Researcher profile

Imon Banerjee

Imon Banerjee contributes to research discovery and scholarly infrastructure.

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Published work

13 published item(s)

preprint2026arXiv

Adaptive Estimation and Optimal Control in Offline Contextual MDPs without Stationarity

Contextual MDPs are powerful tools with wide applicability in areas from biostatistics to machine learning. However, specializing them to offline datasets has been challenging due to a lack of robust, theoretically backed methods. Our work tackles this problem by introducing a new approach towards adaptive estimation and cost optimization of contextual MDPs. This estimator, to the best of our knowledge, is the first of its kind, and is endowed with strong optimality guarantees. We achieve this by overcoming the key technical challenges evolving from the endogenous properties of contextual MDPs; such as non-stationarity, or model irregularity. Our guarantees are established under complete generality by utilizing the relatively recent and powerful statistical technique of $T$-estimation (Baraud, 2011). We first provide a procedure for selecting an estimator given a sample from a contextual MDP and use it to derive oracle risk bounds under two distinct, but nevertheless meaningful, loss functions. We then consider the problem of determining the optimal control with the aid of the aforementioned density estimate and provide finite sample guarantees for the cost function.

preprint2026arXiv

Model-based Bootstrap of Controlled Markov Chains

We propose and analyze a model-based bootstrap for transition kernels in finite controlled Markov chains (CMCs) with possibly nonstationary or history-dependent control policies, a setting that arises naturally in offline reinforcement learning (RL) when the behavior policy generating the data is unknown. We establish distributional consistency of the bootstrap transition estimator in both a single long-chain regime and the episodic offline RL regime. The key technical tools are a novel bootstrap law of large numbers (LLN) for the visitation counts and a novel use of the martingale central limit theorem (CLT) for the bootstrap transition increments. We extend bootstrap distributional consistency to the downstream targets of offline policy evaluation (OPE) and optimal policy recovery (OPR) via the delta method by verifying Hadamard differentiability of the Bellman operators, yielding asymptotically valid confidence intervals for value and $Q$-functions. Experiments on the RiverSwim problem show that the proposed bootstrap confidence intervals (CIs), especially the percentile CIs, outperform the episodic bootstrap and plug-in CLT CIs, and are often close to nominal ($50\%$, $90\%$, $95\%$) coverage, while the baselines are poorly calibrated at small sample sizes and short episode lengths.

preprint2022arXiv

Advances in Prediction of Readmission Rates Using Long Term Short Term Memory Networks on Healthcare Insurance Data

30-day hospital readmission is a long standing medical problem that affects patients' morbidity and mortality and costs billions of dollars annually. Recently, machine learning models have been created to predict risk of inpatient readmission for patients with specific diseases, however no model exists to predict this risk across all patients. We developed a bi-directional Long Short Term Memory (LSTM) Network that is able to use readily available insurance data (inpatient visits, outpatient visits, and drug prescriptions) to predict 30 day re-admission for any admitted patient, regardless of reason. The top-performing model achieved an ROC AUC of 0.763 (0.011) when using historical, inpatient, and post-discharge data. The LSTM model significantly outperformed a baseline random forest classifier, indicating that understanding the sequence of events is important for model prediction. Incorporation of 30-days of historical data also significantly improved model performance compared to inpatient data alone, indicating that a patients clinical history prior to admission, including outpatient visits and pharmacy data is a strong contributor to readmission. Our results demonstrate that a machine learning model is able to predict risk of inpatient readmission with reasonable accuracy for all patients using structured insurance billing data. Because billing data or equivalent surrogates can be extracted from sites, such a model could be deployed to identify patients at risk for readmission before they are discharged, or to assign more robust follow up (closer follow up, home health, mailed medications) to at-risk patients after discharge.

preprint2022arXiv

Augmenting Vision Language Pretraining by Learning Codebook with Visual Semantics

Language modality within the vision language pretraining framework is innately discretized, endowing each word in the language vocabulary a semantic meaning. In contrast, visual modality is inherently continuous and high-dimensional, which potentially prohibits the alignment as well as fusion between vision and language modalities. We therefore propose to "discretize" the visual representation by joint learning a codebook that imbues each visual token a semantic. We then utilize these discretized visual semantics as self-supervised ground-truths for building our Masked Image Modeling objective, a counterpart of Masked Language Modeling which proves successful for language models. To optimize the codebook, we extend the formulation of VQ-VAE which gives a theoretic guarantee. Experiments validate the effectiveness of our approach across common vision-language benchmarks.

preprint2022arXiv

CVAD: A generic medical anomaly detector based on Cascade VAE

Detecting out-of-distribution (OOD) samples in medical imaging plays an important role for downstream medical diagnosis. However, existing OOD detectors are demonstrated on natural images composed of inter-classes and have difficulty generalizing to medical images. The key issue is the granularity of OOD data in the medical domain, where intra-class OOD samples are predominant. We focus on the generalizability of OOD detection for medical images and propose a self-supervised Cascade Variational autoencoder-based Anomaly Detector (CVAD). We use a variational autoencoders' cascade architecture, which combines latent representation at multiple scales, before being fed to a discriminator to distinguish the OOD data from the in-distribution (ID) data. Finally, both the reconstruction error and the OOD probability predicted by the binary discriminator are used to determine the anomalies. We compare the performance with the state-of-the-art deep learning models to demonstrate our model's efficacy on various open-access medical imaging datasets for both intra- and inter-class OOD. Further extensive results on datasets including common natural datasets show our model's effectiveness and generalizability. The code is available at https://github.com/XiaoyuanGuo/CVAD.

preprint2022arXiv

Margin-Aware Intra-Class Novelty Identification for Medical Images

Traditional anomaly detection methods focus on detecting inter-class variations while medical image novelty identification is inherently an intra-class detection problem. For example, a machine learning model trained with normal chest X-ray and common lung abnormalities, is expected to discover and flag idiopathic pulmonary fibrosis which a rare lung disease and unseen by the model during training. The nuances from intra-class variations and lack of relevant training data in medical image analysis pose great challenges for existing anomaly detection methods. To tackle the challenges, we propose a hybrid model - Transformation-based Embedding learning for Novelty Detection (TEND) which without any out-of-distribution training data, performs novelty identification by combining both autoencoder-based and classifier-based method. With a pre-trained autoencoder as image feature extractor, TEND learns to discriminate the feature embeddings of in-distribution data from the transformed counterparts as fake out-of-distribution inputs. To enhance the separation, a distance objective is optimized to enforce a margin between the two classes. Extensive experimental results on both natural image datasets and medical image datasets are presented and our method out-performs state-of-the-art approaches.

preprint2022arXiv

Meta Sparse Principal Component Analysis

We study the meta-learning for support (i.e. the set of non-zero entries) recovery in high-dimensional Principal Component Analysis. We reduce the sufficient sample complexity in a novel task with the information that is learned from auxiliary tasks. We assume each task to be a different random Principal Component (PC) matrix with a possibly different support and that the support union of the PC matrices is small. We then pool the data from all the tasks to execute an improper estimation of a single PC matrix by maximising the $l_1$-regularised predictive covariance to establish that with high probability the true support union can be recovered provided a sufficient number of tasks $m$ and a sufficient number of samples $ O\left(\frac{\log(p)}{m}\right)$ for each task, for $p$-dimensional vectors. Then, for a novel task, we prove that the maximisation of the $l_1$-regularised predictive covariance with the additional constraint that the support is a subset of the estimated support union could reduce the sufficient sample complexity of successful support recovery to $O(\log |J|)$, where $J$ is the support union recovered from the auxiliary tasks. Typically, $|J|$ would be much less than $p$ for sparse matrices. Finally, we demonstrate the validity of our experiments through numerical simulations.

preprint2022arXiv

OSCARS: An Outlier-Sensitive Content-Based Radiography Retrieval System

Improving the retrieval relevance on noisy datasets is an emerging need for the curation of a large-scale clean dataset in the medical domain. While existing methods can be applied for class-wise retrieval (aka. inter-class), they cannot distinguish the granularity of likeness within the same class (aka. intra-class). The problem is exacerbated on medical external datasets, where noisy samples of the same class are treated equally during training. Our goal is to identify both intra/inter-class similarities for fine-grained retrieval. To achieve this, we propose an Outlier-Sensitive Content-based rAdiologhy Retrieval System (OSCARS), consisting of two steps. First, we train an outlier detector on a clean internal dataset in an unsupervised manner. Then we use the trained detector to generate the anomaly scores on the external dataset, whose distribution will be used to bin intra-class variations. Second, we propose a quadruplet (a, p, nintra, ninter) sampling strategy, where intra-class negatives nintra are sampled from bins of the same class other than the bin anchor a belongs to, while niner are randomly sampled from inter-classes. We suggest a weighted metric learning objective to balance the intra and inter-class feature learning. We experimented on two representative public radiography datasets. Experiments show the effectiveness of our approach. The training and evaluation code can be found in https://github.com/XiaoyuanGuo/oscars.

preprint2022arXiv

PathologyBERT -- Pre-trained Vs. A New Transformer Language Model for Pathology Domain

Pathology text mining is a challenging task given the reporting variability and constant new findings in cancer sub-type definitions. However, successful text mining of a large pathology database can play a critical role to advance 'big data' cancer research like similarity-based treatment selection, case identification, prognostication, surveillance, clinical trial screening, risk stratification, and many others. While there is a growing interest in developing language models for more specific clinical domains, no pathology-specific language space exist to support the rapid data-mining development in pathology space. In literature, a few approaches fine-tuned general transformer models on specialized corpora while maintaining the original tokenizer, but in fields requiring specialized terminology, these models often fail to perform adequately. We propose PathologyBERT - a pre-trained masked language model which was trained on 347,173 histopathology specimen reports and publicly released in the Huggingface repository. Our comprehensive experiments demonstrate that pre-training of transformer model on pathology corpora yields performance improvements on Natural Language Understanding (NLU) and Breast Cancer Diagnose Classification when compared to nonspecific language models.

preprint2022arXiv

The EMory BrEast imaging Dataset (EMBED): A Racially Diverse, Granular Dataset of 3.5M Screening and Diagnostic Mammograms

Developing and validating artificial intelligence models in medical imaging requires datasets that are large, granular, and diverse. To date, the majority of publicly available breast imaging datasets lack in one or more of these areas. Models trained on these data may therefore underperform on patient populations or pathologies that have not previously been encountered. The EMory BrEast imaging Dataset (EMBED) addresses these gaps by providing 3650,000 2D and DBT screening and diagnostic mammograms for 116,000 women divided equally between White and African American patients. The dataset also contains 40,000 annotated lesions linked to structured imaging descriptors and 61 ground truth pathologic outcomes grouped into six severity classes. Our goal is to share this dataset with research partners to aid in development and validation of breast AI models that will serve all patients fairly and help decrease bias in medical AI.

preprint2021arXiv

Reading Race: AI Recognises Patient's Racial Identity In Medical Images

Background: In medical imaging, prior studies have demonstrated disparate AI performance by race, yet there is no known correlation for race on medical imaging that would be obvious to the human expert interpreting the images. Methods: Using private and public datasets we evaluate: A) performance quantification of deep learning models to detect race from medical images, including the ability of these models to generalize to external environments and across multiple imaging modalities, B) assessment of possible confounding anatomic and phenotype population features, such as disease distribution and body habitus as predictors of race, and C) investigation into the underlying mechanism by which AI models can recognize race. Findings: Standard deep learning models can be trained to predict race from medical images with high performance across multiple imaging modalities. Our findings hold under external validation conditions, as well as when models are optimized to perform clinically motivated tasks. We demonstrate this detection is not due to trivial proxies or imaging-related surrogate covariates for race, such as underlying disease distribution. Finally, we show that performance persists over all anatomical regions and frequency spectrum of the images suggesting that mitigation efforts will be challenging and demand further study. Interpretation: We emphasize that model ability to predict self-reported race is itself not the issue of importance. However, our findings that AI can trivially predict self-reported race -- even from corrupted, cropped, and noised medical images -- in a setting where clinical experts cannot, creates an enormous risk for all model deployments in medical imaging: if an AI model secretly used its knowledge of self-reported race to misclassify all Black patients, radiologists would not be able to tell using the same data the model has access to.

preprint2020arXiv

Generalization of Deep Convolutional Neural Networks -- A Case-study on Open-source Chest Radiographs

Deep Convolutional Neural Networks (DCNNs) have attracted extensive attention and been applied in many areas, including medical image analysis and clinical diagnosis. One major challenge is to conceive a DCNN model with remarkable performance on both internal and external data. We demonstrate that DCNNs may not generalize to new data, but increasing the quality and heterogeneity of the training data helps to improve the generalizibility factor. We use InceptionResNetV2 and DenseNet121 architectures to predict the risk of 5 common chest pathologies. The experiments were conducted on three publicly available databases: CheXpert, ChestX-ray14, and MIMIC Chest Xray JPG. The results show the internal performance of each of the 5 pathologies outperformed external performance on both of the models. Moreover, our strategy of exposing the models to a mix of different datasets during the training phase helps to improve model performance on the external dataset.

preprint2020arXiv

Was there COVID-19 back in 2012? Challenge for AI in Diagnosis with Similar Indications

Purpose: Since the recent COVID-19 outbreak, there has been an avalanche of research papers applying deep learning based image processing to chest radiographs for detection of the disease. To test the performance of the two top models for CXR COVID-19 diagnosis on external datasets to assess model generalizability. Methods: In this paper, we present our argument regarding the efficiency and applicability of existing deep learning models for COVID-19 diagnosis. We provide results from two popular models - COVID-Net and CoroNet evaluated on three publicly available datasets and an additional institutional dataset collected from EMORY Hospital between January and May 2020, containing patients tested for COVID-19 infection using RT-PCR. Results: There is a large false positive rate (FPR) for COVID-Net on both ChexPert (55.3%) and MIMIC-CXR (23.4%) dataset. On the EMORY Dataset, COVID-Net has 61.4% sensitivity, 0.54 F1-score and 0.49 precision value. The FPR of the CoroNet model is significantly lower across all the datasets as compared to COVID-Net - EMORY(9.1%), ChexPert (1.3%), ChestX-ray14 (0.02%), MIMIC-CXR (0.06%). Conclusion: The models reported good to excellent performance on their internal datasets, however we observed from our testing that their performance dramatically worsened on external data. This is likely from several causes including overfitting models due to lack of appropriate control patients and ground truth labels. The fourth institutional dataset was labeled using RT-PCR, which could be positive without radiographic findings and vice versa. Therefore, a fusion model of both clinical and radiographic data may have better performance and generalization.