this gap with PulseImpute, the first large-scale pulsative signal imputation challenge which includes realistic mHealth missingness models, an extensive set of baselines, and clinically-relevant downstream tasks. Our baseline models include a novel transformer-based architecture designed to exploit the structure of pulsative signals. We hope that PulseImpute will enable the ML community to tackle this important and challenging task.

A typical solution for the speech rate estimation consists of two stages, which involves first computing a short-time feature contour such that most of peaks of the contour correspond to the syllable nuclei followed by the detection of the peaks of the contour corresponding to the syllable nuclei. Temporal correlation selected subband correlation (TCSSBC) is often used as a feature contour for the speech rate estimation in which correlation within and across a few selected sub-band energies are computed. In this work, instead of a fixed set of sub-bands, we learn them in a data-driven manner using a dictionary learning approach. Similarly, instead of the energy contours, we use the activation profile from the learned dictionary elements. We found that the peaks detected from the data-driven approach significantly improve the speech rate estimation when combined with the traditional TCSSBC approach using a proposed peak-merging strategy. Experiments are performed separately using Switchboard, TIMIT and CTIMIT corpora. Except Switchboard, the correlation coefficient for the speech rate estimation using the proposed approach is found to be higher than those by the TCSSBC technique - 3.1% and 5.2% (relative) improvements for TIMIT and CTIMIT respectively.