Clinical NLP

The current advancements in open domain text generation have been spearheaded by Transformer-based large language models. Leveraging efficient parallelization and vast training datasets, these models achieve unparalleled text generation capabilities. Even so, current models are known to suffer from deficiencies such as repetitive texts, looping issues, and lack of robustness. While adversarial training through generative adversarial networks (GAN) is a proposed solution, earlier research in this direction has predominantly focused on older architectures, or narrow tasks. As a result, this approach is not yet compatible with modern language models for open-ended text generation, leading to diminished interest within the broader research community. We propose a computationally efficient GAN approach for sequential data that utilizes the parallelization capabilities of Transformer models. Our method revolves around generating multiple branching sequences from each training sample, while also incorporating the typical next-step prediction loss on the original data. In this way, we achieve a dense reward and loss signal for both the generator and the discriminator, resulting in a stable training dynamic. We apply our training method to pre-trained language models, using data from their original training set but less than 0.01% of the available data. A comprehensive human evaluation shows that our method significantly improves the quality of texts generated by the model while avoiding the previously reported sparsity problems of GAN approaches. Even our smaller models outperform larger original baseline models with more than 16 times the number of parameters. Finally, we corroborate previous claims that perplexity on held-out data is not a sufficient metric for measuring the quality of generated texts.

Medical applications of machine learning (ML) have experienced a surge in popularity in recent years. Given the abundance of available data from electronic health records, the intensive care unit (ICU) is a natural habitat for ML. Models have been proposed to address numerous ICU prediction tasks like the early detection of complications. While authors frequently report state-of-the-art performance, it is challenging to verify claims of superiority. Datasets and code are not always published, and cohort definitions, preprocessing pipelines, and training setups are difficult to reproduce. This work introduces Yet Another ICU Benchmark (YAIB), a modular framework that allows researchers to define reproducible and comparable clinical ML experiments; we offer an end-to-end solution from cohort definition to model evaluation. The framework natively supports most open-access ICU datasets (MIMIC III/IV, eICU, HiRID, AUMCdb) and is easily adaptable to future ICU datasets. Combined with a transparent preprocessing pipeline and extensible training code for multiple ML and deep learning models, YAIB enables unified model development, transfer, and evaluation. Our benchmark comes with five predefined established prediction tasks (mortality, acute kidney injury, sepsis, kidney function, and length of stay) developed in collaboration with clinicians. Adding further tasks is straightforward by design. Using YAIB, we demonstrate that the choice of dataset, cohort definition, and preprocessing have a major impact on the prediction performance — often more so than model class — indicating an urgent need for YAIB as a holistic benchmarking tool. We provide our work to the clinical ML community to accelerate method development and enable real-world clinical implementations.

Pre-trained transformers are often fine-tuned to aid clinical decision-making using limited clinical notes. Model interpretability is crucial, especially in high-stakes domains like medicine, to establish trust and ensure safety, which requires human engagement. We introduce SUFO, a systematic framework that enhances interpretability of fine-tuned transformer feature spaces. SUFO utilizes a range of analytic and visualization techniques, including Supervised probing, Unsupervised similarity analysis, Feature dynamics, and Outlier analysis to address key questions about model trust and interpretability (e.g. model suitability for a task, feature space evolution during fine-tuning, and interpretation of fine-tuned features and failure modes). We conduct a case study investigating the impact of pre-training data where we focus on real-world pathology classification tasks, and validate our findings on MedNLI. We evaluate five 110M-sized pre-trained transformer models, categorized into general-domain (BERT, TNLR), mixed-domain (BioBERT, Clinical BioBERT), and domain-specific (PubMedBERT) groups. Our SUFO analyses reveal that: (1) while PubMedBERT, the domain-specific model, contains valuable information for fine-tuning, it can overfit to minority classes when class imbalances exist. In contrast, mixed-domain models exhibit greater resistance to overfitting, suggesting potential improvements in domain-specific model robustness; (2) in-domain pre-training accelerates feature disambiguation during fine-tuning; and (3) feature spaces undergo significant sparsification during this process, enabling clinicians to identify common outlier modes among fine-tuned models as demonstrated in this paper. These findings showcase the utility of SUFO in enhancing trust and safety when using transformers in medicine, and we believe SUFO can aid practitioners in evaluating fine-tuned language models (LMs) for other applications in medicine and in more critical domains.

Despite their ubiquity in language generation, it remains unknown why truncation sampling heuristics like nucleus sampling are so effective. We provide a theoretical explanation for the effectiveness of the truncation sampling by proving that truncation methods that discard tokens below some probability threshold (the most common type of truncation) can guarantee that all sampled tokens have nonzero true probability. However, thresholds are a coarse heuristic, and necessarily discard some tokens with nonzero true probability as well. In pursuit of a more precise sampling strategy, we show that we can leverage a known source of model errors, the softmax bottleneck, to prove that certain tokens have nonzero true probability, without relying on a threshold. Based on our findings, we develop an experimental truncation strategy and the present pilot studies demonstrating the promise of this type of algorithm. Our evaluations show that our method outperforms its threshold-based counterparts under automatic and human evaluation metrics for low-entropy (i.e., close to greedy) open-ended text generation. Our theoretical findings and pilot experiments provide both insight into why truncation sampling works, and make progress toward more expressive sampling algorithms that better surface the generative capabilities of large language models.

Causal explanations of the predictions of NLP systems are essential to ensure safety and establish trust. Yet, existing methods often fall short of explaining model predictions effectively or efficiently and are often model-specific. In this paper, we address model-agnostic explanations, proposing two approaches for counterfactual (CF) approximation. The first approach is CF generation, where a large language model (LLM) is prompted to change a specific text concept while keeping confounding concepts unchanged. While this approach is demonstrated to be very effective, applying LLM at inference-time is costly. We hence present a second approach based on matching, and propose a method that is guided by an LLM at training-time and learns a dedicated embedding space. This space is faithful to a given causal graph and effectively serves to identify matches that approximate CFs. After showing theoretically that approximating CFs is required in order to construct faithful explanations, we benchmark our approaches and explain several models, including LLMs with billions of parameters. Our empirical results demonstrate the excellent performance of CF generation models as model-agnostic explainers. Moreover, our matching approach, which requires far less test-time resources, also provides effective explanations, surpassing many baselines. We also find that Top-K techniques universally improve every tested method. Finally, we showcase the potential of LLMs in constructing new benchmarks for model explanation and subsequently validate our conclusions. Our work illuminates new pathways for efficient and accurate approaches to interpreting NLP systems.

Large text corpora are the backbone of language models. However, we have a limited understanding of the content of these corpora, including general statistics, quality, social factors, and inclusion of evaluation data (contamination). In this work, we propose What's In My Big Data? (WIMBD), a platform and a set of sixteen analyses that allow us to reveal and compare the contents of large text corpora. WIMBD builds on two basic capabilities---count and search---*at scale*, which allows us to analyze more than 35 terabytes on a standard compute node. We apply WIMBD to ten different corpora used to train popular language models, including *C4*, *The Pile*, and *RedPajama*. Our analysis uncovers several surprising and previously undocumented findings about these corpora, including the high prevalence of duplicate, synthetic, and low-quality content, personally identifiable information, toxic language, and benchmark contamination. For instance, we find that about 50% of the documents in *RedPajama* and *LAION-2B-en* are duplicates. In addition, several datasets used for benchmarking models trained on such corpora are contaminated with respect to important benchmarks, including the Winograd Schema Challenge and parts of GLUE and SuperGLUE. We open-source WIMBD's code and artifacts to provide a standard set of evaluations for new text-based corpora and to encourage more analyses and transparency around them.

Attention-free language models that combine gating and convolutions are growing in popularity due to their efficiency and increasingly competitive performance. To better understand these architectures, we pretrain a suite of 17 attention and gated-convolution language models, finding that SoTA gated-convolution architectures still underperform attention by up to 2.1 perplexity points on the Pile. In fine-grained analysis, we find 82% of the gap is explained by each model's ability to recall information that is previously mentioned in-context, e.g. "Hakuna Matata means no worries Hakuna Matata it means no" -> ??. On this task, termed "associative recall", we find that attention outperforms gated-convolutions by a large margin: a 70M parameter attention model outperforms a 1.4 billion parameter gated-convolution model on associative recall. This is surprising because prior work shows gated convolutions can perfectly solve synthetic tests for AR capability. To close the gap between synthetics and real language, we develop a new formalization of the task called multi-query associative recall (MQAR) that better reflects actual language. We perform an empirical and theoretical study of MQAR that elucidates differences in the parameter-efficiency of attention and gated-convolution recall. Informed by our analysis, we evaluate simple convolution-attention hybrids and show that hybrids with input-dependent sparse attention patterns can close 97.4% of the gap to attention, while maintaining sub-quadratic scaling. Code is at: https://github.com/HazyResearch/zoology.

The transformer architecture has driven breakthroughs in recent years on tasks which require modeling pairwise relationships between sequential elements, as is the case in natural language understanding. However, long seqeuences pose a problem due to the quadratic complexity of the attention operation. Previous re- search has aimed to lower the complexity by sparsifying or linearly approximating the attention matrix. Yet, these approaches cannot straightforwardly distill knowl- edge from a teacher’s attention matrix, and often require complete retraining from scratch. Furthermore, previous sparse and linear approaches lose interpretability if they cannot produce full attention matrices. To address these challenges, we propose SEA: Sparse linear attention with an Estimated Attention mask. SEA estimates the attention matrix with linear complexity via kernel-based linear at- tention, then subsequently creates a sparse attention matrix with a top-k̂ selection to perform a sparse attention operation. For language modeling tasks (Wikitext2), previous linear and sparse attention methods show roughly two-fold worse per- plexity scores over the quadratic OPT-1.3B baseline, while SEA achieves better perplexity than OPT-1.3B, using roughly half the memory of OPT-1.3B. More- over, SEA maintains an interpretable attention matrix and can utilize knowledge distillation to lower the complexity of existing pretrained transformers. We be- lieve that our work will have a large practical impact, as it opens the possibility of running large transformers on resource-limited devices with less memory. Code: https://github.com/gmlwns2000/sea-attention