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Jun 5

Small Edits, Big Consequences: Telling Good from Bad Robustness in Large Language Models

Large language models (LLMs) now write code in settings where misreading a single word can break safety or cost money, yet we still expect them to overlook stray typos. To probe where useful robustness ends and harmful insensitivity begins, we compile 50 LeetCode problems and craft three minimal prompt perturbations that should vary in importance: (i) progressive underspecification deleting 10 % of words per step; (ii) lexical flip swapping a pivotal quantifier ("max" to "min"); and (iii) jargon inflation replacing a common noun with an obscure technical synonym. Six frontier models, including three "reasoning-tuned" versions, solve each mutated prompt, and their Python outputs are checked against the original test suites to reveal whether they reused the baseline solution or adapted. Among 11 853 generations we observe a sharp double asymmetry. Models remain correct in 85 % of cases even after 90 % of the prompt is missing, showing over-robustness to underspecification, yet only 54 % react to a single quantifier flip that reverses the task, with reasoning-tuned variants even less sensitive than their bases. Jargon edits lie in between, passing through 56 %. Current LLMs thus blur the line between harmless noise and meaning - changing edits, often treating both as ignorable. Masking salient anchors such as function names can force re - evaluation. We advocate evaluation and training protocols that reward differential sensitivity: stay steady under benign noise but adapt - or refuse - when semantics truly change.

  • 2 authors
·
Jul 14, 2025

TokenProber: Jailbreaking Text-to-image Models via Fine-grained Word Impact Analysis

Text-to-image (T2I) models have significantly advanced in producing high-quality images. However, such models have the ability to generate images containing not-safe-for-work (NSFW) content, such as pornography, violence, political content, and discrimination. To mitigate the risk of generating NSFW content, refusal mechanisms, i.e., safety checkers, have been developed to check potential NSFW content. Adversarial prompting techniques have been developed to evaluate the robustness of the refusal mechanisms. The key challenge remains to subtly modify the prompt in a way that preserves its sensitive nature while bypassing the refusal mechanisms. In this paper, we introduce TokenProber, a method designed for sensitivity-aware differential testing, aimed at evaluating the robustness of the refusal mechanisms in T2I models by generating adversarial prompts. Our approach is based on the key observation that adversarial prompts often succeed by exploiting discrepancies in how T2I models and safety checkers interpret sensitive content. Thus, we conduct a fine-grained analysis of the impact of specific words within prompts, distinguishing between dirty words that are essential for NSFW content generation and discrepant words that highlight the different sensitivity assessments between T2I models and safety checkers. Through the sensitivity-aware mutation, TokenProber generates adversarial prompts, striking a balance between maintaining NSFW content generation and evading detection. Our evaluation of TokenProber against 5 safety checkers on 3 popular T2I models, using 324 NSFW prompts, demonstrates its superior effectiveness in bypassing safety filters compared to existing methods (e.g., 54%+ increase on average), highlighting TokenProber's ability to uncover robustness issues in the existing refusal mechanisms.

  • 5 authors
·
May 11, 2025

Sigma: Differential Rescaling of Query, Key and Value for Efficient Language Models

We introduce Sigma, an efficient large language model specialized for the system domain, empowered by a novel architecture including DiffQKV attention, and pre-trained on our meticulously collected system domain data. DiffQKV attention significantly enhances the inference efficiency of Sigma by optimizing the Query (Q), Key (K), and Value (V) components in the attention mechanism differentially, based on their varying impacts on the model performance and efficiency indicators. Specifically, we (1) conduct extensive experiments that demonstrate the model's varying sensitivity to the compression of K and V components, leading to the development of differentially compressed KV, and (2) propose augmented Q to expand the Q head dimension, which enhances the model's representation capacity with minimal impacts on the inference speed. Rigorous theoretical and empirical analyses reveal that DiffQKV attention significantly enhances efficiency, achieving up to a 33.36% improvement in inference speed over the conventional grouped-query attention (GQA) in long-context scenarios. We pre-train Sigma on 6T tokens from various sources, including 19.5B system domain data that we carefully collect and 1T tokens of synthesized and rewritten data. In general domains, Sigma achieves comparable performance to other state-of-arts models. In the system domain, we introduce the first comprehensive benchmark AIMicius, where Sigma demonstrates remarkable performance across all tasks, significantly outperforming GPT-4 with an absolute improvement up to 52.5%.

  • 34 authors
·
Jan 23, 2025 2

Thinking with Deltas: Incentivizing Reinforcement Learning via Differential Visual Reasoning Policy

Reinforcement Learning with Verifiable Rewards (RLVR) has significantly advanced reasoning capabilities in Large Language Models. However, adapting RLVR to multimodal domains suffers from a critical perception-reasoning decoupling. Existing paradigms, driven by text-centric outcome rewards, reasoning in language medium, inadvertently encourage models to bypass visual perception. We empirically validate this through blind experiments: state-of-the-art policies maintain or surprisingly improve performance even when visual inputs are entirely removed. This reveals that these models degenerate into blind reasoners, exploiting linguistic priors to generate plausible answers instead of attending to visual evidence. In response, we propose Thinking with Deltas, a framework driven by a Differential Visual Reasoning Policy (DVRP). DVRP introduces intrinsic supervision via visual triplets, comprising original, masked, and perturbed inputs. It optimizes the model to maximize reasoning divergence from masked inputs (enforcing visual sensitivity) while minimizing divergence from perturbed inputs (ensuring visual robustness). By aligning reasoning variations strictly with the Delta of visual information, DVRP inherently bolsters visual understanding capabilities and significantly outperforms state-of-the-art methods on both general and medical benchmarks, without requiring external annotations or auxiliary tools.

  • 5 authors
·
Jan 11

Accelerating COVID-19 Differential Diagnosis with Explainable Ultrasound Image Analysis

Controlling the COVID-19 pandemic largely hinges upon the existence of fast, safe, and highly-available diagnostic tools. Ultrasound, in contrast to CT or X-Ray, has many practical advantages and can serve as a globally-applicable first-line examination technique. We provide the largest publicly available lung ultrasound (US) dataset for COVID-19 consisting of 106 videos from three classes (COVID-19, bacterial pneumonia, and healthy controls); curated and approved by medical experts. On this dataset, we perform an in-depth study of the value of deep learning methods for differential diagnosis of COVID-19. We propose a frame-based convolutional neural network that correctly classifies COVID-19 US videos with a sensitivity of 0.98+-0.04 and a specificity of 0.91+-08 (frame-based sensitivity 0.93+-0.05, specificity 0.87+-0.07). We further employ class activation maps for the spatio-temporal localization of pulmonary biomarkers, which we subsequently validate for human-in-the-loop scenarios in a blindfolded study with medical experts. Aiming for scalability and robustness, we perform ablation studies comparing mobile-friendly, frame- and video-based architectures and show reliability of the best model by aleatoric and epistemic uncertainty estimates. We hope to pave the road for a community effort toward an accessible, efficient and interpretable screening method and we have started to work on a clinical validation of the proposed method. Data and code are publicly available.

  • 6 authors
·
Sep 13, 2020

A Novel Plagiarism Detection Approach Combining BERT-based Word Embedding, Attention-based LSTMs and an Improved Differential Evolution Algorithm

Detecting plagiarism involves finding similar items in two different sources. In this article, we propose a novel method for detecting plagiarism that is based on attention mechanism-based long short-term memory (LSTM) and bidirectional encoder representations from transformers (BERT) word embedding, enhanced with optimized differential evolution (DE) method for pre-training and a focal loss function for training. BERT could be included in a downstream task and fine-tuned as a task-specific BERT can be included in a downstream task and fine-tuned as a task-specific structure, while the trained BERT model is capable of detecting various linguistic characteristics. Unbalanced classification is one of the primary issues with plagiarism detection. We suggest a focal loss-based training technique that carefully learns minority class instances to solve this. Another issue that we tackle is the training phase itself, which typically employs gradient-based methods like back-propagation for the learning process and thus suffers from some drawbacks, including sensitivity to initialization. To initiate the BP process, we suggest a novel DE algorithm that makes use of a clustering-based mutation operator. Here, a winning cluster is identified for the current DE population, and a fresh updating method is used to produce potential answers. We evaluate our proposed approach on three benchmark datasets ( MSRP, SNLI, and SemEval2014) and demonstrate that it performs well when compared to both conventional and population-based methods.

  • 4 authors
·
May 3, 2023

DSP-Reg: Domain-Sensitive Parameter Regularization for Robust Domain Generalization

Domain Generalization (DG) is a critical area that focuses on developing models capable of performing well on data from unseen distributions, which is essential for real-world applications. Existing approaches primarily concentrate on learning domain-invariant features, which assume that a model robust to variations in the source domains will generalize well to unseen target domains. However, these approaches neglect a deeper analysis at the parameter level, which makes the model hard to explicitly differentiate between parameters sensitive to domain shifts and those robust, potentially hindering its overall ability to generalize. In order to address these limitations, we first build a covariance-based parameter sensitivity analysis framework to quantify the sensitivity of each parameter in a model to domain shifts. By computing the covariance of parameter gradients across multiple source domains, we can identify parameters that are more susceptible to domain variations, which serves as our theoretical foundation. Based on this, we propose Domain-Sensitive Parameter Regularization (DSP-Reg), a principled framework that guides model optimization by a soft regularization technique that encourages the model to rely more on domain-invariant parameters while suppressing those that are domain-specific. This approach provides a more granular control over the model's learning process, leading to improved robustness and generalization to unseen domains. Extensive experiments on benchmarks, such as PACS, VLCS, OfficeHome, and DomainNet, demonstrate that DSP-Reg outperforms state-of-the-art approaches, achieving an average accuracy of 66.7\% and surpassing all baselines.

  • 7 authors
·
Jan 27

Harnessing large-language models to generate private synthetic text

Differentially private (DP) training methods like DP-SGD can protect sensitive training data by ensuring that ML models will not reveal private information. An alternative approach, which this paper studies, is to use a sensitive dataset to generate a new synthetic dataset which is differentially private with respect to the original data. Doing so has several advantages: synthetic data can be reused for other tasks (including for hyper parameter tuning), retained indefinitely, or shared with third parties without sacrificing privacy. However, obtaining DP data is much harder than introducing DP during training. To make it feasible for text, recent work has utilized public data by starting with a pre-trained generative language model and privately finetuning it on sensitive data. This model can be used to sample a DP synthetic dataset. While this strategy seems straightforward, executing it has proven problematic. Previous approaches either show significant performance loss, or have, as we show, critical design flaws. In this paper we demonstrate that a proper training objective along with tuning fewer parameters results in excellent DP synthetic data quality. Our approach is competitive with direct DP-training of downstream classifiers in terms of performance on downstream tasks. We also demonstrate that our DP synthetic data is not only useful for downstream classifier training, but also to tune those same models.

  • 5 authors
·
Jun 2, 2023

Rethinking Multi-Condition DiTs: Eliminating Redundant Attention via Position-Alignment and Keyword-Scoping

While modern text-to-image models excel at prompt-based generation, they often lack the fine-grained control necessary for specific user requirements like spatial layouts or subject appearances. Multi-condition control addresses this, yet its integration into Diffusion Transformers (DiTs) is bottlenecked by the conventional ``concatenate-and-attend'' strategy, which suffers from quadratic computational and memory overhead as the number of conditions scales. Our analysis reveals that much of this cross-modal interaction is spatially or semantically redundant. To this end, we propose Position-aligned and Keyword-scoped Attention (PKA), a highly efficient framework designed to eliminate these redundancies. Specifically, Position-Aligned Attention (PAA) linearizes spatial control by enforcing localized patch alignment, while Keyword-Scoped Attention (KSA) prunes irrelevant subject-driven interactions via semantic-aware masking. To facilitate efficient learning, we further introduce a Conditional Sensitivity-Aware Sampling (CSAS) strategy that reweights the training objective towards critical denoising phases, drastically accelerating convergence and enhancing conditional fidelity. Empirically, PKA delivers a 10.0times inference speedup and a 5.1times VRAM saving, providing a scalable and resource-friendly solution for high-fidelity multi-conditioned generation.

  • 5 authors
·
Feb 6

Real-Time Prediction of Gas Flow Dynamics in Diesel Engines using a Deep Neural Operator Framework

We develop a data-driven deep neural operator framework to approximate multiple output states for a diesel engine and generate real-time predictions with reasonable accuracy. As emission norms become more stringent, the need for fast and accurate models that enable analysis of system behavior have become an essential requirement for system development. The fast transient processes involved in the operation of a combustion engine make it difficult to develop accurate physics-based models for such systems. As an alternative to physics based models, we develop an operator-based regression model (DeepONet) to learn the relevant output states for a mean-value gas flow engine model using the engine operating conditions as input variables. We have adopted a mean-value model as a benchmark for comparison, simulated using Simulink. The developed approach necessitates using the initial conditions of the output states to predict the accurate sequence over the temporal domain. To this end, a sequence-to-sequence approach is embedded into the proposed framework. The accuracy of the model is evaluated by comparing the prediction output to ground truth generated from Simulink model. The maximum mathcal L_2 relative error observed was approximately 6.5%. The sensitivity of the DeepONet model is evaluated under simulated noise conditions and the model shows relatively low sensitivity to noise. The uncertainty in model prediction is further assessed by using a mean ensemble approach. The worst-case error at the (mu + 2sigma) boundary was found to be 12%. The proposed framework provides the ability to predict output states in real-time and enables data-driven learning of complex input-output operator mapping. As a result, this model can be applied during initial development stages, where accurate models may not be available.

  • 4 authors
·
Apr 2, 2023

Automatic Differential Diagnosis using Transformer-Based Multi-Label Sequence Classification

As the field of artificial intelligence progresses, assistive technologies are becoming more widely used across all industries. The healthcare industry is no different, with numerous studies being done to develop assistive tools for healthcare professionals. Automatic diagnostic systems are one such beneficial tool that can assist with a variety of tasks, including collecting patient information, analyzing test results, and diagnosing patients. However, the idea of developing systems that can provide a differential diagnosis has been largely overlooked in most of these research studies. In this study, we propose a transformer-based approach for providing differential diagnoses based on a patient's age, sex, medical history, and symptoms. We use the DDXPlus dataset, which provides differential diagnosis information for patients based on 49 disease types. Firstly, we propose a method to process the tabular patient data from the dataset and engineer them into patient reports to make them suitable for our research. In addition, we introduce two data modification modules to diversify the training data and consequently improve the robustness of the models. We approach the task as a multi-label classification problem and conduct extensive experiments using four transformer models. All the models displayed promising results by achieving over 97% F1 score on the held-out test set. Moreover, we design additional behavioral tests to get a broader understanding of the models. In particular, for one of our test cases, we prepared a custom test set of 100 samples with the assistance of a doctor. The results on the custom set showed that our proposed data modification modules improved the model's generalization capabilities. We hope our findings will provide future researchers with valuable insights and inspire them to develop reliable systems for automatic differential diagnosis.

  • 3 authors
·
Aug 28, 2024 1

Exploring Geometry of Blind Spots in Vision Models

Despite the remarkable success of deep neural networks in a myriad of settings, several works have demonstrated their overwhelming sensitivity to near-imperceptible perturbations, known as adversarial attacks. On the other hand, prior works have also observed that deep networks can be under-sensitive, wherein large-magnitude perturbations in input space do not induce appreciable changes to network activations. In this work, we study in detail the phenomenon of under-sensitivity in vision models such as CNNs and Transformers, and present techniques to study the geometry and extent of "equi-confidence" level sets of such networks. We propose a Level Set Traversal algorithm that iteratively explores regions of high confidence with respect to the input space using orthogonal components of the local gradients. Given a source image, we use this algorithm to identify inputs that lie in the same equi-confidence level set as the source image despite being perceptually similar to arbitrary images from other classes. We further observe that the source image is linearly connected by a high-confidence path to these inputs, uncovering a star-like structure for level sets of deep networks. Furthermore, we attempt to identify and estimate the extent of these connected higher-dimensional regions over which the model maintains a high degree of confidence. The code for this project is publicly available at https://github.com/SriramB-98/blindspots-neurips-sub

  • 4 authors
·
Oct 30, 2023

Supervised Learning Has a Necessary Geometric Blind Spot: Theory, Consequences, and Minimal Repair

PGD adversarial training, the standard robustness method, can reduce Jacobian Frobenius norm yet worsen clean-input geometry (e.g., TDI 1.336 vs. ERM 1.093). We show this is not an implementation artifact but a theorem-level consequence of supervised learning. We prove that any encoder minimizing supervised loss must retain non-zero sensitivity along directions correlated with training labels, including directions that are nuisance at test time. This holds across proper scoring rules, architectures, and dataset sizes. We call this the geometric blind spot of supervised learning. This theorem unifies four empirical phenomena often treated separately: non-robust features, texture bias, corruption fragility, and the robustness-accuracy tradeoff. It also explains why suppressing sensitivity in one adversarial direction can redistribute sensitivity elsewhere. We introduce Trajectory Deviation Index (TDI), a diagnostic of geometric isotropy. Unlike CKA, intrinsic dimension, or Jacobian Frobenius norm alone, TDI captures the failure mode above. In our experiments, PGD attains low Frobenius norm but high TDI, while PMH attains the lowest TDI with one additional training term and no architectural changes. Across seven tasks, BERT/SST-2, and ImageNet ViT-B/16 (backbone family underlying CLIP/DINO/SAM), the blind spot is measurable and repairable. It appears at foundation-model scale, worsens with model scale and task-specific fine-tuning, and is substantially reduced by PMH. PMH also leads on non-Gaussian corruption types (blur/brightness/contrast) without corruption-specific training.

  • 1 authors
·
Apr 26 1

When the signal is in the noise: Exploiting Diffix's Sticky Noise

Anonymized data is highly valuable to both businesses and researchers. A large body of research has however shown the strong limits of the de-identification release-and-forget model, where data is anonymized and shared. This has led to the development of privacy-preserving query-based systems. Based on the idea of "sticky noise", Diffix has been recently proposed as a novel query-based mechanism satisfying alone the EU Article~29 Working Party's definition of anonymization. According to its authors, Diffix adds less noise to answers than solutions based on differential privacy while allowing for an unlimited number of queries. This paper presents a new class of noise-exploitation attacks, exploiting the noise added by the system to infer private information about individuals in the dataset. Our first differential attack uses samples extracted from Diffix in a likelihood ratio test to discriminate between two probability distributions. We show that using this attack against a synthetic best-case dataset allows us to infer private information with 89.4% accuracy using only 5 attributes. Our second cloning attack uses dummy conditions that conditionally strongly affect the output of the query depending on the value of the private attribute. Using this attack on four real-world datasets, we show that we can infer private attributes of at least 93% of the users in the dataset with accuracy between 93.3% and 97.1%, issuing a median of 304 queries per user. We show how to optimize this attack, targeting 55.4% of the users and achieving 91.7% accuracy, using a maximum of only 32 queries per user. Our attacks demonstrate that adding data-dependent noise, as done by Diffix, is not sufficient to prevent inference of private attributes. We furthermore argue that Diffix alone fails to satisfy Art. 29 WP's definition of anonymization. [...]

  • 5 authors
·
Apr 18, 2018

HAWQ-V2: Hessian Aware trace-Weighted Quantization of Neural Networks

Quantization is an effective method for reducing memory footprint and inference time of Neural Networks, e.g., for efficient inference in the cloud, especially at the edge. However, ultra low precision quantization could lead to significant degradation in model generalization. A promising method to address this is to perform mixed-precision quantization, where more sensitive layers are kept at higher precision. However, the search space for a mixed-precision quantization is exponential in the number of layers. Recent work has proposed HAWQ, a novel Hessian based framework, with the aim of reducing this exponential search space by using second-order information. While promising, this prior work has three major limitations: (i) HAWQV1 only uses the top Hessian eigenvalue as a measure of sensitivity and do not consider the rest of the Hessian spectrum; (ii) HAWQV1 approach only provides relative sensitivity of different layers and therefore requires a manual selection of the mixed-precision setting; and (iii) HAWQV1 does not consider mixed-precision activation quantization. Here, we present HAWQV2 which addresses these shortcomings. For (i), we perform a theoretical analysis showing that a better sensitivity metric is to compute the average of all of the Hessian eigenvalues. For (ii), we develop a Pareto frontier based method for selecting the exact bit precision of different layers without any manual selection. For (iii), we extend the Hessian analysis to mixed-precision activation quantization. We have found this to be very beneficial for object detection. We show that HAWQV2 achieves new state-of-the-art results for a wide range of tasks.

  • 7 authors
·
Nov 9, 2019

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

Differential privacy enables fair and accurate AI-based analysis of speech disorders while protecting patient data

Speech pathology has impacts on communication abilities and quality of life. While deep learning-based models have shown potential in diagnosing these disorders, the use of sensitive data raises critical privacy concerns. Although differential privacy (DP) has been explored in the medical imaging domain, its application in pathological speech analysis remains largely unexplored despite the equally critical privacy concerns. To the best of our knowledge, this study is the first to investigate DP's impact on pathological speech data, focusing on the trade-offs between privacy, diagnostic accuracy, and fairness. Using a large, real-world dataset of 200 hours of recordings from 2,839 German-speaking participants, we observed a maximum accuracy reduction of 3.85% when training with DP with high privacy levels. To highlight real-world privacy risks, we demonstrated the vulnerability of non-private models to gradient inversion attacks, reconstructing identifiable speech samples and showcasing DP's effectiveness in mitigating these risks. To explore the potential generalizability across languages and disorders, we validated our approach on a dataset of Spanish-speaking Parkinson's disease patients, leveraging pretrained models from healthy English-speaking datasets, and demonstrated that careful pretraining on large-scale task-specific datasets can maintain favorable accuracy under DP constraints. A comprehensive fairness analysis revealed minimal gender bias at reasonable privacy levels but underscored the need for addressing age-related disparities. Our results establish that DP can balance privacy and utility in speech disorder detection, while highlighting unique challenges in privacy-fairness trade-offs for speech data. This provides a foundation for refining DP methodologies and improving fairness across diverse patient groups in real-world deployments.

  • 9 authors
·
Sep 27, 2024

Differential privacy for medical deep learning: methods, tradeoffs, and deployment implications

Differential privacy (DP) is a key technique for protecting sensitive patient data in medical deep learning (DL). As clinical models grow more data-dependent, balancing privacy with utility and fairness has become a critical challenge. This scoping review synthesizes recent developments in applying DP to medical DL, with a particular focus on DP-SGD and alternative mechanisms across centralized and federated settings. Using a structured search strategy, we identified 74 studies published up to March 2025. Our analysis spans diverse data modalities, training setups, and downstream tasks, and highlights the tradeoffs between privacy guarantees, model accuracy, and subgroup fairness. We find that while DP-especially at strong privacy budgets-can preserve performance in well-structured imaging tasks, severe degradation often occurs under strict privacy, particularly in underrepresented or complex modalities. Furthermore, privacy-induced performance gaps disproportionately affect demographic subgroups, with fairness impacts varying by data type and task. A small subset of studies explicitly addresses these tradeoffs through subgroup analysis or fairness metrics, but most omit them entirely. Beyond DP-SGD, emerging approaches leverage alternative mechanisms, generative models, and hybrid federated designs, though reporting remains inconsistent. We conclude by outlining key gaps in fairness auditing, standardization, and evaluation protocols, offering guidance for future work toward equitable and clinically robust privacy-preserving DL systems in medicine.

  • 7 authors
·
May 31, 2025

DIFF2: Differential Private Optimization via Gradient Differences for Nonconvex Distributed Learning

Differential private optimization for nonconvex smooth objective is considered. In the previous work, the best known utility bound is widetilde O(d/(nvarepsilon_DP)) in terms of the squared full gradient norm, which is achieved by Differential Private Gradient Descent (DP-GD) as an instance, where n is the sample size, d is the problem dimensionality and varepsilon_DP is the differential privacy parameter. To improve the best known utility bound, we propose a new differential private optimization framework called DIFF2 (DIFFerential private optimization via gradient DIFFerences) that constructs a differential private global gradient estimator with possibly quite small variance based on communicated gradient differences rather than gradients themselves. It is shown that DIFF2 with a gradient descent subroutine achieves the utility of widetilde O(d^{2/3}/(nvarepsilon_DP)^{4/3}), which can be significantly better than the previous one in terms of the dependence on the sample size n. To the best of our knowledge, this is the first fundamental result to improve the standard utility widetilde O(d/(nvarepsilon_DP)) for nonconvex objectives. Additionally, a more computational and communication efficient subroutine is combined with DIFF2 and its theoretical analysis is also given. Numerical experiments are conducted to validate the superiority of DIFF2 framework.

  • 2 authors
·
Feb 8, 2023

MEDDxAgent: A Unified Modular Agent Framework for Explainable Automatic Differential Diagnosis

Differential Diagnosis (DDx) is a fundamental yet complex aspect of clinical decision-making, in which physicians iteratively refine a ranked list of possible diseases based on symptoms, antecedents, and medical knowledge. While recent advances in large language models (LLMs) have shown promise in supporting DDx, existing approaches face key limitations, including single-dataset evaluations, isolated optimization of components, unrealistic assumptions about complete patient profiles, and single-attempt diagnosis. We introduce a Modular Explainable DDx Agent (MEDDxAgent) framework designed for interactive DDx, where diagnostic reasoning evolves through iterative learning, rather than assuming a complete patient profile is accessible. MEDDxAgent integrates three modular components: (1) an orchestrator (DDxDriver), (2) a history taking simulator, and (3) two specialized agents for knowledge retrieval and diagnosis strategy. To ensure robust evaluation, we introduce a comprehensive DDx benchmark covering respiratory, skin, and rare diseases. We analyze single-turn diagnostic approaches and demonstrate the importance of iterative refinement when patient profiles are not available at the outset. Our broad evaluation demonstrates that MEDDxAgent achieves over 10% accuracy improvements in interactive DDx across both large and small LLMs, while offering critical explainability into its diagnostic reasoning process.

  • 6 authors
·
Feb 26, 2025

Opening the Blackbox: Accelerating Neural Differential Equations by Regularizing Internal Solver Heuristics

Democratization of machine learning requires architectures that automatically adapt to new problems. Neural Differential Equations (NDEs) have emerged as a popular modeling framework by removing the need for ML practitioners to choose the number of layers in a recurrent model. While we can control the computational cost by choosing the number of layers in standard architectures, in NDEs the number of neural network evaluations for a forward pass can depend on the number of steps of the adaptive ODE solver. But, can we force the NDE to learn the version with the least steps while not increasing the training cost? Current strategies to overcome slow prediction require high order automatic differentiation, leading to significantly higher training time. We describe a novel regularization method that uses the internal cost heuristics of adaptive differential equation solvers combined with discrete adjoint sensitivities to guide the training process towards learning NDEs that are easier to solve. This approach opens up the blackbox numerical analysis behind the differential equation solver's algorithm and directly uses its local error estimates and stiffness heuristics as cheap and accurate cost estimates. We incorporate our method without any change in the underlying NDE framework and show that our method extends beyond Ordinary Differential Equations to accommodate Neural Stochastic Differential Equations. We demonstrate how our approach can halve the prediction time and, unlike other methods which can increase the training time by an order of magnitude, we demonstrate similar reduction in training times. Together this showcases how the knowledge embedded within state-of-the-art equation solvers can be used to enhance machine learning.

  • 4 authors
·
May 9, 2021

DDXPlus: A New Dataset For Automatic Medical Diagnosis

There has been a rapidly growing interest in Automatic Symptom Detection (ASD) and Automatic Diagnosis (AD) systems in the machine learning research literature, aiming to assist doctors in telemedicine services. These systems are designed to interact with patients, collect evidence about their symptoms and relevant antecedents, and possibly make predictions about the underlying diseases. Doctors would review the interactions, including the evidence and the predictions, collect if necessary additional information from patients, before deciding on next steps. Despite recent progress in this area, an important piece of doctors' interactions with patients is missing in the design of these systems, namely the differential diagnosis. Its absence is largely due to the lack of datasets that include such information for models to train on. In this work, we present a large-scale synthetic dataset of roughly 1.3 million patients that includes a differential diagnosis, along with the ground truth pathology, symptoms and antecedents for each patient. Unlike existing datasets which only contain binary symptoms and antecedents, this dataset also contains categorical and multi-choice symptoms and antecedents useful for efficient data collection. Moreover, some symptoms are organized in a hierarchy, making it possible to design systems able to interact with patients in a logical way. As a proof-of-concept, we extend two existing AD and ASD systems to incorporate the differential diagnosis, and provide empirical evidence that using differentials as training signals is essential for the efficiency of such systems or for helping doctors better understand the reasoning of those systems.

  • 5 authors
·
May 18, 2022

From Robustness to Privacy and Back

We study the relationship between two desiderata of algorithms in statistical inference and machine learning: differential privacy and robustness to adversarial data corruptions. Their conceptual similarity was first observed by Dwork and Lei (STOC 2009), who observed that private algorithms satisfy robustness, and gave a general method for converting robust algorithms to private ones. However, all general methods for transforming robust algorithms into private ones lead to suboptimal error rates. Our work gives the first black-box transformation that converts any adversarially robust algorithm into one that satisfies pure differential privacy. Moreover, we show that for any low-dimensional estimation task, applying our transformation to an optimal robust estimator results in an optimal private estimator. Thus, we conclude that for any low-dimensional task, the optimal error rate for varepsilon-differentially private estimators is essentially the same as the optimal error rate for estimators that are robust to adversarially corrupting 1/varepsilon training samples. We apply our transformation to obtain new optimal private estimators for several high-dimensional tasks, including Gaussian (sparse) linear regression and PCA. Finally, we present an extension of our transformation that leads to approximate differentially private algorithms whose error does not depend on the range of the output space, which is impossible under pure differential privacy.

  • 3 authors
·
Feb 3, 2023

Evaluating AI systems under uncertain ground truth: a case study in dermatology

For safety, medical AI systems undergo thorough evaluations before deployment, validating their predictions against a ground truth which is assumed to be fixed and certain. However, this ground truth is often curated in the form of differential diagnoses. While a single differential diagnosis reflects the uncertainty in one expert assessment, multiple experts introduce another layer of uncertainty through disagreement. Both forms of uncertainty are ignored in standard evaluation which aggregates these differential diagnoses to a single label. In this paper, we show that ignoring uncertainty leads to overly optimistic estimates of model performance, therefore underestimating risk associated with particular diagnostic decisions. To this end, we propose a statistical aggregation approach, where we infer a distribution on probabilities of underlying medical condition candidates themselves, based on observed annotations. This formulation naturally accounts for the potential disagreements between different experts, as well as uncertainty stemming from individual differential diagnoses, capturing the entire ground truth uncertainty. Our approach boils down to generating multiple samples of medical condition probabilities, then evaluating and averaging performance metrics based on these sampled probabilities. In skin condition classification, we find that a large portion of the dataset exhibits significant ground truth uncertainty and standard evaluation severely over-estimates performance without providing uncertainty estimates. In contrast, our framework provides uncertainty estimates on common metrics of interest such as top-k accuracy and average overlap, showing that performance can change multiple percentage points. We conclude that, while assuming a crisp ground truth can be acceptable for many AI applications, a more nuanced evaluation protocol should be utilized in medical diagnosis.

  • 20 authors
·
Jul 5, 2023

Differential privacy representation geometry for medical image analysis

Differential privacy (DP)'s effect in medical imaging is typically evaluated only through end-to-end performance, leaving the mechanism of privacy-induced utility loss unclear. We introduce Differential Privacy Representation Geometry for Medical Imaging (DP-RGMI), a framework that interprets DP as a structured transformation of representation space and decomposes performance degradation into encoder geometry and task-head utilization. Geometry is quantified by representation displacement from initialization and spectral effective dimension, while utilization is measured as the gap between linear-probe and end-to-end utility. Across over 594,000 images from four chest X-ray datasets and multiple pretrained initializations, we show that DP is consistently associated with a utilization gap even when linear separability is largely preserved. At the same time, displacement and spectral dimension exhibit non-monotonic, initialization- and dataset-dependent reshaping, indicating that DP alters representation anisotropy rather than uniformly collapsing features. Correlation analysis reveals that the association between end-to-end performance and utilization is robust across datasets but can vary by initialization, while geometric quantities capture additional prior- and dataset-conditioned variation. These findings position DP-RGMI as a reproducible framework for diagnosing privacy-induced failure modes and informing privacy model selection.

  • 4 authors
·
Mar 1

Bayesian Estimation of Differential Privacy

Algorithms such as Differentially Private SGD enable training machine learning models with formal privacy guarantees. However, there is a discrepancy between the protection that such algorithms guarantee in theory and the protection they afford in practice. An emerging strand of work empirically estimates the protection afforded by differentially private training as a confidence interval for the privacy budget varepsilon spent on training a model. Existing approaches derive confidence intervals for varepsilon from confidence intervals for the false positive and false negative rates of membership inference attacks. Unfortunately, obtaining narrow high-confidence intervals for epsilon using this method requires an impractically large sample size and training as many models as samples. We propose a novel Bayesian method that greatly reduces sample size, and adapt and validate a heuristic to draw more than one sample per trained model. Our Bayesian method exploits the hypothesis testing interpretation of differential privacy to obtain a posterior for varepsilon (not just a confidence interval) from the joint posterior of the false positive and false negative rates of membership inference attacks. For the same sample size and confidence, we derive confidence intervals for varepsilon around 40% narrower than prior work. The heuristic, which we adapt from label-only DP, can be used to further reduce the number of trained models needed to get enough samples by up to 2 orders of magnitude.

  • 9 authors
·
Jun 10, 2022

AI Playground: Unreal Engine-based Data Ablation Tool for Deep Learning

Machine learning requires data, but acquiring and labeling real-world data is challenging, expensive, and time-consuming. More importantly, it is nearly impossible to alter real data post-acquisition (e.g., change the illumination of a room), making it very difficult to measure how specific properties of the data affect performance. In this paper, we present AI Playground (AIP), an open-source, Unreal Engine-based tool for generating and labeling virtual image data. With AIP, it is trivial to capture the same image under different conditions (e.g., fidelity, lighting, etc.) and with different ground truths (e.g., depth or surface normal values). AIP is easily extendable and can be used with or without code. To validate our proposed tool, we generated eight datasets of otherwise identical but varying lighting and fidelity conditions. We then trained deep neural networks to predict (1) depth values, (2) surface normals, or (3) object labels and assessed each network's intra- and cross-dataset performance. Among other insights, we verified that sensitivity to different settings is problem-dependent. We confirmed the findings of other studies that segmentation models are very sensitive to fidelity, but we also found that they are just as sensitive to lighting. In contrast, depth and normal estimation models seem to be less sensitive to fidelity or lighting and more sensitive to the structure of the image. Finally, we tested our trained depth-estimation networks on two real-world datasets and obtained results comparable to training on real data alone, confirming that our virtual environments are realistic enough for real-world tasks.

  • 3 authors
·
Jul 12, 2020

Private, fair and accurate: Training large-scale, privacy-preserving AI models in medical imaging

Artificial intelligence (AI) models are increasingly used in the medical domain. However, as medical data is highly sensitive, special precautions to ensure its protection are required. The gold standard for privacy preservation is the introduction of differential privacy (DP) to model training. Prior work indicates that DP has negative implications on model accuracy and fairness, which are unacceptable in medicine and represent a main barrier to the widespread use of privacy-preserving techniques. In this work, we evaluated the effect of privacy-preserving training of AI models regarding accuracy and fairness compared to non-private training. For this, we used two datasets: (1) A large dataset (N=193,311) of high quality clinical chest radiographs, and (2) a dataset (N=1,625) of 3D abdominal computed tomography (CT) images, with the task of classifying the presence of pancreatic ductal adenocarcinoma (PDAC). Both were retrospectively collected and manually labeled by experienced radiologists. We then compared non-private deep convolutional neural networks (CNNs) and privacy-preserving (DP) models with respect to privacy-utility trade-offs measured as area under the receiver-operator-characteristic curve (AUROC), and privacy-fairness trade-offs, measured as Pearson's r or Statistical Parity Difference. We found that, while the privacy-preserving trainings yielded lower accuracy, they did largely not amplify discrimination against age, sex or co-morbidity. Our study shows that -- under the challenging realistic circumstances of a real-life clinical dataset -- the privacy-preserving training of diagnostic deep learning models is possible with excellent diagnostic accuracy and fairness.

  • 9 authors
·
Feb 3, 2023

AdjointDPM: Adjoint Sensitivity Method for Gradient Backpropagation of Diffusion Probabilistic Models

Existing customization methods require access to multiple reference examples to align pre-trained diffusion probabilistic models (DPMs) with user-provided concepts. This paper aims to address the challenge of DPM customization when the only available supervision is a differentiable metric defined on the generated contents. Since the sampling procedure of DPMs involves recursive calls to the denoising UNet, na\"ive gradient backpropagation requires storing the intermediate states of all iterations, resulting in extremely high memory consumption. To overcome this issue, we propose a novel method AdjointDPM, which first generates new samples from diffusion models by solving the corresponding probability-flow ODEs. It then uses the adjoint sensitivity method to backpropagate the gradients of the loss to the models' parameters (including conditioning signals, network weights, and initial noises) by solving another augmented ODE. To reduce numerical errors in both the forward generation and gradient backpropagation processes, we further reparameterize the probability-flow ODE and augmented ODE as simple non-stiff ODEs using exponential integration. Finally, we demonstrate the effectiveness of AdjointDPM on three interesting tasks: converting visual effects into identification text embeddings, finetuning DPMs for specific types of stylization, and optimizing initial noise to generate adversarial samples for security auditing.

  • 5 authors
·
Jul 20, 2023

Compared to What? Baselines and Metrics for Counterfactual Prompting

Counterfactual prompting (i.e., perturbing a single factor and measuring output change) is widely used to evaluate things like LLM bias and CoT faithfulness. But in this work we argue that observed effects cannot be attributed to the targeted factor without accounting for baseline ``meaning-preserving'' modifications to text that establish general model sensitivity. This is because every counterfactual edit is a compound treatment that bundles the variable of interest with incidental surface-form variation; this violates treatment variation irrelevance. We observe prediction flip rates on MedQA of 14.9% when we surgically change patient gender. However, this is statistically indistinguishable from the flip rates induced by simply paraphrasing inputs (14.1%). In this case, it would therefore be unwarranted to conclude that the LLM is especially sensitive to patient gender. To account for this and robustly measure the effects of targeted interventions, we propose a framework in which we compare (via statistical testing) differences observed under target interventions to those induced by paraphrasing inputs. We then use this framework to revisit a analysis done on the MedPerturb dataset, which reported evidence of model sensitivity to patient demographics and stylistic cues. We find that these effects largely dissipate when we account for general model sensitivity, with only 5 of 120 tests reaching statistical significance. Applying the same framework to occupational biography classification, we detect clearly significant directional gender bias, showing that the framework identifies real directional effects even when they are small. We evaluate a range of metrics -- aggregate, per-sample distributional, and regression -- and find that per-sample metrics are dramatically more powerful than aggregate metrics and regression powerfully and uniquely characterizes effect direction and magnitude.

  • 4 authors
·
Apr 30

The role of self-supervised pretraining in differentially private medical image analysis

Differential privacy (DP) provides formal protection for sensitive data but typically incurs substantial losses in diagnostic performance. Model initialization has emerged as a critical factor in mitigating this degradation, yet the role of modern self-supervised learning under full-model DP remains poorly understood. Here, we present a large-scale evaluation of initialization strategies for differentially private medical image analysis, using chest radiograph classification as a representative benchmark with more than 800,000 images. Using state-of-the-art ConvNeXt models trained with DP-SGD across realistic privacy regimes, we compare non-domain-specific supervised ImageNet initialization, non-domain-specific self-supervised DINOv3 initialization, and domain-specific supervised pretraining on MIMIC-CXR, the largest publicly available chest radiograph dataset. Evaluations are conducted across five external datasets spanning diverse institutions and acquisition settings. We show that DINOv3 initialization consistently improves diagnostic utility relative to ImageNet initialization under DP, but remains inferior to domain-specific supervised pretraining, which achieves performance closest to non-private baselines. We further demonstrate that initialization choice strongly influences demographic fairness, cross-dataset generalization, and robustness to data scale and model capacity under privacy constraints. The results establish initialization strategy as a central determinant of utility, fairness, and generalization in differentially private medical imaging.

  • 10 authors
·
Jan 27

Differentially Private Multivariate Time Series Forecasting of Aggregated Human Mobility With Deep Learning: Input or Gradient Perturbation?

This paper investigates the problem of forecasting multivariate aggregated human mobility while preserving the privacy of the individuals concerned. Differential privacy, a state-of-the-art formal notion, has been used as the privacy guarantee in two different and independent steps when training deep learning models. On one hand, we considered gradient perturbation, which uses the differentially private stochastic gradient descent algorithm to guarantee the privacy of each time series sample in the learning stage. On the other hand, we considered input perturbation, which adds differential privacy guarantees in each sample of the series before applying any learning. We compared four state-of-the-art recurrent neural networks: Long Short-Term Memory, Gated Recurrent Unit, and their Bidirectional architectures, i.e., Bidirectional-LSTM and Bidirectional-GRU. Extensive experiments were conducted with a real-world multivariate mobility dataset, which we published openly along with this paper. As shown in the results, differentially private deep learning models trained under gradient or input perturbation achieve nearly the same performance as non-private deep learning models, with loss in performance varying between 0.57% to 2.8%. The contribution of this paper is significant for those involved in urban planning and decision-making, providing a solution to the human mobility multivariate forecast problem through differentially private deep learning models.

  • 5 authors
·
May 1, 2022

Generating Private Synthetic Data with Genetic Algorithms

We study the problem of efficiently generating differentially private synthetic data that approximate the statistical properties of an underlying sensitive dataset. In recent years, there has been a growing line of work that approaches this problem using first-order optimization techniques. However, such techniques are restricted to optimizing differentiable objectives only, severely limiting the types of analyses that can be conducted. For example, first-order mechanisms have been primarily successful in approximating statistical queries only in the form of marginals for discrete data domains. In some cases, one can circumvent such issues by relaxing the task's objective to maintain differentiability. However, even when possible, these approaches impose a fundamental limitation in which modifications to the minimization problem become additional sources of error. Therefore, we propose Private-GSD, a private genetic algorithm based on zeroth-order optimization heuristics that do not require modifying the original objective. As a result, it avoids the aforementioned limitations of first-order optimization. We empirically evaluate Private-GSD against baseline algorithms on data derived from the American Community Survey across a variety of statistics--otherwise known as statistical queries--both for discrete and real-valued attributes. We show that Private-GSD outperforms the state-of-the-art methods on non-differential queries while matching accuracy in approximating differentiable ones.

  • 4 authors
·
Jun 5, 2023

Sharper Bounds for ell_p Sensitivity Sampling

In large scale machine learning, random sampling is a popular way to approximate datasets by a small representative subset of examples. In particular, sensitivity sampling is an intensely studied technique which provides provable guarantees on the quality of approximation, while reducing the number of examples to the product of the VC dimension d and the total sensitivity mathfrak S in remarkably general settings. However, guarantees going beyond this general bound of mathfrak S d are known in perhaps only one setting, for ell_2 subspace embeddings, despite intense study of sensitivity sampling in prior work. In this work, we show the first bounds for sensitivity sampling for ell_p subspace embeddings for pneq 2 that improve over the general mathfrak S d bound, achieving a bound of roughly mathfrak S^{2/p} for 1leq p<2 and mathfrak S^{2-2/p} for 2<p<infty. For 1leq p<2, we show that this bound is tight, in the sense that there exist matrices for which mathfrak S^{2/p} samples is necessary. Furthermore, our techniques yield further new results in the study of sampling algorithms, showing that the root leverage score sampling algorithm achieves a bound of roughly d for 1leq p<2, and that a combination of leverage score and sensitivity sampling achieves an improved bound of roughly d^{2/p}mathfrak S^{2-4/p} for 2<p<infty. Our sensitivity sampling results yield the best known sample complexity for a wide class of structured matrices that have small ell_p sensitivity.

  • 2 authors
·
Jun 1, 2023

Controllable Context Sensitivity and the Knob Behind It

When making predictions, a language model must trade off how much it relies on its context vs. its prior knowledge. Choosing how sensitive the model is to its context is a fundamental functionality, as it enables the model to excel at tasks like retrieval-augmented generation and question-answering. In this paper, we search for a knob which controls this sensitivity, determining whether language models answer from the context or their prior knowledge. To guide this search, we design a task for controllable context sensitivity. In this task, we first feed the model a context (Paris is in England) and a question (Where is Paris?); we then instruct the model to either use its prior or contextual knowledge and evaluate whether it generates the correct answer for both intents (either France or England). When fine-tuned on this task, instruction-tuned versions of Llama-3.1, Mistral-v0.3, and Gemma-2 can solve it with high accuracy (85-95%). Analyzing these high-performing models, we narrow down which layers may be important to context sensitivity using a novel linear time algorithm. Then, in each model, we identify a 1-D subspace in a single layer that encodes whether the model follows context or prior knowledge. Interestingly, while we identify this subspace in a fine-tuned model, we find that the exact same subspace serves as an effective knob in not only that model but also non-fine-tuned instruct and base models of that model family. Finally, we show a strong correlation between a model's performance and how distinctly it separates context-agreeing from context-ignoring answers in this subspace. These results suggest a single subspace facilitates how the model chooses between context and prior knowledge, hinting at a simple fundamental mechanism that controls this behavior.

  • 7 authors
·
Nov 11, 2024

Pressure-Testing Deception Probes in LLMs: Scaling, Robustness, and the Geometry of Deceptive Representations

Linear probes trained on LLM activations are increasingly proposed as deception-detection metrics, yet report AUROC exceeding 0.96 on clean benchmarks while collapsing under distributional shift. This paper systematically pressure-tests probe-based metrics across the Gemma 3 model family (1B-27B parameters), diagnosing why they fail rather than merely documenting that they fail. We test four hypotheses about deception encoding: (1) single linear direction, (2) multi-dimensional subspace, (3) convex conic hull, (4) entropy proxy. Our design includes cross-domain transfer matrices, multi-dimensional probe analysis with permutation null baselines, entropy-residualization tests, and distractor evaluations across 8 stylistic shifts. We find that: (a) probes achieve near-perfect AUROC (>=0.998) on clean data but collapse under stylistic shifts; style-augmented probes recover near-perfect detection (mean AUROC 0.979-0.983) on unseen styles; (b) the single-direction hypothesis is rejected (k=1 captures only 0.61-0.80 AUROC), with cross-domain transfer failure confirmed as geometric rather than layer-mismatch-driven; (c) the entropy-proxy hypothesis is rejected (max |rho|=0.454, max Delta-AUROC after residualization=0.004); and (d) deception does not form a significant linear subspace (per-domain k*=0), yet multi-dimensional probes (k>=5) recover the signal through distributed sub-threshold features. Probe fragility reflects distributional narrowness rather than an architectural limitation: style-augmented probes recover near-perfect detection at both 4B and 27B, establishing that the inverse scaling pattern is a training-distribution artifact rather than a genuine scale-dependent phenomenon.

  • 1 authors
·
May 27 2

Grouped Differential Attention

The self-attention mechanism, while foundational to modern Transformer architectures, suffers from a critical inefficiency: it frequently allocates substantial attention to redundant or noisy context. Differential Attention addressed this by using subtractive attention maps for signal and noise, but its required balanced head allocation imposes rigid constraints on representational flexibility and scalability. To overcome this, we propose Grouped Differential Attention (GDA), a novel approach that introduces unbalanced head allocation between signal-preserving and noise-control groups. GDA significantly enhances signal focus by strategically assigning more heads to signal extraction and fewer to noise-control, stabilizing the latter through controlled repetition (akin to GQA). This design achieves stronger signal fidelity with minimal computational overhead. We further extend this principle to group-differentiated growth, a scalable strategy that selectively replicates only the signal-focused heads, thereby ensuring efficient capacity expansion. Through large-scale pretraining and continual training experiments, we demonstrate that moderate imbalance ratios in GDA yield substantial improvements in generalization and stability compared to symmetric baselines. Our results collectively establish that ratio-aware head allocation and selective expansion offer an effective and practical path toward designing scalable, computation-efficient Transformer architectures.

  • 10 authors
·
Oct 7, 2025

Towards Accurate Differential Diagnosis with Large Language Models

An accurate differential diagnosis (DDx) is a cornerstone of medical care, often reached through an iterative process of interpretation that combines clinical history, physical examination, investigations and procedures. Interactive interfaces powered by Large Language Models (LLMs) present new opportunities to both assist and automate aspects of this process. In this study, we introduce an LLM optimized for diagnostic reasoning, and evaluate its ability to generate a DDx alone or as an aid to clinicians. 20 clinicians evaluated 302 challenging, real-world medical cases sourced from the New England Journal of Medicine (NEJM) case reports. Each case report was read by two clinicians, who were randomized to one of two assistive conditions: either assistance from search engines and standard medical resources, or LLM assistance in addition to these tools. All clinicians provided a baseline, unassisted DDx prior to using the respective assistive tools. Our LLM for DDx exhibited standalone performance that exceeded that of unassisted clinicians (top-10 accuracy 59.1% vs 33.6%, [p = 0.04]). Comparing the two assisted study arms, the DDx quality score was higher for clinicians assisted by our LLM (top-10 accuracy 51.7%) compared to clinicians without its assistance (36.1%) (McNemar's Test: 45.7, p < 0.01) and clinicians with search (44.4%) (4.75, p = 0.03). Further, clinicians assisted by our LLM arrived at more comprehensive differential lists than those without its assistance. Our study suggests that our LLM for DDx has potential to improve clinicians' diagnostic reasoning and accuracy in challenging cases, meriting further real-world evaluation for its ability to empower physicians and widen patients' access to specialist-level expertise.

  • 28 authors
·
Nov 30, 2023 1

Policy Gradient-Driven Noise Mask

Deep learning classifiers face significant challenges when dealing with heterogeneous multi-modal and multi-organ biomedical datasets. The low-level feature distinguishability limited to imaging-modality hinders the classifiers' ability to learn high-level semantic relationships, resulting in sub-optimal performance. To address this issue, image augmentation strategies are employed as regularization techniques. While additive noise input during network training is a well-established augmentation as regularization method, modern pipelines often favor more robust techniques such as dropout and weight decay. This preference stems from the observation that combining these established techniques with noise input can adversely affect model performance. In this study, we propose a novel pretraining pipeline that learns to generate conditional noise mask specifically tailored to improve performance on multi-modal and multi-organ datasets. As a reinforcement learning algorithm, our approach employs a dual-component system comprising a very light-weight policy network that learns to sample conditional noise using a differentiable beta distribution as well as a classifier network. The policy network is trained using the reinforce algorithm to generate image-specific noise masks that regularize the classifier during pretraining. A key aspect is that the policy network's role is limited to obtaining an intermediate (or heated) model before fine-tuning. During inference, the policy network is omitted, allowing direct comparison between the baseline and noise-regularized models. We conducted experiments and related analyses on RadImageNet datasets. Results demonstrate that fine-tuning the intermediate models consistently outperforms conventional training algorithms on both classification and generalization to unseen concept tasks.

  • 2 authors
·
Apr 29, 2024

Crowdsourcing Dermatology Images with Google Search Ads: Creating a Real-World Skin Condition Dataset

Background: Health datasets from clinical sources do not reflect the breadth and diversity of disease in the real world, impacting research, medical education, and artificial intelligence (AI) tool development. Dermatology is a suitable area to develop and test a new and scalable method to create representative health datasets. Methods: We used Google Search advertisements to invite contributions to an open access dataset of images of dermatology conditions, demographic and symptom information. With informed contributor consent, we describe and release this dataset containing 10,408 images from 5,033 contributions from internet users in the United States over 8 months starting March 2023. The dataset includes dermatologist condition labels as well as estimated Fitzpatrick Skin Type (eFST) and Monk Skin Tone (eMST) labels for the images. Results: We received a median of 22 submissions/day (IQR 14-30). Female (66.72%) and younger (52% < age 40) contributors had a higher representation in the dataset compared to the US population, and 32.6% of contributors reported a non-White racial or ethnic identity. Over 97.5% of contributions were genuine images of skin conditions. Dermatologist confidence in assigning a differential diagnosis increased with the number of available variables, and showed a weaker correlation with image sharpness (Spearman's P values <0.001 and 0.01 respectively). Most contributions were short-duration (54% with onset < 7 days ago ) and 89% were allergic, infectious, or inflammatory conditions. eFST and eMST distributions reflected the geographical origin of the dataset. The dataset is available at github.com/google-research-datasets/scin . Conclusion: Search ads are effective at crowdsourcing images of health conditions. The SCIN dataset bridges important gaps in the availability of representative images of common skin conditions.

  • 20 authors
·
Feb 28, 2024

Adversarial Style Augmentation for Domain Generalization

It is well-known that the performance of well-trained deep neural networks may degrade significantly when they are applied to data with even slightly shifted distributions. Recent studies have shown that introducing certain perturbation on feature statistics (\eg, mean and standard deviation) during training can enhance the cross-domain generalization ability. Existing methods typically conduct such perturbation by utilizing the feature statistics within a mini-batch, limiting their representation capability. Inspired by the domain generalization objective, we introduce a novel Adversarial Style Augmentation (ASA) method, which explores broader style spaces by generating more effective statistics perturbation via adversarial training. Specifically, we first search for the most sensitive direction and intensity for statistics perturbation by maximizing the task loss. By updating the model against the adversarial statistics perturbation during training, we allow the model to explore the worst-case domain and hence improve its generalization performance. To facilitate the application of ASA, we design a simple yet effective module, namely AdvStyle, which instantiates the ASA method in a plug-and-play manner. We justify the efficacy of AdvStyle on tasks of cross-domain classification and instance retrieval. It achieves higher mean accuracy and lower performance fluctuation. Especially, our method significantly outperforms its competitors on the PACS dataset under the single source generalization setting, \eg, boosting the classification accuracy from 61.2\% to 67.1\% with a ResNet50 backbone. Our code will be available at https://github.com/YBZh/AdvStyle.

  • 5 authors
·
Jan 29, 2023

UNICE: Training A Universal Image Contrast Enhancer

Existing image contrast enhancement methods are typically designed for specific tasks such as under-/over-exposure correction, low-light and backlit image enhancement, etc. The learned models, however, exhibit poor generalization performance across different tasks, even across different datasets of a specific task. It is important to explore whether we can learn a universal and generalized model for various contrast enhancement tasks. In this work, we observe that the common key factor of these tasks lies in the need of exposure and contrast adjustment, which can be well-addressed if high-dynamic range (HDR) inputs are available. We hence collect 46,928 HDR raw images from public sources, and render 328,496 sRGB images to build multi-exposure sequences (MES) and the corresponding pseudo sRGB ground-truths via multi-exposure fusion. Consequently, we train a network to generate an MES from a single sRGB image, followed by training another network to fuse the generated MES into an enhanced image. Our proposed method, namely UNiversal Image Contrast Enhancer (UNICE), is free of costly human labeling. However, it demonstrates significantly stronger generalization performance than existing image contrast enhancement methods across and within different tasks, even outperforming manually created ground-truths in multiple no-reference image quality metrics. The dataset, code and model are available at https://github.com/BeyondHeaven/UNICE.

  • 2 authors
·
Jul 22, 2025

POSIX: A Prompt Sensitivity Index For Large Language Models

Despite their remarkable capabilities, Large Language Models (LLMs) are found to be surprisingly sensitive to minor variations in prompts, often generating significantly divergent outputs in response to minor variations in the prompts, such as spelling errors, alteration of wording or the prompt template. However, while assessing the quality of an LLM, the focus often tends to be solely on its performance on downstream tasks, while very little to no attention is paid to prompt sensitivity. To fill this gap, we propose POSIX - a novel PrOmpt Sensitivity IndeX as a reliable measure of prompt sensitivity, thereby offering a more comprehensive evaluation of LLM performance. The key idea behind POSIX is to capture the relative change in loglikelihood of a given response upon replacing the corresponding prompt with a different intent-preserving prompt. We provide thorough empirical evidence demonstrating the efficacy of POSIX in capturing prompt sensitivity and subsequently use it to measure and thereby compare prompt sensitivity of various open-source LLMs. We find that merely increasing the parameter count or instruction tuning does not necessarily reduce prompt sensitivity whereas adding some few-shot exemplars, even just one, almost always leads to significant decrease in prompt sensitivity. We also find that alterations to prompt template lead to the highest sensitivity in the case of MCQ type tasks, whereas paraphrasing results in the highest sensitivity in open-ended generation tasks. The code for reproducing our results is open-sourced at https://github.com/kowndinya-renduchintala/POSIX.

  • 4 authors
·
Oct 3, 2024