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Oct 27

Personalized Cancer Therapy Design: Robustness vs. Optimality

Intermittent Androgen Suppression (IAS) is a treatment strategy for delaying or even preventing time to relapse of advanced prostate cancer. IAS consists of alternating cycles of therapy (in the form of androgen suppression) and off-treatment periods. The level of prostate specific antigen (PSA) in a patient's serum is frequently monitored to determine when the patient will be taken off therapy and when therapy will resume. In spite of extensive recent clinical experience with IAS, the design of an ideal protocol for any given patient remains one of the main challenges associated with effectively implementing this therapy. We use a threshold-based policy for optimal IAS therapy design that is parameterized by lower and upper PSA threshold values and is associated with a cost metric that combines clinically relevant measures of therapy success. We apply Infinitesimal Perturbation Analysis (IPA) to a Stochastic Hybrid Automaton (SHA) model of prostate cancer evolution under IAS and derive unbiased estimators of the cost metric gradient with respect to various model and therapy parameters. These estimators are subsequently used for system analysis. By evaluating sensitivity estimates with respect to several model parameters, we identify critical parameters and demonstrate that relaxing the optimality condition in favor of increased robustness to modeling errors provides an alternative objective to therapy design for at least some patients.

  • 2 authors
·
Mar 2, 2016

Change Point--Aware Evaluation and Re-Calibration of PPG-Based Blood Pressure Estimation

Non-invasive continuous blood pressure (BP) monitoring using photoplethysmography (PPG) is a promising alternative to cuff-based measurements. However, existing PPG-based BP estimation studies predominantly rely on aggregated performance metrics (e.g., mean absolute error) computed over entire evaluation intervals, which can obscure model failures during rapid BP fluctuations and limit clinical relevance. In this work, we propose a fluctuation-aware evaluation framework for PPG-based BP estimation based on time-series change point detection. Instead of heuristic BP thresholding (e.g., ΔBP > 10mmHg), we identify BP change points by capturing abrupt distributional shifts in BP trajectories and evaluate estimation performance specifically during these fluctuation periods. Our analysis shows that several state-of-the-art models exhibit substantial performance degradation around BP change points, and that periodic test-time calibration is insufficient to handle such dynamic BP variations. To address this limitation, we introduce a targeted re-calibration framework triggered by detected BP change points, improving robustness without modifying model architectures. To the best of our knowledge, this is the first systematic evaluation of PPG-based BP estimation from a BP change point perspective, highlighting the importance of fluctuation-aware evaluation and calibration for real-world continuous BP monitoring.

  • 5 authors
·
Aug 18

Don't Judge an LLM Only by Its Activations: Discovering Suppressed Safety Features via Counterfactual Activation Potential

Mechanistic interpretability has emerged as the primary means to understand safety behavior of LLMs. However, existing tools primarily focus on the activating neurons or features of a model. The role of the remaining large set of inactive components is invisible to such methods. This work demonstrates that the inactive set contains safety-critical features that are causally relevant for refusal of harmful prompts. Suppressing such features could turn refusals into compliance, while passing undetected by prevalent interpretability tools. We introduce the Counterfactual Activation Potential (CAP), a metric that quantifies a suppressed feature's latent activation tendency as the product of its encoder alignment (how strongly the input drives it), suppression strength (how strongly active features inhibit it), and safety criticality (how much refusal depends on it). To find suppressed safety features at scale, we propose CAP-guided Safety Feature Discovery (CSFD), a two-stage filtering algorithm that identifies candidate safety features from hundreds of thousands of transcoder features without exhaustive ablation. A significant fraction of trials turn compliant with harmful prompts when a candidate feature is ablated. Under natural jailbreaks, the suppression acting on the highest-CAP features rises 2-4x, and their activation correspondingly falls by up to 80%. Amplifying a feature's suppressors pushes its activation down and raises harmful compliance with prompts related to the suppressed feature, with no such effect for random features. Our experiments span five Gemma, Qwen, and Llama models across various parameter sizes. Our findings indicate that jailbreaks could operate in part by suppressing safety-critical features rather than solely activating harmful ones, and that suppressed features are a necessary complement to activation-focused interpretability of safety behavior.

  • 2 authors
·
Oct 3

Adaptive Alarm Threshold Prediction in 4G Mobile Networks: A Percentile-Guided Deep Learning Framework with Interpretable Outputs

In mobile telecommunications, alarms act as early warning signals. They are triggered when a cell, the basic unit of radio coverage, shuts down or behaves abnormally. This signals a degradation in service quality, which directly affects the customer experience. To fix the issue, operators rely on preset thresholds to decide when an engineer should be sent out. In practice, these thresholds are set manually and remain fixed regardless of the time of day, traffic levels, or overall network conditions. This often leads to serious faults slipping through during busy hours, while minor issues can cause unnecessary callouts when the network is quiet. This paper presents a machine learning framework that automatically predicts four alarm thresholds, audit window duration, inactive time limit, total fluctuation count, and per hour fluctuation limit, from live network behavior. Since no ground truth labels exist for thresholds, we introduce a percentile guided label derivation strategy and evaluate four models on an anonymized dataset of 10,648 cells across three vendors and nine regions from a real 4G network, comprising a Gradient Boosted Trees baseline, a CNN-BiLSTM with attention, the proposed PCTN, and an iTransformer. PCTN performs the best overall with respect to three of the four targets, outperforming a state-of-the-art iTransformer while using 83 percent fewer parameters. Its mixed output heads and dynamic alpha mechanism produce thresholds that are both accurate and interpretable, allowing operators to inspect and adjust the learned policy without retraining. All comparisons are statistically significant at p < 0.001. The framework undergoes daily retraining using new data, which enables the thresholds to constantly adjust to changes in the network.

  • 3 authors
·
Apr 3