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Aug 4

Improving Performance, Robustness, and Fairness of Radiographic AI Models with Finely-Controllable Synthetic Data

Achieving robust performance and fairness across diverse patient populations remains a challenge in developing clinically deployable deep learning models for diagnostic imaging. Synthetic data generation has emerged as a promising strategy to address limitations in dataset scale and diversity. We introduce RoentGen-v2, a text-to-image diffusion model for chest radiographs that enables fine-grained control over both radiographic findings and patient demographic attributes, including sex, age, and race/ethnicity. RoentGen-v2 is the first model to generate clinically plausible images with demographic conditioning, facilitating the creation of a large, demographically balanced synthetic dataset comprising over 565,000 images. We use this large synthetic dataset to evaluate optimal training pipelines for downstream disease classification models. In contrast to prior work that combines real and synthetic data naively, we propose an improved training strategy that leverages synthetic data for supervised pretraining, followed by fine-tuning on real data. Through extensive evaluation on over 137,000 chest radiographs from five institutions, we demonstrate that synthetic pretraining consistently improves model performance, generalization to out-of-distribution settings, and fairness across demographic subgroups. Across datasets, synthetic pretraining led to a 6.5% accuracy increase in the performance of downstream classification models, compared to a modest 2.7% increase when naively combining real and synthetic data. We observe this performance improvement simultaneously with the reduction of the underdiagnosis fairness gap by 19.3%. These results highlight the potential of synthetic imaging to advance equitable and generalizable medical deep learning under real-world data constraints. We open source our code, trained models, and synthetic dataset at https://github.com/StanfordMIMI/RoentGen-v2 .

  • 11 authors
·
Aug 22, 2025

PhysicianBench: Evaluating LLM Agents in Real-World EHR Environments

We introduce PhysicianBench, a benchmark for evaluating LLM agents on physician tasks grounded in real clinical setting within electronic health record (EHR) environments. Existing medical agent benchmarks primarily focus on static knowledge recall, single-step atomic actions, or action intent without verifiable execution against the environment. As a result, they fail to capture the long-horizon, composite workflows that characterize real clinical systems. PhysicianBench comprises 100 long-horizon tasks adapted from real consultation cases between primary care and subspecialty physicians, with each task independently reviewed by a separate panel of physicians. Tasks are instantiated in an EHR environment with real patient records and accessed through the same standard APIs used by commercial EHR vendors. Tasks span 21 specialties (e.g., cardiology, endocrinology, oncology, psychiatry) and diverse workflow types (e.g., diagnosis interpretation, medication prescribing, treatment planning), requiring an average of 27 tool calls per task. Solving each task requires retrieving data across encounters, reasoning over heterogeneous clinical information, executing consequential clinical actions, and producing clinical documentation. Each task is decomposed into structured checkpoints (670 in total across the benchmark) capturing distinct stages of completion graded by task-specific scripts with execution-grounded verification. Across 13 proprietary and open-source LLM agents, the best-performing model achieves only 46% success rate (pass@1), while open-source models reach at most 19%, revealing a substantial gap between current agent capabilities and the demands of real-world clinical workflows. PhysicianBench provides a realistic and execution-grounded benchmark for measuring progress toward autonomous clinical agents.

Well-calibrated Confidence Measures for Multi-label Text Classification with a Large Number of Labels

We extend our previous work on Inductive Conformal Prediction (ICP) for multi-label text classification and present a novel approach for addressing the computational inefficiency of the Label Powerset (LP) ICP, arrising when dealing with a high number of unique labels. We present experimental results using the original and the proposed efficient LP-ICP on two English and one Czech language data-sets. Specifically, we apply the LP-ICP on three deep Artificial Neural Network (ANN) classifiers of two types: one based on contextualised (bert) and two on non-contextualised (word2vec) word-embeddings. In the LP-ICP setting we assign nonconformity scores to label-sets from which the corresponding p-values and prediction-sets are determined. Our approach deals with the increased computational burden of LP by eliminating from consideration a significant number of label-sets that will surely have p-values below the specified significance level. This reduces dramatically the computational complexity of the approach while fully respecting the standard CP guarantees. Our experimental results show that the contextualised-based classifier surpasses the non-contextualised-based ones and obtains state-of-the-art performance for all data-sets examined. The good performance of the underlying classifiers is carried on to their ICP counterparts without any significant accuracy loss, but with the added benefits of ICP, i.e. the confidence information encapsulated in the prediction sets. We experimentally demonstrate that the resulting prediction sets can be tight enough to be practically useful even though the set of all possible label-sets contains more than 1e+16 combinations. Additionally, the empirical error rates of the obtained prediction-sets confirm that our outputs are well-calibrated.

  • 6 authors
·
Dec 14, 2023

Greedy Multi-Path Block Verification for Faster Decoding in Speculative Sampling

The goal of L-step speculative decoding is to accelerate autoregressive decoding of a target model by using a cheaper draft model to generate a candidate path of L tokens. Based on a verification algorithm involving target and draft model probabilities, a prefix of the candidate sequence is accepted, and an additional correction token is sampled from a residual distribution to ensure that the final output adheres to the target distribution. While standard speculative decoding uses a verification algorithm which is independent at each token on the path, a recent extension called block verification uses a joint condition involving all sampled on-path probabilities. Block verification (BV) was shown to be optimal over all verification algorithms which use only on-path probabilities, improving on standard speculative decoding. In this work, we first show that block verification is optimal even over verification algorithms that use off-path probabilities, by constructing an information-agnostic linear program (LP). Further, we can extend our LP to the setting where the draft model samples multiple candidate paths, and use it to construct a natural class of multi-path block verification generalizations. While computing the optimal algorithm in this class is not tractable, by considering a stricter class of greedy algorithms, we can formulate an efficient method called greedy multi-path block verification (GBV). Empirically, GBV can improve block efficiency by over 30% and reduce decoding walltimes by over 15% relative to BV. On Llama-3 70B, GBV can improve the end-to-end decoding throughput over SOTA multi-path verification methods by more than 15%.

  • 2 authors
·
Feb 17

Attention, Please! Revisiting Attentive Probing for Masked Image Modeling

As fine-tuning (FT) becomes increasingly impractical at scale, probing is emerging as the preferred evaluation protocol for self-supervised learning (SSL). Yet, the standard linear probing (LP) fails to adequately reflect the potential of models trained with Masked Image Modeling (MIM), due to the distributed nature of patch tokens. This motivates the need for attentive probing, an alternative that uses attention to selectively aggregate patch-level features. Despite its growing adoption, attentive probing remains under-explored, with existing methods suffering from excessive parameterization and poor computational efficiency. In this work, we revisit attentive probing through the lens of the accuracy-efficiency trade-off. We conduct a systematic study of existing methods, analyzing their mechanisms and benchmarking their performance. We introduce efficient probing (EP), a multi-query cross-attention mechanism that eliminates redundant projections, reduces the number of trainable parameters, and achieves up to a 10times speed-up over conventional multi-head attention. Despite its simplicity, EP outperforms LP and prior attentive probing approaches across seven benchmarks, generalizes well beyond MIM to diverse pre-training paradigms, produces interpretable attention maps, and achieves strong gains in low-shot and layer-wise settings. Code available at https://github.com/billpsomas/efficient-probing.

  • 9 authors
·
Jun 11, 2025 2

Multi-mode Pulsations in AGB Stars: Insights from 3D RHD CO5BOLD Simulations

Stars on the AGB can exhibit acoustic pulsation modes of different radial orders, along with non-radial modes. These pulsations are essential to the mass-loss process and influence the evolutionary pathways of AGB stars. P-L relations serve as a valuable diagnostic for understanding stellar evolution along the AGB. 3D RHD simulations provide a powerful tool for investigating pulsation phenomena driven by convective processes and their non-linear coupling with stellar oscillations. We investigate multi-mode pulsations in AGB stars using advanced 3D 'star-in-a-box' simulations with the CO5BOLD code. Signatures of these multi-mode pulsations were weak in our previous 3D models. Our focus is on identifying and characterising the various pulsation modes, examining their persistence and transitions, and comparing the results with 1D model predictions and observational data where applicable. We produced a new model grid comprising AGB stars with current masses of 0.7, 0.8, and 1,M_{odot}. Fourier analysis was applied to dynamic, time-dependent quantities to extract dominant pulsation modes and their corresponding periods. Additionally, wavelet transforms were employed to identify mode-switching behaviour over time. The models successfully reproduce the P-L sequences found in AGB stars. Mode-switching phenomena are found in both the models and wavelet analyses of observational data, allowing us to infer similarities in the underlying pulsation dynamics. These 3D simulations highlight the natural emergence of multi-mode pulsations, including both radial and non-radial modes, driven by the self-consistent interplay of convection and oscillations. Our findings underscore the value of 3D RHD models in capturing the non-linear behaviour of AGB pulsations, providing insights into mode switching, envelope structures, and potential links to episodic mass-loss events.

  • 3 authors
·
Feb 17, 2025

Learn to Rank Risky Investors: A Case Study of Predicting Retail Traders' Behaviour and Profitability

Identifying risky traders with high profits in financial markets is crucial for market makers, such as trading exchanges, to ensure effective risk management through real-time decisions on regulation compliance and hedging. However, capturing the complex and dynamic behaviours of individual traders poses significant challenges. Traditional classification and anomaly detection methods often establish a fixed risk boundary, failing to account for this complexity and dynamism. To tackle this issue, we propose a profit-aware risk ranker (PA-RiskRanker) that reframes the problem of identifying risky traders as a ranking task using Learning-to-Rank (LETOR) algorithms. Our approach features a Profit-Aware binary cross entropy (PA-BCE) loss function and a transformer-based ranker enhanced with a self-cross-trader attention pipeline. These components effectively integrate profit and loss (P&L) considerations into the training process while capturing intra- and inter-trader relationships. Our research critically examines the limitations of existing deep learning-based LETOR algorithms in trading risk management, which often overlook the importance of P&L in financial scenarios. By prioritising P&L, our method improves risky trader identification, achieving an 8.4% increase in F1 score compared to state-of-the-art (SOTA) ranking models like Rankformer. Additionally, it demonstrates a 10%-17% increase in average profit compared to all benchmark models.

  • 2 authors
·
Sep 20, 2025

A New Way: Kronecker-Factored Approximate Curvature Deep Hedging and its Benefits

This paper advances the computational efficiency of Deep Hedging frameworks through the novel integration of Kronecker-Factored Approximate Curvature (K-FAC) optimization. While recent literature has established Deep Hedging as a data-driven alternative to traditional risk management strategies, the computational burden of training neural networks with first-order methods remains a significant impediment to practical implementation. The proposed architecture couples Long Short-Term Memory (LSTM) networks with K-FAC second-order optimization, specifically addressing the challenges of sequential financial data and curvature estimation in recurrent networks. Empirical validation using simulated paths from a calibrated Heston stochastic volatility model demonstrates that the K-FAC implementation achieves marked improvements in convergence dynamics and hedging efficacy. The methodology yields a 78.3% reduction in transaction costs (t = 56.88, p < 0.001) and a 34.4% decrease in profit and loss (P&L) variance compared to Adam optimization. Moreover, the K-FAC-enhanced model exhibits superior risk-adjusted performance with a Sharpe ratio of 0.0401, contrasting with -0.0025 for the baseline model. These results provide compelling evidence that second-order optimization methods can materially enhance the tractability of Deep Hedging implementations. The findings contribute to the growing literature on computational methods in quantitative finance while highlighting the potential for advanced optimization techniques to bridge the gap between theoretical frameworks and practical applications in financial markets.

  • 1 authors
·
Nov 22, 2024

Outsmarting the Chameleon: Counterfactual Decoupling for Tactical OOD Shifts in Live Streaming Risk Assessment

Live streaming has emerged as a primary medium for social interaction and digital commerce, yet it is increasingly plagued by sophisticated risks. A fundamental challenge in this domain is tactical out-of-distribution (OOD) shift: while malicious actors maintain stable underlying objectives, they continuously redesign narrative packaging to evade detection. Such adversarial shifts expose critical limitations of existing OOD generalization paradigms, whose assumptions are difficult to satisfy in the presence of tightly coupled intent-tactic evolution and ill-defined raw-level counterfactuals. In this paper, we tackle this issue from a latent causal perspective and propose Latent-Predictive Counterfactual Decoupling~(LPCD), a plug-in framework for robust live streaming risk assessment. LPCD enables counterfactual reasoning under adversarial tactical re-packaging by modeling intent and narrative variation at the latent level, and enforces latent counterfactual consistency to anchor risk prediction on causally stable malicious intent. At inference time, LPCD applies a lightweight, parameter-free calibration to further mitigate tactic-induced distribution shifts. Extensive experiments on large-scale industrial datasets and online production traffic demonstrate that LPCD consistently outperforms state-of-the-art baselines, validating its effectiveness in moderating evolving adversarial risks in real-world live streaming. The project page is available at https://qiaoyran.github.io/LiveStreamingRiskAssessment/.

  • 6 authors
·
May 31