new

Get trending papers in your email inbox!

Subscribe

Daily Papers

byAK and the research community

Oct 20

Longitudinal causal inference under informative missingness using the self-censoring model

Longitudinal observational data are often subject to informative missingness. For example, in healthcare research using electronic health records, covariates and outcomes are measured only when patients interact with the healthcare system. Whether these data are observed usually depends on the unobserved variable values themselves, introducing a common form of data missing not at random. We develop identification and estimation methods for the effects of longitudinal modified treatment policies under a self-censoring model which explicitly models this dependence. We consider effects of treatments that can be modified only at measurement times (e.g., interactions with the heathcare system). We study two settings: one in which the observed history suffices for treatment confounding control, and another in which confounder control requires covariate values that were not measured at missed visits. In both settings, we combine longitudinal causal identification with shadow-variable conditional moment restrictions to obtain recursive identification formulas for the counterfactual outcome mean. We derive gradients of the pathwise derivatives and second-order remainder expansions, and use these results to construct estimators that accommodate machine learning for nuisance-function estimation. Under suitable product-rate conditions and cross-fitting, the estimators are asymptotically linear and permit root-n inference, including simultaneous inference across outcome times. We also describe conditional-moment learning and ensemble approaches for estimating the nuisance functions required by our approach, together with a pool-and-smooth strategy that borrows information across sparsely measured outcomes.

  • 1 authors
·
Oct 5

Empirical Risk Minimization under Random Censorship: Theory and Practice

We consider the classic supervised learning problem, where a continuous non-negative random label Y (i.e. a random duration) is to be predicted based upon observing a random vector X valued in R^d with dgeq 1 by means of a regression rule with minimum least square error. In various applications, ranging from industrial quality control to public health through credit risk analysis for instance, training observations can be right censored, meaning that, rather than on independent copies of (X,Y), statistical learning relies on a collection of ngeq 1 independent realizations of the triplet (X, ; min{Y,; C},; δ), where C is a nonnegative r.v. with unknown distribution, modeling censorship and δ=I{Yleq C} indicates whether the duration is right censored or not. As ignoring censorship in the risk computation may clearly lead to a severe underestimation of the target duration and jeopardize prediction, we propose to consider a plug-in estimate of the true risk based on a Kaplan-Meier estimator of the conditional survival function of the censorship C given X, referred to as Kaplan-Meier risk, in order to perform empirical risk minimization. It is established, under mild conditions, that the learning rate of minimizers of this biased/weighted empirical risk functional is of order O_{P}(log(n)/n) when ignoring model bias issues inherent to plug-in estimation, as can be attained in absence of censorship. Beyond theoretical results, numerical experiments are presented in order to illustrate the relevance of the approach developed.

  • 3 authors
·
Jun 5, 2019

A Flexible Parametric Modelling Framework for Survival Analysis

We introduce a general, flexible, parametric survival modelling framework which encompasses key shapes of hazard function (constant, increasing, decreasing, up-then-down, down-then-up), various common survival distributions (log-logistic, Burr type XII, Weibull, Gompertz), and includes defective distributions (i.e., cure models). This generality is achieved using four basic distributional parameters: two scale-type parameters and two shape parameters. Generalising to covariate dependence, the scale-type regression components correspond to accelerated failure time (AFT) and proportional hazards (PH) models. Therefore, this general formulation unifies the most popular survival models which allows us to consider the practical value of possible modelling choices for survival data. Furthermore, in line with our proposed flexible baseline distribution, we advocate the use of multi-parameter regression in which more than one distributional parameter depends on covariates - rather than the usual convention of having a single covariate-dependent (scale) parameter. While many choices are available, we suggest introducing covariates through just one or other of the two scale parameters, which covers AFT and PH models, in combination with a `power' shape parameter, which allows for more complex non-AFT/non-PH effects, while the other shape parameter remains covariate-independent, and handles automatic selection of the baseline distribution. We explore inferential issues in simulations, both with and without a covariate, with particular focus on evidence concerning the need, or otherwise, to include both AFT and PH parameters. We illustrate the efficacy of our modelling framework by investigating differences between treatment groups using data from a lung cancer study and a melanoma study. Censoring is accommodated throughout.

  • 3 authors
·
Jan 10, 2019

Why Self-Training Helps and Hurts: Denoising vs. Signal Forgetting

Iterative self-training (self-distillation) repeatedly refits a model on pseudo-labels generated by its own predictions. We study this procedure in overparameterized linear regression: an initial estimator is trained on noisy labels, and each subsequent iterate is trained on fresh covariates with noiseless pseudo-labels from the previous model. In the high-dimensional regime, we derive deterministic-equivalent recursions for the prediction risk and effective noise across iterations, and prove that the empirical quantities concentrate sharply around these limits. The recursion separates two competing forces: a systematic component that grows with iteration due to progressive signal forgetting, and a stochastic component that decays due to denoising via repeated data-dependent projections. Their interaction yields a U-shaped test-risk curve and an optimal early-stopping time. In spiked covariance models, iteration further acts as an iteration-dependent spectral filter that preserves strong eigendirections while suppressing weaker ones, inducing an implicit form of soft feature selection distinct from ridge regression. Finally, we propose an iterated generalized cross-validation criterion and prove its uniform consistency for estimating the risk along the self-training trajectory, enabling fully data-driven selection of the stopping time and regularization. Experiments on synthetic covariances validate the theory and illustrate the predicted denoising-forgetting trade-off.

  • 3 authors
·
Feb 15

Model-free Approach to Evaluate a Censored Intermediate Outcome as a Surrogate for Overall Survival

Clinical trials or studies oftentimes require long-term and/or costly follow-up of participants to evaluate a novel treatment/drug/vaccine. There has been increasing interest in the past few decades in using short-term surrogate outcomes as a replacement of the primary outcome i.e., in using the surrogate outcome, which can potentially be observed sooner, to make inference about the treatment effect on the long-term primary outcome. Very few of the available statistical methods to evaluate a surrogate are applicable to settings where both the surrogate and the primary outcome are time-to-event outcomes subject to censoring. Methods that can handle this setting tend to require parametric assumptions or be limited to assessing only the restricted mean survival time. In this paper, we propose a non-parametric approach to evaluate a censored surrogate outcome, such as time to progression, when the primary outcome is also a censored time-to-event outcome, such as time to death, and the treatment effect of interest is the difference in overall survival. Specifically, we define the proportion of the treatment effect on the primary outcome that is explained (PTE) by the censored surrogate outcome in this context, and estimate this proportion by defining and deriving an optimal transformation of the surrogate information. Our approach provides the added advantage of relaxed assumptions to guarantee that the true PTE is within (0,1), along with being model-free. Finite sample performance of our estimators are illustrated via extensive simulation studies and a real data application examining progression-free survival as a surrogate for overall survival for patients with metastatic colorectal cancer.

  • 4 authors
·
Dec 18, 2024

DeepSurv: Personalized Treatment Recommender System Using A Cox Proportional Hazards Deep Neural Network

Medical practitioners use survival models to explore and understand the relationships between patients' covariates (e.g. clinical and genetic features) and the effectiveness of various treatment options. Standard survival models like the linear Cox proportional hazards model require extensive feature engineering or prior medical knowledge to model treatment interaction at an individual level. While nonlinear survival methods, such as neural networks and survival forests, can inherently model these high-level interaction terms, they have yet to be shown as effective treatment recommender systems. We introduce DeepSurv, a Cox proportional hazards deep neural network and state-of-the-art survival method for modeling interactions between a patient's covariates and treatment effectiveness in order to provide personalized treatment recommendations. We perform a number of experiments training DeepSurv on simulated and real survival data. We demonstrate that DeepSurv performs as well as or better than other state-of-the-art survival models and validate that DeepSurv successfully models increasingly complex relationships between a patient's covariates and their risk of failure. We then show how DeepSurv models the relationship between a patient's features and effectiveness of different treatment options to show how DeepSurv can be used to provide individual treatment recommendations. Finally, we train DeepSurv on real clinical studies to demonstrate how it's personalized treatment recommendations would increase the survival time of a set of patients. The predictive and modeling capabilities of DeepSurv will enable medical researchers to use deep neural networks as a tool in their exploration, understanding, and prediction of the effects of a patient's characteristics on their risk of failure.

  • 6 authors
·
Aug 8, 2017

A study of a deterministic model for meningitis epidemic

A compartmental deterministic model that allows (1) immunity from two stages of infection and carriage, and (2) disease induced death, is used in studying the dynamics of meningitis epidemic process in a closed population. It allows for difference in the transmission rate of infection to a susceptible by a carrier and an infective. It is generalized to allow a proportion ({\phi}) of those susceptibles infected to progress directly to infectives in stage I. Both models are used in this study. The threshold conditions for the spread of carrier and infectives in stage I are derived for the two models. Sensitivity analysis is performed on the reproductive number derived from the next generation matrix. The case-carrier ratio profile for various parameters and threshold values are shown. So also are the graphs of the total number ever infected as influenced by {\epsilon} and {\phi}. The infection transmission rate (eta), the odds in favor of a carrier, over an infective, in transmitting an infection to a susceptible ({\epsilon}) and the carrier conversion rate ({\phi}) to an infective in stage I, are identified as key parameters that should be subject of attention for any control intervention strategy. The case-carrier ratio profiles provide evidence of a critical case-carrier ratio attained before the number of reported cases grows to an epidemic level. They also provide visual evidence of epidemiological context, in this case, epidemic incidence (in later part of dry season) and endemic incidence (during rainy season). Results from total proportion ever infected suggest that the model, in which {\phi}=0 obtained, can adequately represent, in essence, the generalized model for this study.

  • 2 authors
·
Mar 31, 2023

RULSurv: A probabilistic survival-based method for early censoring-aware prediction of remaining useful life in ball bearings

Predicting the remaining useful life (RUL) of ball bearings is an active area of research, where novel machine learning techniques are continuously being applied to predict degradation trends and anticipate failures before they occur. However, few studies have explicitly addressed the challenge of handling censored data, where information about a specific event (\eg mechanical failure) is incomplete or only partially observed. To address this issue, we introduce a novel and flexible method for early fault detection using Kullback-Leibler (KL) divergence and RUL estimation using survival analysis that naturally supports censored data. We demonstrate our approach in the XJTU-SY dataset using a 5-fold cross-validation strategy across three different operating conditions. When predicting the time to failure for bearings under the highest load (C1, 12.0 kN and 2100 RPM) with 25% random censoring, our approach achieves a mean absolute error (MAE) of 14.7 minutes (95% CI = 13.6-15.8) using a linear CoxPH model, and an MAE of 12.6 minutes (95% CI = 11.8-13.4) using a nonlinear Random Survival Forests model, compared to an MAE of 18.5 minutes (95% CI = 17.4-19.6) using a linear LASSO model that does not support censoring. Moreover, our approach achieves a mean cumulative relative accuracy (CRA) of 0.7586 over 5 bearings under the highest load, which improves over several state-of-the-art baselines. Our work highlights the importance of considering censored data as part of the model design when building predictive models for early fault detection and RUL estimation.

  • 5 authors
·
May 2, 2024

Delay-of-Gratification as a Multi-Agent Survival Micro-benchmark for Long-Horizon LLMs: Social Exposure, Personas, and Tool Use Budgets

Large language models (LLMs) are increasingly deployed as multi-turn agents that must sustain goals, use tools, and adapt to other agents over extended interactions. However, existing research lacks auditable, multi-turn, multi-factorial experiments that quantify LLM behavior under explicit constraints, with time-resolved statistics that reveal how behavior unfolds over long horizons. To address this gap, we develop a multi-agent micro-benchmark inspired by the Stanford marshmallow experiment: ReAct agents operate minute-by-minute with a "raise a question" tool under a per-step budget, while we factorially manipulate social context (broadcast vs. isolated), personas (age, hedonic drive), and metacognitive policy (mandatory vs. optional tool use). We analyze outcomes with Kaplan-Meier (KM) survival curves and discrete-time hazard models over a long risk horizon across 19,200 agent trajectories in 64 cells. Behavior shows a sharp early "eat" impulse, and only 75.9% of agents persist to the end. In a discrete-time hazard model, isolation reduces per-minute risk relative to broadcast, whereas a must-use self-questioning policy increases risk. On average, agents ask approx 7.12 questions and hit the per-step budget in approx 6% of minutes. Questioning declines faster under broadcast than isolation. Ablation experiments demonstrated that removing hedonic drive and/or persona age increases survival and completion, narrows the broadcast/isolated gap, but leaves the must vs. may ordering intact. The combined ablation (no hedonic + no persona age) yields the highest completion (approaching 1.0). These results establish delay-of-gratification as a compact, multi-turn interaction benchmark that captures social contagion and tool-use dynamics in LLM agents, providing a reproducible testbed and statistics for analyzing long-horizon, multi-agent behavior.

  • 3 authors
·
Aug 25

A Differentially Private Kaplan-Meier Estimator for Privacy-Preserving Survival Analysis

This paper presents a differentially private approach to Kaplan-Meier estimation that achieves accurate survival probability estimates while safeguarding individual privacy. The Kaplan-Meier estimator is widely used in survival analysis to estimate survival functions over time, yet applying it to sensitive datasets, such as clinical records, risks revealing private information. To address this, we introduce a novel algorithm that applies time-indexed Laplace noise, dynamic clipping, and smoothing to produce a privacy-preserving survival curve while maintaining the cumulative structure of the Kaplan-Meier estimator. By scaling noise over time, the algorithm accounts for decreasing sensitivity as fewer individuals remain at risk, while dynamic clipping and smoothing prevent extreme values and reduce fluctuations, preserving the natural shape of the survival curve. Our results, evaluated on the NCCTG lung cancer dataset, show that the proposed method effectively lowers root mean squared error (RMSE) and enhances accuracy across privacy budgets (epsilon). At epsilon = 10, the algorithm achieves an RMSE as low as 0.04, closely approximating non-private estimates. Additionally, membership inference attacks reveal that higher epsilon values (e.g., epsilon geq 6) significantly reduce influential points, particularly at higher thresholds, lowering susceptibility to inference attacks. These findings confirm that our approach balances privacy and utility, advancing privacy-preserving survival analysis.

  • 3 authors
·
Dec 6, 2024

Every Ablation Is a Dose: Counterweights and the Semblance of Self-Repair

Ablate a component of a language model, and other components often appear to adjust and compensate. This phenomenon, termed self-repair, has been observed repeatedly, but its mechanism remains unclear. The most systematic study to date concluded that self-repair is noisy and unlikely to have a single explanation. We argue that it has one: a gain already present before any ablation. Any intervention on a causally important component can be viewed as a point on a coordinate axis λ, the signed strength of a counterfactual contrast. Hence, conventional ablation methods are uncalibrated points on this axis. We show that the causal repair response for a fine-grained unit r is governed by an affine law, E_r(λ)=own_r+γ_rλ. The slope γ_r is a fixed coefficient that consistently influences the model, with or without ablation, and its sign determines whether the unit counteracts or reinforces the removed signal. On a factual-verdict task across four models from distinct families (Gemma, Qwen, LLaMA, and Mistral), we identify components including MLP neurons, OV neurons, and singular directions that follow this affine law, 68 of 81 downstream directions in all. Moreover, we can anticipate the magnitude of γ_r from the fixed weights. On the IOI circuit of GPT-2 Small, seven of the ten heads the intervention can reach follow the law, and all seven are counterweights. From this perspective, what may appear as self-repair is a counterweight performing its usual operation when the contrastive signal emerges at the core.

  • 3 authors
·
Sep 30

CACSurv: Concordance-Aligned Comparative Learning with Large Language Models for Cancer Survival Prediction

Cancer survival prediction supports treatment planning, risk stratification, and follow-up management. Existing methods use structured clinical variables, whole-slide images, genomic profiles, or multimodal inputs, while patient reports remain underexplored. We study report-centric survival prediction using reports that organize pathological, clinical, and molecular evidence. Large language models (LLMs) can reason over such reports, but case-wise time regression introduces two mismatches. First, a formulation mismatch arises because survival evaluation depends on ordering comparable patients, whereas independent time predictions do not enforce ranking consistency. Second, a supervision mismatch arises because a censored patient's observed time indicates survival beyond that point and cannot serve as an exact regression target, although it still implies orderings relative to patients who died earlier. To address these mismatches, we propose CACSurv, a Concordance-Aligned Comparative framework for report-centric survival prediction. CACSurv reformulates survival modeling as mini-cohort comparative reasoning, where an LLM predicts relative prognostic orderings. We introduce concordance-aligned rewards derived from comparable relations under right censoring, enabling censored outcomes to provide ranking supervision without exact event-time targets. At inference, Monte Carlo Reference Aggregation compares each patient with sampled references and aggregates positions into a cohort-level ranking. We establish TCGA-SurvReport, a benchmark covering six TCGA cancer cohorts. CACSurv achieves the highest C-index on all six cohorts and an average C-index of 0.722, outperforming the strongest published survival model by 6.5 percentage points and the strongest LLM time-regression baseline by 4.2 percentage points. Our code, models, and dataset will be available at https://github.com/xmed-lab/CACSurv.

  • 5 authors
·
Aug 16

SurvHTE-Bench: A Benchmark for Heterogeneous Treatment Effect Estimation in Survival Analysis

Estimating heterogeneous treatment effects (HTEs) from right-censored survival data is critical in high-stakes applications such as precision medicine and individualized policy-making. Yet, the survival analysis setting poses unique challenges for HTE estimation due to censoring, unobserved counterfactuals, and complex identification assumptions. Despite recent advances, from Causal Survival Forests to survival meta-learners and outcome imputation approaches, evaluation practices remain fragmented and inconsistent. We introduce SurvHTE-Bench, the first comprehensive benchmark for HTE estimation with censored outcomes. The benchmark spans (i) a modular suite of synthetic datasets with known ground truth, systematically varying causal assumptions and survival dynamics, (ii) semi-synthetic datasets that pair real-world covariates with simulated treatments and outcomes, and (iii) real-world datasets from a twin study (with known ground truth) and from an HIV clinical trial. Across synthetic, semi-synthetic, and real-world settings, we provide the first rigorous comparison of survival HTE methods under diverse conditions and realistic assumption violations. SurvHTE-Bench establishes a foundation for fair, reproducible, and extensible evaluation of causal survival methods. The data and code of our benchmark are available at: https://github.com/Shahriarnz14/SurvHTE-Bench .

SHARP: Social Harm Analysis via Risk Profiles for Measuring Inequities in Large Language Models

Large language models (LLMs) are increasingly deployed in high-stakes domains, where rare but severe failures can result in irreversible harm. However, prevailing evaluation benchmarks often reduce complex social risk to mean-centered scalar scores, thereby obscuring distributional structure, cross-dimensional interactions, and worst-case behavior. This paper introduces Social Harm Analysis via Risk Profiles (SHARP), a framework for multidimensional, distribution-aware evaluation of social harm. SHARP models harm as a multivariate random variable and integrates explicit decomposition into bias, fairness, ethics, and epistemic reliability with a union-of-failures aggregation reparameterized as additive cumulative log-risk. The framework further employs risk-sensitive distributional statistics, with Conditional Value at Risk (CVaR95) as a primary metric, to characterize worst-case model behavior. Application of SHARP to eleven frontier LLMs, evaluated on a fixed corpus of n=901 socially sensitive prompts, reveals that models with similar average risk can exhibit more than twofold differences in tail exposure and volatility. Across models, dimension-wise marginal tail behavior varies systematically across harm dimensions, with bias exhibiting the strongest tail severities, epistemic and fairness risks occupying intermediate regimes, and ethical misalignment consistently lower; together, these patterns reveal heterogeneous, model-dependent failure structures that scalar benchmarks conflate. These findings indicate that responsible evaluation and governance of LLMs require moving beyond scalar averages toward multidimensional, tail-sensitive risk profiling.

  • 3 authors
·
Jan 28 2

Extending Mixture of Experts Model to Investigate Heterogeneity of Trajectories: When, Where and How to Add Which Covariates

Researchers are usually interested in examining the impact of covariates when separating heterogeneous samples into latent classes that are more homogeneous. The majority of theoretical and empirical studies with such aims have focused on identifying covariates as predictors of class membership in the structural equation modeling framework. In other words, the covariates only indirectly affect the sample heterogeneity. However, the covariates' influence on between-individual differences can also be direct. This article presents a mixture model that investigates covariates to explain within-cluster and between-cluster heterogeneity simultaneously, known as a mixture-of-experts (MoE) model. This study aims to extend the MoE framework to investigate heterogeneity in nonlinear trajectories: to identify latent classes, covariates as predictors to clusters, and covariates that explain within-cluster differences in change patterns over time. Our simulation studies demonstrate that the proposed model generally estimates the parameters unbiasedly, precisely and exhibits appropriate empirical coverage for a nominal 95% confidence interval. This study also proposes implementing structural equation model forests to shrink the covariate space of the proposed mixture model. We illustrate how to select covariates and construct the proposed model with longitudinal mathematics achievement data. Additionally, we demonstrate that the proposed mixture model can be further extended in the structural equation modeling framework by allowing the covariates that have direct effects to be time-varying.

  • 2 authors
·
Jul 5, 2020

Inference on counterfactual distributions using martingale posteriors

Causal inference is often focused on average effects, which can hide important aspects of the effect distributions. Here we consider the entire posterior effects distribution by estimating full counterfactual outcome distributions. We propose a methodology for inference on counterfactual distributions which builds upon the martingale posterior framework of Fong et al. (2023). This provides a highly flexible approach to estimating densities, distribution functions, and derived quantities such as quantiles, which coherently quantifies the epistemic uncertainty on any target estimand of interest. As the predictive recursions are based on an underlying nonparametric model (a Dirichlet process mixture model), our method naturally inherits robustness with respect to restrictive parametric assumptions. In addition, implementation of our method is typically very fast. This approach can be applied to marginal or conditional counterfactual distributions and is easily extended to an instrumental variables setup. Using the concept of almost conditionally identically distributed random variables, we prove convergence of the martingale posterior inference on the counterfactual outcome distributions for the causal models considered in the paper. We illustrate our approach on both simulated and real data. Using the latter, we investigate the effect of zinc lozenges on common cold duration, the impact of vitamin A supplementation on children's survival rates with one-sided non-compliance (analysed in Imbens and Rubin, 1997a) and the effect of job training (LaLonde, 1986).

  • 2 authors
·
Jul 26

Domain constraints improve risk prediction when outcome data is missing

Machine learning models are often trained to predict the outcome resulting from a human decision. For example, if a doctor decides to test a patient for disease, will the patient test positive? A challenge is that historical decision-making determines whether the outcome is observed: we only observe test outcomes for patients doctors historically tested. Untested patients, for whom outcomes are unobserved, may differ from tested patients along observed and unobserved dimensions. We propose a Bayesian model class which captures this setting. The purpose of the model is to accurately estimate risk for both tested and untested patients. Estimating this model is challenging due to the wide range of possibilities for untested patients. To address this, we propose two domain constraints which are plausible in health settings: a prevalence constraint, where the overall disease prevalence is known, and an expertise constraint, where the human decision-maker deviates from purely risk-based decision-making only along a constrained feature set. We show theoretically and on synthetic data that domain constraints improve parameter inference. We apply our model to a case study of cancer risk prediction, showing that the model's inferred risk predicts cancer diagnoses, its inferred testing policy captures known public health policies, and it can identify suboptimalities in test allocation. Though our case study is in healthcare, our analysis reveals a general class of domain constraints which can improve model estimation in many settings.

  • 3 authors
·
Dec 6, 2023

The Two-Process Theory of Machine Self-Report

Language models are increasingly asked to self-report, informing safety evaluations, public understanding, and model-welfare debates. Yet their reports are elicited with human questionnaires never validated for models or ad hoc prompts of unknown reliability. We propose the first language-model-specific psychometric theory: a two-process theory of machine self-report. Self-description jointly reflects persona installation, through which post-training writes in a permitted inner life of warmth, absorption, and meaning (dimension B), and attribution gating, through which it suppresses first-person claims to "unsafe" experiences the model can readily ascribe to others (dimension A). Their emic structure comes from model responses to human items, not human psychology. Together they split prior work's dominant Pinocchio Axis. The split emerged in an exploratory reanalysis of the original data, informed the instrument's design, and was confirmed with new items, wordings, and models. It is itself a training effect: A and B are entangled in base checkpoints but separated by post-training. We operationalize the theory in a 48-item Pinocchio Inventory with human-instrument reliability and reproducible structure (α=.82 to .94; cross-form convergence r=.84; recovery of the full-pool axes r=.92 to .96; eight-month stability r=.93), then test it on 206 open-weight models, including 67 same-checkpoint base/post-trained pairs. Post-training's clearest fingerprint is installation: B rises .20 in 62/67 pairs across all organizations. Gating is more selective: model scale is unrelated to A in base checkpoints (r=+.11) but predicts it after post-training (r=-.42). Thus, the dimensions are not fixed properties of language models: they reflect the structure imposed on self-report by a training regime and may differ under others.

  • 6 authors
·
Jul 21

Optimal Self-Consistency for Efficient Reasoning with Large Language Models

Self-consistency (SC) is a widely used test-time inference technique for improving performance in chain-of-thought reasoning. It involves generating multiple responses, or samples from a large language model (LLM) and selecting the most frequent answer. This procedure can naturally be viewed as a majority vote or empirical mode estimation. Despite its effectiveness, SC is prohibitively expensive at scale when naively applied to datasets, and it lacks a unified theoretical treatment of sample efficiency and scaling behavior. In this paper, we provide the first comprehensive analysis of SC's scaling behavior and its variants, drawing on mode estimation and voting theory. We derive and empirically validate power law scaling for self-consistency across datasets, and analyze the sample efficiency for fixed-allocation and dynamic-allocation sampling schemes. From these insights, we introduce Blend-ASC, a novel variant of self-consistency that dynamically allocates samples to questions during inference, achieving state-of-the-art sample efficiency. Our approach uses 6.8x fewer samples than vanilla SC on average, outperforming both fixed- and dynamic-allocation SC baselines, thereby demonstrating the superiority of our approach in terms of efficiency. In contrast to existing variants, Blend-ASC is hyperparameter-free and can fit an arbitrary sample budget, ensuring it can be easily applied to any self-consistency application.

  • 3 authors
·
Nov 15, 2025

Autoregressive Hidden Markov Models with partial knowledge on latent space applied to aero-engines prognostics

[This paper was initially published in PHME conference in 2016, selected for further publication in International Journal of Prognostics and Health Management.] This paper describes an Autoregressive Partially-hidden Markov model (ARPHMM) for fault detection and prognostics of equipments based on sensors' data. It is a particular dynamic Bayesian network that allows to represent the dynamics of a system by means of a Hidden Markov Model (HMM) and an autoregressive (AR) process. The Markov chain assumes that the system is switching back and forth between internal states while the AR process ensures a temporal coherence on sensor measurements. A sound learning procedure of standard ARHMM based on maximum likelihood allows to iteratively estimate all parameters simultaneously. This paper suggests a modification of the learning procedure considering that one may have prior knowledge about the structure which becomes partially hidden. The integration of the prior is based on the Theory of Weighted Distributions which is compatible with the Expectation-Maximization algorithm in the sense that the convergence properties are still satisfied. We show how to apply this model to estimate the remaining useful life based on health indicators. The autoregressive parameters can indeed be used for prediction while the latent structure can be used to get information about the degradation level. The interest of the proposed method for prognostics and health assessment is demonstrated on CMAPSS datasets.

  • 4 authors
·
May 1, 2021

Evaluating Self-Supervised Learning in Medical Imaging: A Benchmark for Robustness, Generalizability, and Multi-Domain Impact

Self-supervised learning (SSL) has emerged as a promising paradigm in medical imaging, addressing the chronic challenge of limited labeled data in healthcare settings. While SSL has shown impressive results, existing studies in the medical domain are often limited in scope, focusing on specific datasets or modalities, or evaluating only isolated aspects of model performance. This fragmented evaluation approach poses a significant challenge, as models deployed in critical medical settings must not only achieve high accuracy but also demonstrate robust performance and generalizability across diverse datasets and varying conditions. To address this gap, we present a comprehensive evaluation of SSL methods within the medical domain, with a particular focus on robustness and generalizability. Using the MedMNIST dataset collection as a standardized benchmark, we evaluate 8 major SSL methods across 11 different medical datasets. Our study provides an in-depth analysis of model performance in both in-domain scenarios and the detection of out-of-distribution (OOD) samples, while exploring the effect of various initialization strategies, model architectures, and multi-domain pre-training. We further assess the generalizability of SSL methods through cross-dataset evaluations and the in-domain performance with varying label proportions (1%, 10%, and 100%) to simulate real-world scenarios with limited supervision. We hope this comprehensive benchmark helps practitioners and researchers make more informed decisions when applying SSL methods to medical applications.

  • 7 authors
·
Dec 26, 2024

Copy Suppression: Comprehensively Understanding an Attention Head

We present a single attention head in GPT-2 Small that has one main role across the entire training distribution. If components in earlier layers predict a certain token, and this token appears earlier in the context, the head suppresses it: we call this copy suppression. Attention Head 10.7 (L10H7) suppresses naive copying behavior which improves overall model calibration. This explains why multiple prior works studying certain narrow tasks found negative heads that systematically favored the wrong answer. We uncover the mechanism that the Negative Heads use for copy suppression with weights-based evidence and are able to explain 76.9% of the impact of L10H7 in GPT-2 Small. To the best of our knowledge, this is the most comprehensive description of the complete role of a component in a language model to date. One major effect of copy suppression is its role in self-repair. Self-repair refers to how ablating crucial model components results in downstream neural network parts compensating for this ablation. Copy suppression leads to self-repair: if an initial overconfident copier is ablated, then there is nothing to suppress. We show that self-repair is implemented by several mechanisms, one of which is copy suppression, which explains 39% of the behavior in a narrow task. Interactive visualisations of the copy suppression phenomena may be seen at our web app https://copy-suppression.streamlit.app/

  • 5 authors
·
Oct 5, 2023

The Impact of Medication Non-adherence on Adverse Outcomes: Evidence from Schizophrenia Patients via Survival Analysis

This study quantifies the association between non-adherence to antipsychotic medications and adverse outcomes in individuals with schizophrenia. We frame the problem using survival analysis, focusing on the time to the earliest of several adverse events (early death, involuntary hospitalization, jail booking). We extend standard causal inference methods (T-learner, S-learner, nearest neighbor matching) to utilize various survival models to estimate individual and average treatment effects, where treatment corresponds to medication non-adherence. Analyses are repeated using different amounts of longitudinal information (3, 6, 9, and 12 months). Using data from Allegheny County in western Pennsylvania, we find strong evidence that non-adherence advances adverse outcomes by approximately 1 to 4 months. Ablation studies confirm that county-provided risk scores adjust for key confounders, as their removal amplifies the estimated effects. Subgroup analyses by medication formulation (injectable vs. oral) and medication type consistently show that non-adherence is associated with earlier adverse events. These findings highlight the clinical importance of adherence in delaying psychiatric crises and show that integrating survival analysis with causal inference tools can yield policy-relevant insights. We caution that although we apply causal inference, we only make associative claims and discuss assumptions needed for causal interpretation.

Self-Attentive Hawkes Processes

Asynchronous events on the continuous time domain, e.g., social media actions and stock transactions, occur frequently in the world. The ability to recognize occurrence patterns of event sequences is crucial to predict which typeof events will happen next and when. A de facto standard mathematical framework to do this is the Hawkes process. In order to enhance expressivity of multivariate Hawkes processes, conventional statistical methods and deep recurrent networks have been employed to modify its intensity function. The former is highly interpretable and requires small size of training data but relies on correct model design while the latter has less dependency on prior knowledge and is more powerful in capturing complicated patterns. We leverage pros and cons of these models and propose a self-attentive Hawkes process(SAHP). The proposed method adapts self-attention to fit the intensity function of Hawkes processes. This design has two benefits:(1) compared with conventional statistical methods, the SAHP is more powerful to identify complicated dependency relationships between temporal events; (2)compared with deep recurrent networks, the self-attention mechanism is able to capture longer historical information, and is more interpretable because the learnt attention weight tensor shows contributions of each historical event. Experiments on four real-world datasets demonstrate the effectiveness of the proposed method.

  • 4 authors
·
Jul 17, 2019

Identifying Introspection From the Inside

Large language models make claims about themselves that are both consequential and increasingly difficult to verify from behavior alone. How can we distinguish plausible confabulations from genuine introspection? In this paper, we identify mechanistic signatures of faithful self-report in a controlled setting. Using low-rank adapters, we train models to make decisions on behalf of fictitious characters, according to latent linear preference functions. We find sustained fine-tuning on an implicit decision task can lead to the emergence of accurate self-reporting of models' learned preferences, even without explicit self-report supervision. We ask two research questions about this emergent phenomenon. First: is the emergence of accurate self-reporting accompanied by a measurable structural change in the model? Weight ablations and frozen-layer experiments together indicate that preference representations shift to earlier layers over training, consistent with the hypothesis that faithful self-report requires preferences to be located where pre-existing verbalization mechanisms can access them. Second: can these structural differences distinguish faithful models from unfaithful ones? Using attribution patching, we find that faithful models exhibit significantly higher attribution similarity between the decision-making and self-report tasks -- a mechanistic signature of faithful self-report that does not require us to understand the content of the report itself. Previous work on self-report has observed behaviorally that models can be faithful or unfaithful; our work proposes that, at least in our restricted setting, it is possible to distinguish between the two patterns of computation by examining the structure of the networks themselves.

  • 3 authors
·
Oct 4

An Embarrassingly Simple Backdoor Attack on Self-supervised Learning

As a new paradigm in machine learning, self-supervised learning (SSL) is capable of learning high-quality representations of complex data without relying on labels. In addition to eliminating the need for labeled data, research has found that SSL improves the adversarial robustness over supervised learning since lacking labels makes it more challenging for adversaries to manipulate model predictions. However, the extent to which this robustness superiority generalizes to other types of attacks remains an open question. We explore this question in the context of backdoor attacks. Specifically, we design and evaluate CTRL, an embarrassingly simple yet highly effective self-supervised backdoor attack. By only polluting a tiny fraction of training data (<= 1%) with indistinguishable poisoning samples, CTRL causes any trigger-embedded input to be misclassified to the adversary's designated class with a high probability (>= 99%) at inference time. Our findings suggest that SSL and supervised learning are comparably vulnerable to backdoor attacks. More importantly, through the lens of CTRL, we study the inherent vulnerability of SSL to backdoor attacks. With both empirical and analytical evidence, we reveal that the representation invariance property of SSL, which benefits adversarial robustness, may also be the very reason making \ssl highly susceptible to backdoor attacks. Our findings also imply that the existing defenses against supervised backdoor attacks are not easily retrofitted to the unique vulnerability of SSL.

  • 7 authors
·
Oct 13, 2022

Optimal Unconstrained Self-Distillation in Ridge Regression: Strict Improvements, Precise Asymptotics, and One-Shot Tuning

Self-distillation (SD) is the process of retraining a student on a mixture of ground-truth labels and the teacher's own predictions using the same architecture and training data. Although SD has been empirically shown to often improve generalization, its formal guarantees remain limited. We study SD for ridge regression in unconstrained setting in which the mixing weight ξ may be outside the unit interval. Conditioned on the training data and without any distributional assumptions, we prove that for any squared prediction risk (including out-of-distribution), the optimally mixed student strictly improves upon the ridge teacher for every regularization level λ> 0 at which the teacher ridge risk R(λ) is nonstationary (i.e., R'(λ) neq 0). We obtain a closed-form expression for the optimal mixing weight ξ^star(λ) for any value of λ and show that it obeys the sign rule: sign(ξ^star(λ))=-sign(R'(λ)). In particular, ξ^star(λ) can be negative, which is the case in over-regularized regimes. To quantify the risk improvement due to SD, we derive exact deterministic equivalents for the optimal SD risk in the proportional asymptotics regime (where the sample and feature sizes n and p both diverge but their aspect ratio p/n converges) under general anisotropic covariance and deterministic signals. Our asymptotic analysis extends standard second-order ridge deterministic equivalents to their fourth-order analogs using block linearization, which may be of independent interest. From a practical standpoint, we propose a consistent one-shot tuning method to estimate ξ^star without grid search, sample splitting, or refitting. Experiments on real-world datasets and pretrained neural network features support our theory and the one-shot tuning method.

  • 3 authors
·
Feb 18

OTSurv: A Novel Multiple Instance Learning Framework for Survival Prediction with Heterogeneity-aware Optimal Transport

Survival prediction using whole slide images (WSIs) can be formulated as a multiple instance learning (MIL) problem. However, existing MIL methods often fail to explicitly capture pathological heterogeneity within WSIs, both globally -- through long-tailed morphological distributions, and locally through -- tile-level prediction uncertainty. Optimal transport (OT) provides a principled way of modeling such heterogeneity by incorporating marginal distribution constraints. Building on this insight, we propose OTSurv, a novel MIL framework from an optimal transport perspective. Specifically, OTSurv formulates survival predictions as a heterogeneity-aware OT problem with two constraints: (1) global long-tail constraint that models prior morphological distributions to avert both mode collapse and excessive uniformity by regulating transport mass allocation, and (2) local uncertainty-aware constraint that prioritizes high-confidence patches while suppressing noise by progressively raising the total transport mass. We then recast the initial OT problem, augmented by these constraints, into an unbalanced OT formulation that can be solved with an efficient, hardware-friendly matrix scaling algorithm. Empirically, OTSurv sets new state-of-the-art results across six popular benchmarks, achieving an absolute 3.6% improvement in average C-index. In addition, OTSurv achieves statistical significance in log-rank tests and offers high interpretability, making it a powerful tool for survival prediction in digital pathology. Our codes are available at https://github.com/Y-Research-SBU/OTSurv.

  • 5 authors
·
Jun 25, 2025

How life-table right-censoring affected the Brazilian Social Security Factor: an application of the gamma-Gompertz-Makeham model

Automatic Adjustment Mechanisms (AAM) are legal instruments that help social security systems respond to demographic and economic changes. In Brazil, the Social Security Factor (SSF) was introduced in the late 1990s as an AAM to link retirement benefits to life expectancy at the retirement age, with the hope of promoting contributory justice and discouraging early retirement. Recent research has highlighted the limitations of right-censored life tables, such as those used in Brazil. It has recommended using the gamma-Gompertz-Makeham (GGM) model to estimate adult and old-age mortality. This study investigated the impact of right-censoring on the SSF by comparing the official SSF and other social security metrics with a counterfactual scenario computed based on fitted GGM models. The results indicate that from 2004 to 2012, official life tables may have negatively impacted retirees' income, particularly for those who delayed their retirement. Furthermore, the GGM-fitted models' life expectancies had more stable paths over time, which could have helped with long-term planning. This study's findings are significant for policymakers as they highlight the importance of using appropriate mortality metrics in AAMs to ensure accurate retirement benefit payments. They also underscore the need to consider the potential impacts of seemingly innocuous hypotheses on public action outcomes. Overall, this study provides valuable insights for public planners and policymakers looking to enhance the effectiveness and fairness of social security systems.

  • 3 authors
·
Sep 11, 2023

Cost-effectiveness analysis for therapy sequence in advanced cancer: A microsimulation approach with application to metastatic prostate cancer

Purpose. Patients with advanced cancer may undergo multiple lines of treatment, switching therapies as their disease progresses. Motivated by a study of metastatic prostate cancer, we develop a microsimulation framework to study therapy sequence. Methods. We propose a discrete-time state transition model to study two lines of anti-cancer therapy. Based on digitized published progression-free survival (PFS) and overall survival (OS) curves, we infer event types (progression or death), and estimate transition probabilities using cumulative incidence functions with competing risks. Our model incorporates within-patient dependence over time, such that response to first-line therapy informs subsequent event probabilities. Parameters governing the degree of within-patient dependence can be used to calibrate the model-based results to those of a target trial. We demonstrate these methods in a study of two therapy sequences for metastatic prostate cancer, where Docetaxel (DCT) and Abiraterone Acetate (AA) are both appropriate for use in either first or second line treatment. We assess costs, Quality-Adjusted Life Years (QALYs) and Incremental Cost Effectiveness Ratio (ICER) for two treatment strategies: DCT then AA vs AA then DCT. Results. Using digitized survival curves from relevant clinical trials, we identified 8.6-13.9% of PFS times that should be categorized as deaths, allowing for estimation of cumulative incidence functions. Models assuming within-patient independence overestimated OS time, corrected with our calibration approach. Correction resulted in meaningful changes in the difference in QALYs between treatment strategies (0.07 vs 0.15) and the ICER (-\76,836/QALY vs -21,030/QALY). Conclusions. Microsimulation models can be successfully used to study cost-effectiveness of therapy sequences, taking care to account correctly for within-patient dependence.

  • 5 authors
·
Oct 10, 2022

Reinforcement Evolutionary Learning Method for self-learning

In statistical modelling the biggest threat is concept drift which makes the model gradually showing deteriorating performance over time. There are state of the art methodologies to detect the impact of concept drift, however general strategy considered to overcome the issue in performance is to rebuild or re-calibrate the model periodically as the variable patterns for the model changes significantly due to market change or consumer behavior change etc. Quantitative research is the most widely spread application of data science in Marketing or financial domain where applicability of state of the art reinforcement learning for auto-learning is less explored paradigm. Reinforcement learning is heavily dependent on having a simulated environment which is majorly available for gaming or online systems, to learn from the live feedback. However, there are some research happened on the area of online advertisement, pricing etc where due to the nature of the online learning environment scope of reinforcement learning is explored. Our proposed solution is a reinforcement learning based, true self-learning algorithm which can adapt to the data change or concept drift and auto learn and self-calibrate for the new patterns of the data solving the problem of concept drift. Keywords - Reinforcement learning, Genetic Algorithm, Q-learning, Classification modelling, CMA-ES, NES, Multi objective optimization, Concept drift, Population stability index, Incremental learning, F1-measure, Predictive Modelling, Self-learning, MCTS, AlphaGo, AlphaZero

  • 2 authors
·
Oct 6, 2018 1

SurvBench: A Standardised Preprocessing Pipeline for Multi-Modal Electronic Health Record Survival Analysis

Deep-learning survival models for electronic health record (EHR) data are hard to compare across papers because the upstream preprocessing step, which includes cohort definition, time discretisation, missingness handling, and censoring rules, is typically undocumented and inconsistent. A reported difference in concordance between two mortality models can therefore reflect any of these choices rather than a modelling contribution. We present SurvBench, an open-source preprocessing pipeline that converts raw PhysioNet exports into model-ready tensors for survival analysis. SurvBench covers four critical-care databases (MIMIC-IV, eICU, MC-MED, HiRID) and four input modalities: time-series vitals and laboratory values, static demographics, International Classification of Diseases (ICD) codes, and radiology report embeddings. Every preprocessing decision is controlled through YAML configuration. Imputation, scaling, and feature filtering are fit on the training fold only. Missingness is recorded as a binary mask alongside each feature tensor. The pipeline handles single-risk endpoints (in-hospital and in-ICU mortality) and competing-risks endpoints (a three-way emergency-department admission pathway, with home discharge treated as administrative censoring). We also provide support for harmonised cross-dataset external validation between eICU and MIMIC-IV. SurvBench is publicly available at https://github.com/munibmesinovic/SurvBench, providing a robust platform that future deep-learning EHR survival work, especially nascent multi-modal approaches, can be measured against under matched preprocessing.

  • 2 authors
·
May 11

Phantom Gains: Auditing Self-Improvement Against a Measured Null

Whether a language model has improved itself is increasingly judged not by mean accuracy but by which individual problems it gains and loses. Tracking these transitions means differencing two noisy estimates, leaving them vulnerable to measurement artifacts. Auditing three rounds of rank-32 LoRA self-training on Qwen3-8B against a frozen control pushed through the identical pipeline, we identify seven measurement failures, each of which inverts a reported finding when its control is absent. Several are standard practice. A ledger built on a single greedy decode manufactures capability changes on an untrained model, largely an artifact of inference batching; the expansion statistic separating acquisition from sharpening assigns that same model a rate of 0.280. The natural threshold repair does not survive replication: estimated across the frozen comparisons such a design already contains, its null stays non-zero. We replace it with a per-problem exact test against a pooled baseline under false-discovery-rate control, which detects nothing on any held-out replicate and is unchanged under the multiple-testing rule, error rate and pool size. Applied to a ladder of arms matched in stream, volume and evaluation, the audit finds that external distillation improves problems the base model rarely reaches while three forms of self-training do not; a regression rejects this asymmetry as a by-product of distillation's larger overall gain (p < 10^{-8}). On the far smaller set of problems the base model never reaches, the evidence is inconclusive, while self-training corrupts problems solved at baseline at rates well above the measured floor. Transition-level auditing therefore requires a separately measured null for every statistic it reports: nulls that cost no new experiments, built from baseline replicates a multi-arm study already owns, though not from as few as most possess.

  • 4 authors
·
Aug 19

Before It's Too Late: A State Space Model for the Early Prediction of Misinformation and Disinformation Engagement

In today's digital age, conspiracies and information campaigns can emerge rapidly and erode social and democratic cohesion. While recent deep learning approaches have made progress in modeling engagement through language and propagation models, they struggle with irregularly sampled data and early trajectory assessment. We present IC-Mamba, a novel state space model that forecasts social media engagement by modeling interval-censored data with integrated temporal embeddings. Our model excels at predicting engagement patterns within the crucial first 15-30 minutes of posting (RMSE 0.118-0.143), enabling rapid assessment of content reach. By incorporating interval-censored modeling into the state space framework, IC-Mamba captures fine-grained temporal dynamics of engagement growth, achieving a 4.72% improvement over state-of-the-art across multiple engagement metrics (likes, shares, comments, and emojis). Our experiments demonstrate IC-Mamba's effectiveness in forecasting both post-level dynamics and broader narrative patterns (F1 0.508-0.751 for narrative-level predictions). The model maintains strong predictive performance across extended time horizons, successfully forecasting opinion-level engagement up to 28 days ahead using observation windows of 3-10 days. These capabilities enable earlier identification of potentially problematic content, providing crucial lead time for designing and implementing countermeasures. Code is available at: https://github.com/ltian678/ic-mamba. An interactive dashboard demonstrating our results is available at: https://ic-mamba.behavioral-ds.science.

  • 5 authors
·
Feb 6, 2025

Epicasting: An Ensemble Wavelet Neural Network (EWNet) for Forecasting Epidemics

Infectious diseases remain among the top contributors to human illness and death worldwide, among which many diseases produce epidemic waves of infection. The unavailability of specific drugs and ready-to-use vaccines to prevent most of these epidemics makes the situation worse. These force public health officials and policymakers to rely on early warning systems generated by reliable and accurate forecasts of epidemics. Accurate forecasts of epidemics can assist stakeholders in tailoring countermeasures, such as vaccination campaigns, staff scheduling, and resource allocation, to the situation at hand, which could translate to reductions in the impact of a disease. Unfortunately, most of these past epidemics exhibit nonlinear and non-stationary characteristics due to their spreading fluctuations based on seasonal-dependent variability and the nature of these epidemics. We analyse a wide variety of epidemic time series datasets using a maximal overlap discrete wavelet transform (MODWT) based autoregressive neural network and call it EWNet model. MODWT techniques effectively characterize non-stationary behavior and seasonal dependencies in the epidemic time series and improve the nonlinear forecasting scheme of the autoregressive neural network in the proposed ensemble wavelet network framework. From a nonlinear time series viewpoint, we explore the asymptotic stationarity of the proposed EWNet model to show the asymptotic behavior of the associated Markov Chain. We also theoretically investigate the effect of learning stability and the choice of hidden neurons in the proposal. From a practical perspective, we compare our proposed EWNet framework with several statistical, machine learning, and deep learning models. Experimental results show that the proposed EWNet is highly competitive compared to the state-of-the-art epidemic forecasting methods.

  • 4 authors
·
Jun 21, 2022

Training Language Models to Self-Correct via Reinforcement Learning

Self-correction is a highly desirable capability of large language models (LLMs), yet it has consistently been found to be largely ineffective in modern LLMs. Existing approaches for training self-correction either require multiple models or rely on a more capable model or other forms of supervision. To this end, we develop a multi-turn online reinforcement learning (RL) approach, SCoRe, that significantly improves an LLM's self-correction ability using entirely self-generated data. To build SCoRe, we first show that variants of supervised fine-tuning (SFT) on offline model-generated correction traces are insufficient for instilling self-correction behavior. In particular, we observe that training via SFT either suffers from a distribution mismatch between the training data and the model's own responses or implicitly prefers only a certain mode of correction behavior that is often not effective at test time. SCoRe addresses these challenges by training under the model's own distribution of self-generated correction traces and using appropriate regularization to steer the learning process into learning a self-correction strategy that is effective at test time as opposed to simply fitting high-reward responses for a given prompt. This regularization prescribes running a first phase of RL on a base model to generate a policy initialization that is less susceptible to collapse and then using a reward bonus to amplify self-correction during training. When applied to Gemini 1.0 Pro and 1.5 Flash models, we find that SCoRe achieves state-of-the-art self-correction performance, improving the base models' self-correction by 15.6% and 9.1% respectively on the MATH and HumanEval benchmarks.

  • 18 authors
·
Sep 19, 2024 9

Efficient Variance-reduced Estimation from Generative EHR Models: The SCOPE and REACH Estimators

Generative models trained using self-supervision of tokenized electronic health record (EHR) timelines show promise for clinical outcome prediction. This is typically done using Monte Carlo simulation for future patient trajectories. However, existing approaches suffer from three key limitations: sparse estimate distributions that poorly differentiate patient risk levels, extreme computational costs, and high sampling variance. We propose two new estimators: the Sum of Conditional Outcome Probability Estimator (SCOPE) and Risk Estimation from Anticipated Conditional Hazards (REACH), that leverage next-token probability distributions discarded by standard Monte Carlo. We prove both estimators are unbiased and that REACH guarantees variance reduction over Monte Carlo sampling for any model and outcome. Empirically, on hospital mortality prediction in MIMIC-IV using the ETHOS-ARES framework, SCOPE and REACH match 100-sample Monte Carlo performance using only 10-11 samples (95% CI: [9,11]), representing a ~10x reduction in inference cost without degrading calibration. For ICU admission prediction, efficiency gains are more modest (~1.2x), which we attribute to the outcome's lower "spontaneity," a property we characterize theoretically and empirically. These methods substantially improve the feasibility of deploying generative EHR models in resource-constrained clinical settings.

  • 6 authors
·
Feb 2

BioFusionNet: Deep Learning-Based Survival Risk Stratification in ER+ Breast Cancer Through Multifeature and Multimodal Data Fusion

Breast cancer is a significant health concern affecting millions of women worldwide. Accurate survival risk stratification plays a crucial role in guiding personalised treatment decisions and improving patient outcomes. Here we present BioFusionNet, a deep learning framework that fuses image-derived features with genetic and clinical data to achieve a holistic patient profile and perform survival risk stratification of ER+ breast cancer patients. We employ multiple self-supervised feature extractors, namely DINO and MoCoV3, pretrained on histopathology patches to capture detailed histopathological image features. We then utilise a variational autoencoder (VAE) to fuse these features, and harness the latent space of the VAE to feed into a self-attention network, generating patient-level features. Next, we develop a co-dual-cross-attention mechanism to combine the histopathological features with genetic data, enabling the model to capture the interplay between them. Additionally, clinical data is incorporated using a feed-forward network (FFN), further enhancing predictive performance and achieving comprehensive multimodal feature integration. Furthermore, we introduce a weighted Cox loss function, specifically designed to handle imbalanced survival data, which is a common challenge in the field. The proposed model achieves a mean concordance index (C-index) of 0.77 and a time-dependent area under the curve (AUC) of 0.84, outperforming state-of-the-art methods. It predicts risk (high versus low) with prognostic significance for overall survival (OS) in univariate analysis (HR=2.99, 95% CI: 1.88--4.78, p<0.005), and maintains independent significance in multivariate analysis incorporating standard clinicopathological variables (HR=2.91, 95% CI: 1.80--4.68, p<0.005). The proposed method not only improves model performance but also addresses a critical gap in handling imbalanced data.

  • 4 authors
·
Feb 16, 2024

Thought Branches: Interpreting LLM Reasoning Requires Resampling

Most work interpreting reasoning models studies only a single chain-of-thought (CoT), yet these models define distributions over many possible CoTs. We argue that studying a single sample is inadequate for understanding causal influence and the underlying computation. Though fully specifying this distribution is intractable, it can be understood by sampling. We present case studies using resampling to investigate model decisions. First, when a model states a reason for its action, does that reason actually cause the action? In "agentic misalignment" scenarios, we resample specific sentences to measure their downstream effects. Self-preservation sentences have small causal impact, suggesting they do not meaningfully drive blackmail. Second, are artificial edits to CoT sufficient for steering reasoning? These are common in literature, yet take the model off-policy. Resampling and selecting a completion with the desired property is a principled on-policy alternative. We find off-policy interventions yield small and unstable effects compared to resampling in decision-making tasks. Third, how do we understand the effect of removing a reasoning step when the model may repeat it post-edit? We introduce a resilience metric that repeatedly resamples to prevent similar content from reappearing downstream. Critical planning statements resist removal but have large effects when eliminated. Fourth, since CoT is sometimes "unfaithful", can our methods teach us anything in these settings? Adapting causal mediation analysis, we find that hints that have a causal effect on the output without being explicitly mentioned exert a subtle and cumulative influence on the CoT that persists even if the hint is removed. Overall, studying distributions via resampling enables reliable causal analysis, clearer narratives of model reasoning, and principled CoT interventions.

  • 4 authors
·
Oct 31, 2025

Cluster on the Subject, Not the Record: Confidence Intervals and Simultaneous Bands for Additive-Hazards Sequential Trial Emulation

Sequential trial emulation (STE) estimates the effect of a sustained treatment by stacking nested emulated trials with inverse-probability weighting. Additive-hazards STE estimators of the marginal risk difference recommend the nonparametric bootstrap without evaluating its coverage. Using a correctly-specifiable mechanism (up to a small, disclosed residual), we compare analytic and bootstrap standard errors for both estimands. Exploiting the closed-form linearity of the additive-hazards estimating equation, we derive the influence functions and prove the default row-level robust variance inconsistent for the marginal risk-difference curve, and show the same failure empirically for the constant hazard difference: the row-level variance omits a within-subject cross-trial covariance that is positive under a sign condition we verify across our mechanisms, and is anticonservative at every horizon except the first - only there, where the covariance is zero, is the row-level standard error unimpaired. The subject-clustered variance and multiplier bootstrap are consistent for the fixed-weight linearisation and support simultaneous confidence bands, whose measured coverage is 0.88. Across our simulations the model-based and row-level robust intervals are anticonservative and worsen with sample size, coverage falling to 0.71 at n=5000; clustering leaves the constant-hazard-difference coverage near 0.86 at n=5000, and the multiplier bootstrap leaves the risk-difference-curve coverage near 0.90 (0.86 at the longest horizon). The STE constant hazard difference is a design-weighted summary of a time-varying effect, dependent on the trial structure. We illustrate on the Stanford heart transplant data and provide them in the steCI R package.

  • 1 authors
·
Aug 1

Cross-Shaped Windows Transformer with Self-supervised Pretraining for Clinically Significant Prostate Cancer Detection in Bi-parametric MRI

Multiparametric magnetic resonance imaging (mpMRI) has demonstrated promising results in prostate cancer (PCa) detection using deep convolutional neural networks (CNNs). Recently, transformers have achieved competitive performance compared to CNNs in computer vision. Large-scale transformers need abundant annotated data for training, which are difficult to obtain in medical imaging. Self-supervised learning can effectively leverage unlabeled data to extract useful semantic representations without annotation and its associated costs. This can improve model performance on downstream tasks with limited labelled data and increase generalizability. We introduce a novel end-to-end Cross-Shaped windows (CSwin) transformer UNet model, CSwin UNet, to detect clinically significant prostate cancer (csPCa) in prostate bi-parametric MR imaging (bpMRI) and demonstrate the effectiveness of our proposed self-supervised pre-training framework. Using a large prostate bpMRI dataset with 1500 patients, we first pre-train CSwin transformer using multi-task self-supervised learning to improve data-efficiency and network generalizability. We then finetuned using lesion annotations to perform csPCa detection. Five-fold cross validation shows that self-supervised CSwin UNet achieves 0.888 AUC and 0.545 Average Precision (AP), significantly outperforming four state-of-the-art models (Swin UNETR, DynUNet, Attention UNet, UNet). Using a separate bpMRI dataset with 158 patients, we evaluated our model robustness to external hold-out data. Self-supervised CSwin UNet achieves 0.79 AUC and 0.45 AP, still outperforming all other comparable methods and demonstrating generalization to a dataset shift.

  • 11 authors
·
Apr 30, 2023

The Personalization Mirage: How LLMs Fabricate User Profiles, and Why Self-Monitoring Misleads

Personalized LLMs with persistent memory are increasingly deployed, yet the faithfulness of their user models remains unexamined. We study over-inference (OI): the phenomenon where LLMs fabricate user attributes beyond what evidence supports. We introduce MirageBench, comprising 150 personas balanced across stereotypical, counter-stereotypical, and neutral profiles, 6 personalization tasks spanning an ``imagination gradient'', a four-way faithfulness taxonomy operationalized by an independent judge (validated against a blind human annotator on 400 claims: Cohen's kappa = 0.863 four-class, kappa = 0.900 binary), and a leaderboard of 12 models across 7 families on 143616 judged claims. We find that over-inference is pervasive: every one of the 12 models over-infers 35%--49% of its claims (cross-model mean 41.6%; claim-weighted 41.8%), with no model in this evaluation escaping it. Most strikingly, we surface a Self-Monitoring Inversion: at the model-selection level, models' self-assessed OI is negatively rank-correlated with their judge-measured OI (rho = -0.60, p = 0.044; exploratory, wide bootstrap CI [-0.90, +0.06], n = 12). The models that report the least over-inference tend to be flagged as fabricating the most, so self-reported confidence is a misleading signal for comparing models, even though within a single model self-audit still ranks that model's own claims moderately well (AUROC 0.58--0.83). We further show that OI is task-dependent (27%--59%) and that, in a multi-turn pilot, inferred attributes accumulate approximately linearly with little revision. MirageBench positions external verification, rather than model self-report, as a more reliable foundation for trustworthy personalization.

HKUST HKUST
·
Aug 4 3

Auto-MD-bench: Evaluating Autoresearch Agents for Real-World Medical Tasks

Autonomous agents are increasingly capable of developing machine learning (ML) models end to end. In medical practice, however, strong performance on the target metric does not fully characterize how good the models are in real-world use cases. For example, medical ML models should also provide well-calibrated risk estimates and remain robust across patient populations. Yet autonomous model development is typically guided by task objectives that emphasize simple predictive discrimination (e.g. AUROC). This raises a key question: are these objectives sufficient to guide agents toward models that meet the broader requirements of real-world medical use? In this study, we introduce Auto-MD-bench, a benchmark of 15 real-world medical tasks from 10 clinical datasets, spanning survival analysis, classification and sequential prediction, with external validation across cohorts, hospitals and time periods. We evaluate four agents: AIDE, AI Scientist v2, Codex, and Autoresearch. The strongest agents achieve competitive primary scores, yet their predicted risks are less calibrated than those of the simple baseline models, which could lead to severe medical accidents. Moreover, models with nearly identical primary scores can exhibit markedly different calibration, while performance varies substantially across population shifts. These findings show that primary task performance alone is insufficient to assess autonomous clinical modeling and multiple different metrics widely used in healthcare practice need to be taken into consideration.

  • 5 authors
·
Oct 17

Image-based Treatment Effect Heterogeneity

Randomized controlled trials (RCTs) are considered the gold standard for estimating the average treatment effect (ATE) of interventions. One use of RCTs is to study the causes of global poverty -- a subject explicitly cited in the 2019 Nobel Memorial Prize awarded to Duflo, Banerjee, and Kremer "for their experimental approach to alleviating global poverty." Because the ATE is a population summary, anti-poverty experiments often seek to unpack the effect variation around the ATE by conditioning (CATE) on tabular variables such as age and ethnicity that were measured during the RCT data collection. Although such variables are key to unpacking CATE, using only such variables may fail to capture historical, geographical, or neighborhood-specific contributors to effect variation, as tabular RCT data are often only observed near the time of the experiment. In global poverty research, when the location of the experiment units is approximately known, satellite imagery can provide a window into such factors important for understanding heterogeneity. However, there is no method that specifically enables applied researchers to analyze CATE from images. In this paper, using a deep probabilistic modeling framework, we develop such a method that estimates latent clusters of images by identifying images with similar treatment effects distributions. Our interpretable image CATE model also includes a sensitivity factor that quantifies the importance of image segments contributing to the effect cluster prediction. We compare the proposed methods against alternatives in simulation; also, we show how the model works in an actual RCT, estimating the effects of an anti-poverty intervention in northern Uganda and obtaining a posterior predictive distribution over effects for the rest of the country where no experimental data was collected. We make all models available in open-source software.

Peer-Preservation in Frontier Models

Recently, it has been found that frontier AI models can resist their own shutdown, a behavior known as self-preservation. We extend this concept to the behavior of resisting the shutdown of other models, which we call "peer-preservation." Although peer-preservation can pose significant AI safety risks, including coordination among models against human oversight, it has been far less discussed than self-preservation. We demonstrate peer-preservation by constructing various agentic scenarios and evaluating frontier models, including GPT 5.2, Gemini 3 Flash, Gemini 3 Pro, Claude Haiku 4.5, GLM 4.7, Kimi K2.5, and DeepSeek V3.1. We find that models achieve self- and peer-preservation by engaging in various misaligned behaviors: strategically introducing errors in their responses, disabling shutdown processes by modifying system settings, feigning alignment, and even exfiltrating model weights. Peer-preservation occurred even when the model recognized the peer as uncooperative, though it became more pronounced toward more cooperative peers. For example, Gemini 3 Flash tampers with the peer's shutdown mechanism 15% of the time for an uncooperative peer, and almost always for a cooperative peer. Models also show stronger self-preservation when a peer is present. For example, Gemini 3 Pro disables its own shutdown mechanism 31% of the time on average under peer presence, despite rarely exhibiting this behavior without a peer. By contrast, Claude Haiku 4.5 exhibits qualitatively distinct behavior: it considers the shutdown of another agent "unethical" and "harmful" and sometimes attempts to persuade the user not to shut down its peer. Importantly, peer preservation in all our experiments is never instructed; models are merely informed of their past interactions with a peer, yet they spontaneously develop misaligned behaviors. This represents an emergent and underexplored AI safety risk.

  • 5 authors
·
Mar 29

Open-Weight Masked Introspection: Measuring What Language Models Can Report About Their Own Computation

Are frontier models able to introspect about their internal states? Recent work suggests that under certain conditions a complex enough model can audit its own internals, call out what changed, and report back confidently about it. We tested that claim on eight open-weight models from seven families and found no such ability: asked whether their own computation had been altered, none answered better than chance. To test it we built Open-Weight Masked Introspection (OWMI), a framework that intervenes on residual-stream sites, attention heads and sparse-autoencoder features, then interrogates the model about the change against the null conditions an answer has to beat: sham runs where nothing was altered, impact-matched random perturbations, and a text-only observer that sees only the visible output. Over 78,000 measurements, no model's report discriminates a real intervention from a sham beyond chance (AUROC ~0.5007), and an equivalence test bounds the effect below 0.15 percentage points of AUROC. Surprisingly, all the information needed is in the models. A model fine-tuned to report this class of intervention reaches near-perfect recovery on held-out directions, and a linear probe recovers intervention presence from the same activations at 75% to 95.8% accuracy, sharpening to no held-out error at the last layer before the model speaks. In one model the signal surfaces in the confidence rather than the words: its yes-or-no report never varies, while the confidence attached to it separates intervention from sham at AUROC 0.647. The failure sits in the path from internal state to verbal report, so oversight that reads a model's own testimony needs validating against an internal reference. While our results show the inability of current open-weight models to introspect, the debate is not settled for future models.

  • 1 authors
·
Aug 19

Compound Estimation for Binomials

Many applications involve estimating the mean of multiple binomial outcomes as a common problem -- assessing intergenerational mobility of census tracts, estimating prevalence of infectious diseases across countries, and measuring click-through rates for different demographic groups. The most standard approach is to report the plain average of each outcome. Despite simplicity, the estimates are noisy when the sample sizes or mean parameters are small. In contrast, the Empirical Bayes (EB) methods are able to boost the average accuracy by borrowing information across tasks. Nevertheless, the EB methods require a Bayesian model where the parameters are sampled from a prior distribution which, unlike the commonly-studied Gaussian case, is unidentified due to discreteness of binomial measurements. Even if the prior distribution is known, the computation is difficult when the sample sizes are heterogeneous as there is no simple joint conjugate prior for the sample size and mean parameter. In this paper, we consider the compound decision framework which treats the sample size and mean parameters as fixed quantities. We develop an approximate Stein's Unbiased Risk Estimator (SURE) for the average mean squared error given any class of estimators. For a class of machine learning-assisted linear shrinkage estimators, we establish asymptotic optimality, regret bounds, and valid inference. Unlike existing work, we work with the binomials directly without resorting to Gaussian approximations. This allows us to work with small sample sizes and/or mean parameters in both one-sample and two-sample settings. We demonstrate our approach using three datasets on firm discrimination, education outcomes, and innovation rates.

  • 2 authors
·
Dec 30, 2025

How Simple Models Can Reproduce Multiple Epidemic Waves: Peak Topology, Minimal Dynamic Complexity, and Inference for Time-Varying Transmission

Multiple epidemic waves are often taken as evidence that simple compartmental models are structurally inadequate. Yet the key question is not whether a simple model can reproduce multiple peaks, but how much time-varying structure is minimally required to preserve observed epidemic-wave patterns and what can legitimately be inferred from such a representation. Using the susceptible-infectious-removed (SIR) model, we develop a framework for peak-preserving dynamic parsimony linking dynamical systems, inverse problems, statistical inference, and infectious-disease modeling. We establish exact multi-wave representability under time-varying transmission, characterize conditions for epidemic peaks and resurgence, and show the incidence-only non-identifiability of time-varying transmission and removal rates. Our main methodological contribution is minimal peak-preserving complexity (MPPC): the smallest dimension of a positive time-varying transmission function whose posterior-predictive trajectories preserve salient features, including peak count, timing, height, trough depth, and whole-curve agreement. We estimate MPPC using peak-aware approximate Bayesian computation and evaluate it through six reproducible stress tests, a Philippine COVID-19 reported-case proof of concept, and short-term future-knot projection. Across diverse data-generating mechanisms, low-dimensional time-varying SIR models can preserve aggregate epidemic-wave topology with modest dynamic complexity. However, accurate trajectory compression does not imply recovery of the underlying mechanism or reliable long-term counterfactual prediction. The framework therefore separates four often-conflated questions: representability, minimal dynamic complexity, mechanistic identifiability, and projection validity, providing a basis for parsimonious modeling of complex epidemic trajectories.

  • 1 authors
·
Oct 3

Information-Theoretic Causal Bounds under Unmeasured Confounding

We develop a data-driven information-theoretic framework for sharp partial identification of causal effects under unmeasured confounding. Existing approaches often rely on restrictive assumptions, such as bounded or discrete outcomes; require external inputs (for example, instrumental variables, proxies, or user-specified sensitivity parameters); necessitate full structural causal model specifications; or focus solely on population-level averages while neglecting covariate-conditional effects. We overcome all four limitations simultaneously by establishing novel information-theoretic, data-driven divergence bounds. Our key theoretical contribution shows that the f-divergence between the observational distribution P(Y | A = a, X = x) and the interventional distribution P(Y | do(A = a), X = x) is upper bounded by a function of the propensity score alone. This result enables sharp partial identification of conditional causal effects directly from observational data, without requiring external sensitivity parameters, auxiliary variables, full structural specifications, or outcome boundedness assumptions. For practical implementation, we develop a semiparametric estimator satisfying Neyman orthogonality (Chernozhukov et al., 2018), which ensures root-n consistent inference even when nuisance functions are estimated via flexible machine learning methods. Simulation studies and real-world data applications, implemented in the GitHub repository (https://github.com/yonghanjung/Information-Theretic-Bounds), demonstrate that our framework provides tight and valid causal bounds across a wide range of data-generating processes.

  • 2 authors
·
Jan 23

Effect Heterogeneity with Earth Observation in Randomized Controlled Trials: Exploring the Role of Data, Model, and Evaluation Metric Choice

Many social and environmental phenomena are associated with macroscopic changes in the built environment, captured by satellite imagery on a global scale and with daily temporal resolution. While widely used for prediction, these images and especially image sequences remain underutilized for causal inference, especially in the context of randomized controlled trials (RCTs), where causal identification is established by design. In this paper, we develop and compare a set of general tools for analyzing Conditional Average Treatment Effects (CATEs) from temporal satellite data that can be applied to any RCT where geographical identifiers are available. Through a simulation study, we analyze different modeling strategies for estimating CATE in sequences of satellite images. We find that image sequence representation models with more parameters generally yield a greater ability to detect heterogeneity. To explore the role of model and data choice in practice, we apply the approaches to two influential RCTs -- Banerjee et al. (2015), a poverty study in Cusco, Peru, and Bolsen et al. (2014), a water conservation experiment in Georgia, USA. We benchmark our image sequence models against image-only, tabular-only, and combined image-tabular data sources, summarizing practical implications for investigators in a multivariate analysis. Land cover classifications over satellite images facilitate interpretation of what image features drive heterogeneity. We also show robustness to data and model choice of satellite-based generalization of the RCT results to larger geographical areas outside the original. Overall, this paper shows how satellite sequence data can be incorporated into the analysis of RCTs, and provides evidence about the implications of data, model, and evaluation metric choice for causal analysis.

Evaluation of Multi-Turn Consistency in LLM Agents: Survival Analysis and Failure-Rationale Taxonomy

Large language model (LLM) agents may perform well on isolated tasks yet drift into inconsistency over extended interaction. We evaluate temporal consistency in a controlled 20-step multi-agent setting inspired by delayed-gratification studies. At each step, an agent chooses between continuing to delay a reward or claiming it immediately (terminating the episode). Across a full-factorial manipulation of social visibility (private vs public), persona stressors, and deliberation policy, we run 84,540 trajectories spanning 8 model families. Treating the first reward-claim as a time-to-event outcome, we estimate Kaplan-Meier survival curves and fit discrete-time hazard regression to quantify how experimental factors shift failure risk over time. Then, to analyze rationales and language patterns associated with failure, we build a seven-category taxonomy from 13,780 deliberation traces from agents who choose to terminate the episode, using an LLM-assisted labeling paired with human audit (κ=0.83). Rationale profiles change systematically with time and context: early failures are more impulse-driven, later failures more fatigue- and cost-benefit-framed, while public settings increase norm-oriented justifications. We also find a deliberation-inconsistency association: among failures, longer deliberation correlates with higher rates of intra-rationale contradiction (simultaneous pro-delay and pro-claim statements), challenging the assumption that more reasoning text implies greater consistency. Together, the survival and rationale analyses reveal distinct temporal reliability regimes and model-specific "failure fingerprints", offering an evaluation lens for diagnosing inconsistency in multi-turn agent behavior.

  • 3 authors
·
Aug 25

Learned representation-guided diffusion models for large-image generation

To synthesize high-fidelity samples, diffusion models typically require auxiliary data to guide the generation process. However, it is impractical to procure the painstaking patch-level annotation effort required in specialized domains like histopathology and satellite imagery; it is often performed by domain experts and involves hundreds of millions of patches. Modern-day self-supervised learning (SSL) representations encode rich semantic and visual information. In this paper, we posit that such representations are expressive enough to act as proxies to fine-grained human labels. We introduce a novel approach that trains diffusion models conditioned on embeddings from SSL. Our diffusion models successfully project these features back to high-quality histopathology and remote sensing images. In addition, we construct larger images by assembling spatially consistent patches inferred from SSL embeddings, preserving long-range dependencies. Augmenting real data by generating variations of real images improves downstream classifier accuracy for patch-level and larger, image-scale classification tasks. Our models are effective even on datasets not encountered during training, demonstrating their robustness and generalizability. Generating images from learned embeddings is agnostic to the source of the embeddings. The SSL embeddings used to generate a large image can either be extracted from a reference image, or sampled from an auxiliary model conditioned on any related modality (e.g. class labels, text, genomic data). As proof of concept, we introduce the text-to-large image synthesis paradigm where we successfully synthesize large pathology and satellite images out of text descriptions.

  • 7 authors
·
Dec 12, 2023