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Hybrid	Machine	Learning	Methods	for	
the	Interpretation	and	Integration	of	
Heterogeneous	Multimodal	Data
Madalina	Fiterau,	University	of	Massachusetts	Amherst
1
Advisors:
Artur	Dubrawski,	CMU,	Auton Lab
Christopher	Ré,	Stanford	CS
Scott	Delp,	Stanford	Bioengineering
mfiterau e-mail:	mfiterau@cs.umass.edu
New York, March 29th 2019
2Hybrid Models for Heterogeneous and Multimodal Data
Motivation
Vital	Signs Gait	Kinematics
Longitudinal	dataAccelerometerX-rays MRIs
Stereo	Recordings	(video)
Structured	
Information
Notes
X-rays MRIs
Stereo	Recordings	(video)
Structured	
Information
Notes
3Hybrid Models for Heterogeneous and Multimodal Data
Motivation
Vital	Signs Gait	Kinematics
Longitudinal	dataAccelerometer
X-rays MRIs
Stereo	Recordings	(video)
Structured	
Information
Notes
4Hybrid Models for Heterogeneous and Multimodal Data
Motivation
Vital	Signs Gait	Kinematics
Longitudinal	dataAccelerometer
Integrate
X-rays MRIs
Stereo	Recordings	(video)
Structured	
Information
Notes
5Hybrid Models for Heterogeneous and Multimodal Data
Motivation
Vital	Signs Gait	Kinematics
Longitudinal	dataAccelerometer
Integrate
Interpret
6Hybrid Models for Heterogeneous and Multimodal Data
Motivation
Integrate
Interpret
multimodal,	multisource data	and	
learn	models	that	aid	users the	data.
Hybrid	Systems
that
Aim:	build
7Hybrid Models for Heterogeneous and Multimodal Data
Motivation
Integrate
Interpret
Hybrid	Systems
VIPR
Visualizations	for	
Informative	Projection	
Recovery
DNDF
Deep	Neural	Decision	
Forests
ShortFuse
Learning	Representations	
from	Time	Series	and	
Structured	Information
8Hybrid Models for Heterogeneous and Multimodal Data
Motivation
Weak	Supervision	
for	Cardiac	MRI	
Classification
Future	Research	
Directions
Interpret
Hybrid	Systems
Integrate
VIPR:	Visualizations	for	
Informative	Projection	Recovery
9
Collaborators:
Artur Dubrawski,	CMU	SCS
Donghan (Jarod)	Wang,	CMU,	Auton Lab
Dr.	Gilles	Clermont,	University	of	Pittsburgh
Dr.	Marilyn	Hravnak,	University	of	Pittsburgh
Dr.	Michael	R.	Pinsky,	University	of	Pittsburgh
Informative Projection Recovery
Github:	https://github.com/inafiterau/VIPR
Application:	Alert	Classification
10
§ Heart	Rate<40	or	>140
§ Respiratory	Rate<8	or	>36
§ Systolic	Blood	Pressure<80	or	>200
§ Diastolic	Blood	Pressure>110
§ SPO2<85%
window of 4 minutes
preceding alert onset
alert duration
Features	computed	from	time	series	include	common	statistics	of	
each	VS:	mean,	stdev,	min,	max,	range	of	values,	duty	cycle	...
Health	alerts	
some	are	
artifacts,	not	
true	alerts
Informative Projection Recovery
40 60 80 100 120 140 160 180 200 220 240
value-HR-mean
80
82
84
86
88
90
92
94
96
98
100
value-SPO2-mean
Defining	interpretability
11Informative Projection Recovery
Imperfect	separation Clear	separation
0 0.2 0.4 0.6 0.8 1 1.2 1.4
0
0.2
0.4
0.6
0.8
1
1.2
1.4
value-HR-data--den
value-SPO2-data--den
Heart	Rate	Density*
Oxygen	Saturation	Density
Respiratory	Rate
Respiratory	Rate	Increase
INFORMATIVE	
PROJECTION
x
*Density	=	Average	/	Typical	Values
Guillaume	Obozinski,	Ben	Taskar,	and	Michael	I.	Jordan.	Joint	covariate	selection	and	joint	subspace	selection	for	
multiple	classification	problems.	Statistics	and	Computing,	April	2010.
Related	work	on	structured	sparsity:
artifact
true alert
Feature	Selection,	with	a	Twist
12Informative Projection Recovery
0 0.2 0.4 0.6 0.8 1 1.2 1.4
value-HR-data--den
0
0.2
0.4
0.6
0.8
1
1.2
1.4
value-RR-data--denRespiratory	Rate	Density
Noisy
samples
Blood	Pressure	Density
Handled	
differently
Sparse	Predictive	Structures	
13Informative Projection Recovery
X
Y
Y
X
Z
VIPR	– a	quick	overview
14Informative Projection Recovery
Z
split	on	Y split	on	X,	Y
split	on	X
VIPR	– a	quick	overview
15Informative Projection Recovery
Selecting	Informative	Projections
16
1
2
3
4
5
6
7
Data	Points
Projections
Loss	Matrix	(L)
cj
Informative Projection Recovery
... ...
Axis-aligned,	1D,	2D,	3D
minimal	loss
low	loss
high	loss
Selecting	Informative	Projections
Penalty	– limits	
#	of	projections
1
2
3
4
5
6
7
Data	Points
Projections
Loss	Matrix	(L)
17
cj
Informative Projection Recovery
minimal	loss
low	loss
high	loss
The	Combinatorial	Problem
Penalty	– limits	
#	of	projections
1
2
3
4
5
6
7
Data	Points
Projections
18
Selection	Matrix	(B)
§ B	binary	selection	matrix
§ bij is	
§ 1,	if	projection	j	is	to	be	
used	to	solve	point	i and
§ 0,	otherwise
Informative Projection Recovery
The	Combinatorial	Problem
some	points	use	
suboptimal	projections
1
2
3
4
5
6
7
Data	Points
Projections
19
Selection	Matrix	(B)
Informative Projection Recovery
§ B	binary	selection	matrix
§ bij is	
§ 1,	if	projection	j	is	to	be	
used	to	solve	point	i and
§ 0,	otherwise
§ Learning	B	is	NP-hard
Integer	Linear	Program
1
2
3
4
5
6
7
Data	Points
Projections
20
Selection	Matrix	(B)
Informative Projection Recovery
§ ILP	minimizes	loss
§ Row	constraints:	sum	to	1
§ Column	constraints:	up	to	k	non-0
maximize − "
#$%
&
'#
(
ℓ#
subject	to 0 ≤ bij ≤ pj ≤1 integer
bij =1,
j=1
m
∑ ∀i ∈ {1...n}
pj ≤ k
j=1
m
∑
Mk
*
= minMk ∈{(C,H,gmin )s.t.|H|<k}
L(Mk , X)
§ Best	k	sub-models	for training	data
Iterative	Convex	Procedure
21Informative Projection Recovery
1
2
3
4
5
6
7
Data	Points
Projections
1
2
3
4
5
6
7
Data	Points
Projections
Loss	Matrix	(L) Target	Loss	(T)
!" = min
'
("'
Madalina	Fiterau	and	Artur Dubrawski.	Projection	Retrieval	for	Classification.	In	
Advances	in	Neural	Information	Processing	Systems	25,	pages	3032–3040,	NIPS	2012.
Convex	Program
min
)
! − (( ∗ -)10 1
1
+ 345(-)
( ∗ - "' = ("'-"'where
VIPR	– a	quick	overview
22Informative Projection Recovery
Min	Respiratory	Rate
Heart	Rate	Data	Density
23
artifact
true alert
Informative Projection Recovery
§ 2	Informative	
Projections
§ Test	point	
handled	by	one
of	them
§ Accuracy:	0.91,	
Precision:	0.93,	
Recall:	0.945
§ Better	accuracy	
than	Random	
Forests	and	SVM	
(<0.9)
Fiterau	M,	Dubrawski A,	Chen	L,	Hravnak M,	Clermont	G,	Pinsky	MR.	Automatic	identification	of	artifacts	in	
monitoring	critically	ill	patients.	Annual	Congress	of	the	European	Society	of	Intensive	Care	Medicine	2014.
Alert	Classification	with	VIPR
24
Heart	Rate	Density
Oxygen	Saturation	Density
artifact
true alert
Alert	Classification	with	VIPR
Finger	Plethysmograph
Noninvasive	ECG
Interpretability	and	performance	are	NOT	at	odds.
Low	density	values	
indicate	probe	fell	off
Informative Projection Recovery
More	Research	on	Informative	Projections
§ Informative	projection	retrieval	for	regression	and	clustering
§ Finding	informative	projections	with	active	learning
§ Studies	on	usability	by	domain	experts
§ Theoretical	guarantees
§ Related	work	on	interpretability:
25Informative Projection Recovery
Madalina	Fiterau	and	Artur Dubrawski.	Informative	projection	recovery	for	semi-supervised	classification,	clustering	
and	regression.	In	International	Conference	on	Machine	Learning	and	Applications,	volume	12,	ICMLA	2013.
Madalina	Fiterau	and	Artur Dubrawski.	Active	learning	for	Informative	Projection	Recovery.	In	the	Conference	of	the	
Association	for	the	Advancement	of	Artificial	Intelligence,	volume	29,	AAAI	2015.
Fiterau	M,	Wang	J,	Dubrawski A,	Clermont	G,	Hravnak M,	Pinsky	MR.	Using	expert	review	to	calibrate	semi-automated	adjudication	of	
vital	sign	alerts	in	step-down	units.	Society	of	Critical	Care	Medicine	Annual	Congress	2016.	Star	Research	Award.
Fiterau	M,	Dubrawski A,	Chen	L,	Hravnak M,	Bose	E,	Gilles	C,	Pinsky	MR.	Archetyping artifacts	in	monitored	
noninvasive	vital	signs	data.	Society	of	Critical	Care	Medicine	Annual	Congress	2015.	Oral	Presentation.
PhD	Thesis,	Ch.	2.5	(VC	dimension	and	Risk	consistency);	Under	review:	Compression	scheme	+	Sample	complexity
Bing	Liu,	Minqing Hu,	and	Wynne	Hsu.	Intuitive	representation	of	decision	trees	using	general	rules	and	exceptions.	
In	Proceedings	of	Seventeeth National	Conference	on	Artificial	Intelligence	(AAAI-2000).
NOW:	Lipton,	Zachary	C.	"The	mythos	of	model	interpretability."	arXiv preprint	arXiv:1606.03490	(2016).
Interpretable	ML	Symposium	- NIPS	2017.
Deep	Neural	Decision	Forests
Deep Neural Decision Forests 26
This	research	was	partially	completed	during	an	internship	at	MSR	Cambridge,	UK.
Collaborators:
Peter	Kontschieder,	Microsoft	Research
Antonio	Criminisi,	Microsoft	Research
Samuel	Rota-Bulò,	Fondazione Bruno	Kessler
Hybrid	Models
27Deep Neural Decision Forests
Dataset	
(tabular)
Classifier	
(Random	Forests)	
Feature
Engineering
Hybrid	Model
C.	Szegedy,	W.	Liu,	Y.	Jia,	P.	Sermanet,	S.	Reed,	D.	Anguelov,	D.	Erhan,	V.	Vanhoucke,	and	A.	Rabinovich.	Going	deeper	
with	convolutions.	CVPR	2015
Deep	Learning	+	Accurate	Classifier
Deep Neural Decision Forests 28
§ End-to-end deep	learning	architecture
§ Challenge:	need	differentiable objective
Decision	tree	‘layers’
Back-propagation	Trees
§ RF	structure	adapted	to	allow	back	propagation	
Deep Neural Decision Forests 29
θ
Y.	Lecun,	L.	Bottou,	Y.	Bengio,	and	P.	Haffner.	Gradient	based	learning	applied	to	document	recognition.	In	
Proceedings	of	the	IEEE,	pages	2278–2324,	1998
§ Soft	routing	of	samples
§ Class	distributions	in	leaf	nodes
• optimal	given	a	routing
§ Likelihood	term
• weighted	sum	over	set	of	all	leaves	L
§ Objective
Back-propagation	Trees
Deep Neural Decision Forests 30
π1
ℓ
...πc
ℓ
dn (x;Θ) 1− dn (x;Θ)
µℓ (x;Θ) = dn (x;Θ)1ℓ←n
n∈φℓ
∏ (1− dn (x;Θ)1n→ℓ
)
Modeling	Node	Splits
Deep Neural Decision Forests 31
Sigmoid	functiond1
d2
d4 d5
d3
d6 d7
`4
Image	by	Samuel	Rota-Bulò
§ Hierarchical	routing	along	path	Φl to	leaf	l
Φl4 =	{n1,	n2,	n5}
µℓ4
(x;Θ) =σ (θ1
T
x)(1−σ (θ2
T
x))(1−σ (θ5
T
x))
1	if	l belongs	to	left subtree of	n
1	if	l belongs	to	right subtree of	n
Merging	Decision	Forests	to	Networks
Deep Neural Decision Forests 32
§ Each	output	of	the	DeepNet becomes	a	feature	for	the	
Backpropagation	Forest
Image	credit:	Samuel	Rota-Bulò
d1
d2
d4
⇡1 ⇡2
d5
⇡3 ⇡4
d3
d6
⇡5 ⇡6
d7
⇡7 ⇡8
f7f3f6f1f5f2f4
d8
d9
d11
⇡9 ⇡10
d12
⇡11 ⇡12
d10
d13
⇡13 ⇡14
d14
⇡15 ⇡16
f14f10f13f8f12f9f11FC
Deep CNN with parameters ⇥
ImageNet Experiment
§ Millions	of	images
§ 1000	synsets (classes)
§ Modified	GoogLeNet*,	replaced	Softmax layers	with	BPF
Deep Neural Decision Forests 33
*	C.	Szegedy,	W.	Liu,	Y.	Jia,	P.	Sermanet,	S.	Reed,	D.	Anguelov,	D.	Erhan,	V.	Vanhoucke,	and	A.	Rabinovich.		Going	deeper	with	convolutions.
Description Top 5	Error
GoogLeNet 10.07%
1	model,	1	crop 7.84%
1	model,	10	crops 7.08%
7	models,	1	crop 6.38%
Can	now	introduce	
other	covariates	in	the	
model	via	the	BPF.
Peter	Kontschieder,	Madalina	Fiterau,	Antonio	Criminisi and	Samuel	Rota-Bulo.	Deep	
Neural	Decision	Forests,	International	Conference	in	Computer	Vision,	ICCV	2015.
ShortFuse:	Learning	Time	Series	
Representations	in	the	Presence	of	
Structured	Information	
ShortFuse: Learning Time Series Representations with Structured Information 34
This	work	was	supported	in	part	by	the	Mobilize	Center,	a	National	Institutes	of	Health	Big	Data	
to	Knowledge	(BD2K)	Center	of	Excellence	supported	through	Grant	U54EB020405
Collaborators:
Suvrat Bhooshan,	Stanford	CS
Jason	Fries,	Stanford	CS
Charles	Bournhonesque,	Stanford	ICME
Jennifer	Hicks,	Stanford	Bioenginnering
Eni	Halilaj,	Stanford	Bioenginnering
Chris	Re,	Stanford	CS
Scott	Delp,	Stanford	Bioenginnering
35
Biomedical	Time	Series	Representations	
in	the	Presence	of	Structured	Information
Demographics
Clinical	tests
Medical	history
Short	Fuse
Time	series
Representations
Structured	information
Prediction
ShortFuse: Learning Time Series Representations with Structured Information
N.	Razavian and	D.	Sontag.	Temporal	convolutional	neural	networks	for	diagnosis	from	lab	tests.	2015
A.	Borovykh,	S.	Bohte,	and	C.	W.	Oosterlee.	Conditional	time	series	forecasting	with	CNNS.	2017
Z.	Cui,	W.	Chen,	and	Y.	Chen.	Multi-scale	convolutional	neural	networks	for	time	series	classification.	2016.
Related	work:
Osteoarthritis	Progression	
ShortFuse: Learning Time Series Representations with Structured Information 36
§ Knee	osteoarthritis	causes	cartilage	degeneration
§ Activity	influences	progression;	 other	factors
§ Can	we	predict	osteoarthritis	progression?
Joint	Space	
Narrowing
Activity	counts
Source:	Wikipedia
Gender
Nutrition
Age
Physical	exam
Symptoms
37
Osteoarthritis	
Progression
obese
Activity	counts
peak	intensity
fobese
Deep	Net
Effect	of	Structured	Information
ShortFuse: Learning Time Series Representations with Structured Information
obese
fobese
peak	intensity
mean
fnormal
Activity	counts
normal	
weight
Deep	Net
38
Osteoarthritis	
Progression
Effect	of	Structured	Information
ShortFuse: Learning Time Series Representations with Structured Information
§ Hybrid	convolutions
§ Each	filter	uses	a	different	set	of	covariates
39
GenderAge Height Weight
12 M 154 77
Covariates	introduced	in	the	representation	learning	process.
Hybrid	CNN
ShortFuse: Learning Time Series Representations with Structured Information
X S	=	vector	of	d	covariates
n	sequences
t	time	points
40
GenderAge Height Weight
12 M 154 77
Kernel
Covariates	introduced	in	the	representation	learning	process.
Hybrid	CNN
ShortFuse: Learning Time Series Representations with Structured Information
X S	=	vector	of	d	covariates
n	sequences
t	time	points
41
GenderAge Height Weight
12 M 154 77
+⊗
….	Deep	
Network
Kernel
Covariates	introduced	in	the	representation	learning	process.
Hybrid	CNN
ShortFuse: Learning Time Series Representations with Structured Information
X S	=	vector	of	d	covariates
n	sequences
t	time	points
contains	terms	of	the	type
Hybrid	CNN
§ CNN	used	for	the	biomedical	applications
§ Convolutional	layers	replaced	with	hybrid	convolutions
§ Equivalent	modification	for	LSTM
• Added	parameters		corresponding	to	the	covariates
ShortFuse: Learning Time Series Representations with Structured Information 42
Age
Gender
Height
12
M
154
Mass77
...
...
...
Convolution Pooling
...
Convolution Pooling
Fully
Connected
Output
Joint	motion	waveforms
Madalina	Fiterau,	Suvrat Bhooshan,	Jason	Fries,	Charles	Bournhonesque,	Jennifer	Hicks,	Eni	Halilaj,	Christopher	Ré and	Scott	Delp.	ShortFuse:	
Biomedical	Time	Series	Representations	in	the	Presence	of	Structured	Information.	3rd	Conference	on	Machine	Learning	for	Healthcare,	MLHC	2017
Osteoarthritis	Progression	Results	
ShortFuse: Learning Time Series Representations with Structured Information 43
Osteoarthritis	Initiative	Dataset	(OAI)	– 1926 subjects.
The	OAI	is	a	public-private	partnership	comprised	of	five	contracts	(N01-AR-2-2258;	N01-AR-2-2259;	N01-AR-2-2260;	N01-AR-2-2261; N01-AR-2-2262)	funded	
by	the	National	Institutes	of	Health	(NIH).
Task: Predict whether	subjects	are	at	risk	for	OA	progression.
Output:	Joint	space	narrowing	(JSN)	>	0.7mm.
Joint	symptoms/function
Medical	history
Nutrition
Physical exam,	measurements
Subject	characteristics,	risk	factors
650	covariates,	
out	of	which	we	selected	50.
Activity	counts
Accelerometer	data
7-day	activity	counts.
Osteoarthritis	Progression	Results	
ShortFuse: Learning Time Series Representations with Structured Information 44
Osteoarthritis	Initiative	Dataset	(OAI)	– 1926 subjects.
The	OAI	is	a	public-private	partnership	comprised	of	five	contracts	(N01-AR-2-2258;	N01-AR-2-2259;	N01-AR-2-2260;	N01-AR-2-2261; N01-AR-2-2262)	funded	
by	the	National	Institutes	of	Health	(NIH).
Binary	classification:	fast/slow	progression
State	of	the	art	(engineered	features,	appended	covariates):	67%
Best	representation	learning	without	covariates:	71%
Best	representation	learning	with	appended	covariates:	72%
ShortFuse:	74% accuracy
Task: Predict whether	subjects	are	at	risk	for	OA	progression.
Output:	Joint	space	narrowing	(JSN)	>	0.7mm.
Cerebral	Palsy
Birth-acquired	condition	which	affects	mobility.
ShortFuse: Learning Time Series Representations with Structured Information 45
Gait	Kinematics
§ Time	series:	Joint	angles	obtained	during	the	subject's	gait	
cycle	from	motion	capture	using	markers
ShortFuse: Learning Time Series Representations with Structured Information 46
Hip	flexion	angle
Knee	flexion	angle
Ankle	flexion	angle
0 20 40 60 80 100
0
5
10
15
20
25
30
35
40
45
0 20 40 60 80 100
0
10
20
30
40
50
60
70
80
0 20 40 60 80 100
-10
-5
0
5
10
15
20
0 20 40 60 80 100
0
5
10
15
20
25
30
35
40
45
0 20 40 60 80 100
0
10
20
30
40
50
60
70
80
0 20 40 60 80 100
-10
-5
0
5
10
15
20
0 20 40 60 80 100
0
5
10
15
20
25
30
35
40
45
0 20 40 60 80 100
0
10
20
30
40
50
60
70
80
0 20 40 60 80 100
-10
-5
0
5
10
15
20
Source:	Gillette’s	Children	Specialty	Care
Gait
Deviation
Index
Cerebral	Palsy	Treatment
Surgical	treatment	(skeletal,	muscular)	is	invasive.	
Results	vary	greatly,	making	treatment	planning	difficult.
ShortFuse: Learning Time Series Representations with Structured Information 47
§ Psoas	lengthening	surgery	
§ Positive	outcome:
• post-surgical	Gait	Deviation	
Index	(GDI)	>	90
• >	5	points	improvement		in	
Pelvis	and	Hip	Dev.	Index	
(PHiDI)
psoas	major
iliacus
iliopsoas
Cerebral	Palsy	Treatment
ShortFuse: Learning Time Series Representations with Structured Information 48
Binary	classification:	good/bad surgical	outcome
State	of	the	art	(engineered	features,	appended	covariates):	78%
Best	representation	learning	without	covariates:	74%
Best	representation	learning	with	appended	covariates:	76%
ShortFuse:	78% accuracy
Weak	Supervision	for	the	Classification	
of	Aortic	Valve	Malformations	
from	Cardiac	MRIs
Weak Supervision for Cardiac MRI Classification 49
To appear in Nature Communications. We	acknowledge	support	from	the	NIH	(U54	EB020405),	
DARPA	under	No.	FA87501720095	(D3M),	ONR	under	No.	N000141712266	and	No.	N000141410102.
Other	Collaborators:
Jared	Dunmon,	Stanford	CS
Ke Xiao,	Stanford	Medicine
Helio Tejeda,	Stanford	Medicine
Scott	Delp,	Stanford	BioX
Chris	Ré,	Stanford	CSJason	Fries	
Stanford	CS
James	Priest,	
Stanford	Med
Principal	
Investigator
Paper	lead	
author
Paroma Varma,	
Stanford	CS
Source:	www.umcvc.org
§ Congenital	malformation
§ Incidence:	0.5-2%
§ Associated	with
poor	health	outcomes
§ Diagnosed	following
cardiovascular	issues
§ May	require	surgical	
replacement	of	valve
§ Need:	link	genetic	information		to	cardiac	morphology
§ Limitations:	variable	data	of	diagnosis;	absence	of	large	
imaging	datasets	specifically	targeting	subjects	with	BAV
Bicuspid	Aortic	Valve	(BAV)	Disease
Weak Supervision for Cardiac MRI Classification 50
UK	Biobank
§ >	500,000	subjects	total
§ For	100,000:
• Medical	imaging
• Genotyping
§ Phase-contrast	MRI
• Initial	release
• 14,328	subjects
• Measure	blood	flow
• Multi-view	
• ‘Sliced’	view
• 4-D	tensors,	3	planes
§ No	(BAV)	labels	L
Weak Supervision for Cardiac MRI Classification 51
Gold	Standard	Labels
§ 412	patients;	12,360	individual	MRI	frames
• development set:	100	controls	and	6	BAV	patients
q selected	via	chart	review	of	disease	codes	related	to	BAV
q annotated	by	one	cardiologist	
• validation set:	208	controls	and	8	BAV	patients
q random	uniform	sampling
q captures	class	distribution	expected	at	test
q annotated	by	one	cardiologist
• held-out	test	set:	88	controls	and	3	BAV	patients
q random	uniform	sampling
q annotated	by	3	cardiologists	+	vote
q agreement	kappa	=	0.354
q only	used	for	the	final	evaluation
Weak Supervision for Cardiac MRI Classification 52
Weak Supervision for Cardiac MRI Classification 53
Probabilistic	labels
Train	Deep	Net
Data	programming	
paradigm	in	Chris	Ré’s
group:	Snorkel,	Coral.
Weak	Supervision	for	MRI	Classification
MRI		Sequences Processed	Segments
Preprocessing Domain	Heuristics
Final	MRI	Labels
…
Generative	Model
Weak	Labels
!1 !2 !3 !4 !5
!1
!2
!3 !4
y
!5
MRI	Preprocessing
Weak Supervision for Cardiac MRI Classification 54
Image	credit:	Jason	Fries
Labeling	Heuristics
Weak Supervision for Cardiac MRI Classification 55
BAV TAV
Primitive Observation LF
Area	 ABAV >	ATAV !1
Eccentricity	 EBAV >	ETAV !2
Perimeter PBAV >	TAV !3
Intensity IBAV <	ITAV !4
- A/P2	differs !5
Generative	Model
Weak Supervision for Cardiac MRI Classification 56
!1
!2
!3 !4
y
!5
Generative	Model
Probabilistic	training	labels
Labeling	functions	!
[SNORKEL]	Ratner,	A.	J.,	De	Sa,	C.	M.,	Wu,	S.,	Selsam,	D.	&	Re,	C.	Data	programming:	Creating	large	training	sets,
quickly.	NIPS	2016.
[GENERATIVE	MODEL]	Bach,	S.	H.,	He,	B.,	Ratner,	A.	&	Re,	C.	Learning	the	structure	of	generative	models	without	
labeled	data,	ICML	2017.
[CORAL]	Varma,	P.	et	al.	Inferring	generative	model	structure	with	static	analysis.	NIPS	2017.
Research	on	data	programming:
Discriminative	Model
Weak Supervision for Cardiac MRI Classification 57
MAG	aortic	valve	box	
+	probabilistic	labels
…
DenseNet
40-12
Attention	BiLSTM
Frame	encoder Sequence	encoder
BAV/
TAV
§ DenseNet40-12	outperformed	VGG16	and	ResNet-50
§ Data	augmentation	- crops,	affine	transformations
Classification	Performance
Weak Supervision for Cardiac MRI Classification 58
Credit:	Jason	Fries
Survival	Analysis
Weak Supervision for Cardiac MRI Classification 59
Credit:	Jason	Fries
Major	Adverse	Cardiac	Event	(from	(ICD-9,	ICD-10,	OPCS-4)
N	=	9,230
Future	Research
60Future Research
Research	articles,	notes
Domain	insights
Related	multimodal	datasets
Hybrid	System
Analysis	+	
transferable	
models
§ Use	video	for	gait	lab	patients
§ For	osteoarthritis	study:	use	the	MRIs	and	X-rays	as	well.
Integrating	Specialized	Tools	in	Hybrid	Systems
61Future Research
Source:	Gillette	Children’s	Specialty	Care Source:	Delp Lab
§ Text	mining	approaches
Weakly-supervised	Transfer	of	
Models	and	Representations	
62Future Research
Model	trained	on	
healthy	adults
Weakly	supervised	
adaptation
Model	specialized	
for	children.
Model	specialized	
for	injured	subjects.
Image	sources:	Delp Lab,	Gillette	Children’s	Specialty	Care,	CAMERA	project
Image	Source:	MedicalExpo
Online	Adaptive	Policies	for	Feature	
Selection	and	Representation	Learning	
63Future Research
Image	sources:	BioPac,	Medical	Express,	Research	Gate,	Journal	of	Circulation
...
.
.
.
Convolution Pooling
.
.
.
Convolution Pooling
Fully
Connected
Output
Optimize data	collection:	sources,	sensor	arrays.
Cost:	Acquisition,	Invasiveness.
Leverage	user-engineered	features	in	the	
representation	learning	pipeline.
Starting	up	at	UMass	Amherst
§ Fusion	of	Multi-resolution	Irregularly	Sampled	Time	Series
• students:	Iman	Deznabi,	Bhanu	Pratap	Singh
§ Multimodal	Deep	Learning	to	Forecast	Disease	Progression
• use	MRIs,	X-rays	for	OA	progression
• combine	DL	with	feature	engineering
• students:	Joie	Wu,	Surya	Teja
§ Transfer	Learning	across	Thermal	Imaging	Datasets
• person	detection,	face	segmentation,	body	temp.	estimation
• students:	Debasmita Ghose,	Sneha	Bhattacharya,	Shasvat Desai
§ Incorporating	Domain	Knowledge	in	Bayesian	Deep	Learning
• student:	Aritra Gosh
§ Deep	Causality
• Student:	Purva Purty
64Future Research
Conclusion
65
VIPR
Visualizations	for	
Informative	Projection	
Recovery
DNDF
Deep	Neural	Decision	
Forests
ShortFuse
Learning	Representations	
from	Time	Series	and	
Structured	Information
Optimize	feature	
selection	and	
learning
Weakly	
supervised	
transfer
Incorporating	
data-specific	
techniques
Weak	Supervision	
for	Cardiac	MRI	
Classification
Thanks!
66
New York, March 29th 2019
Madalina	Fiterau,	University	of	Massachusetts	Amherst
mfiterau e-mail:	mfiterau@cs.umass.edu

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Madalina Fiterau - Hybrid Machine Learning Methods for the Interpretation and Integration of Heterogeneous Multimodal Data