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Abstract ObjectiveExtracting social determinants of health (SDoHs) from medical notes depends heavily on labor-intensive annotations, which are typically task-specific, hampering reusability and limiting sharing. Here, we introduce SDoH-GPT, a novel framework leveraging few-shot learning large language models (LLMs) to automate the extraction of SDoH from unstructured text, aiming to improve both efficiency and generalizability. Materials and MethodsSDoH-GPT is a framework including the few-shot learning LLM methods to extract the SDoH from medical notes and the XGBoost classifiers which continue to classify SDoH using the annotations generated by the few-shot learning LLM methods as training datasets. The unique combination of the few-shot learning LLM methods with XGBoost utilizes the strength of LLMs as great few shot learners and the efficiency of XGBoost when the training dataset is sufficient. Therefore, SDoH-GPT can extract SDoH without relying on extensive medical annotations or costly human intervention. ResultsOur approach achieved tenfold and twentyfold reductions in time and cost, respectively, and superior consistency with human annotators measured by Cohen's kappa of up to 0.92. The innovative combination of LLM and XGBoost can ensure high accuracy and computational efficiency while consistently maintaining 0.90+ AUROC scores. DiscussionThis study has verified SDoH-GPT on three datasets and highlights the potential of leveraging LLM and XGBoost to revolutionize medical note classification, demonstrating its capability to achieve highly accurate classifications with significantly reduced time and cost. ConclusionThe key contribution of this study is the integration of LLM with XGBoost, which enables cost-effective and high quality annotations of SDoH. This research sets the stage for SDoH can be more accessible, scalable, and impactful in driving future healthcare solutions. 

In multimodal machine learning, effectively addressing the missing modality scenario is crucial for improving performance in downstream tasks such as in medical contexts where data may be incomplete. Although some attempts have been made to retrieve embeddings for missing modalities, two main bottlenecks remain: (1) the need to consider both intra- and inter-modal context, and (2) the cost of embedding selection, where embeddings often lack modality-specific knowledge. To address this, the authors propose MoE-Retriever, a novel framework inspired by Sparse Mixture of Experts (SMoE). MoE-Retriever defines a supporting group for intra-modal inputs—samples that commonly lack the target modality—by selecting samples with complementary modality combinations for the target modality. This group is integrated with inter-modal inputs from different modalities of the same sample, establishing both intra- and inter-modal contexts. These inputs are processed by Multi-Head Attention to generate context-aware embeddings, which serve as inputs to the SMoE Router that automatically selects the most relevant experts (embedding candidates). Comprehensive experiments on both medical and general multimodal datasets demonstrate the robustness and generalizability of MoE-Retriever, marking a significant step forward in embedding retrieval methods for incomplete multimodal data. 

An interesting behavior in large language models (LLMs) is prompt sensitivity. When provided with different but semantically equivalent versions of the same prompt, models may produce very different distributions of answers. This suggests that the uncertainty reflected in a model's output distribution for one prompt may not reflect the model's uncertainty about the meaning of the prompt. We model prompt sensitivity as a type of generalization error, and show that sampling across the semantic concept space with paraphrasing perturbations improves uncertainty calibration without compromising accuracy. Additionally, we introduce a new metric for uncertainty decomposition in black-box LLMs that improves upon entropy-based decomposition by modeling semantic continuities in natural language generation. We show that this decomposition metric can be used to quantify how much LLM uncertainty is attributed to prompt sensitivity. Our work introduces a new way to improve uncertainty calibration in prompt-sensitive language models, and provides evidence that some LLMs fail to exhibit consistent general reasoning about the meanings of their inputs. 

In multimodal machine learning, effectively addressing the missing modality scenario is crucial for improving performance in downstream tasks such as in medical contexts where data may be incomplete. Although some attempts have been made to effectively retrieve embeddings for missing modalities, two main bottlenecks remain: the consideration of both intra- and inter-modal context, and the cost of embedding selection, where embeddings often lack modality-specific knowledge. In response, we propose MoE-Retriever, a novel framework inspired by the design principles of Sparse Mixture of Experts (SMoE). First, MoE-Retriever samples the relevant data from modality combinations, using a so-called supporting group to construct intra-modal inputs while incorporating inter-modal inputs. These inputs are then processed by Multi-Head Attention, after which the SMoE Router automatically selects the most relevant expert, i.e., the embedding candidate to be retrieved. Comprehensive experiments on both medical and general multimodal datasets demonstrate the robustness and generalizability of MoE-Retriever, marking a significant step forward in embedding retrieval methods for incomplete multimodal data. 

Functional Magnetic Resonance Image (fMRI) is commonly employed to study human brain activity, since it offers insight into the relationship between functional fluctuations and human behavior. To enhance analysis and comprehension of brain activity, Graph Neural Networks (GNNs) have been widely applied to the analysis of functional connectivities (FC) derived from fMRI data, due to their ability to capture the synergistic interactions among brain regions. However, in the human brain, performing complex tasks typically involves the activation of certain pathways, which could be represented as paths across graphs. As such, conventional GNNs struggle to learn from these pathways due to the long-range dependencies of multiple pathways. To address these challenges, we introduce a novel framework BrainMAP to learn multiple pathways in brain networks. BrainMAP leverages sequential models to identify long-range correlations among sequentialized brain regions and incorporates an aggregation module based on Mixture of Experts (MoE) to learn from multiple pathways. Our comprehensive experiments highlight BrainMAP's superior performance. Furthermore, our framework enables explanatory analyses of crucial brain regions involved in tasks.