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Tingting Zhu

Tingting Zhu contributes to research discovery and scholarly infrastructure.

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Machine Learning Artificial Intelligence Computation and Language Computer Vision cs.CY Information Theory math.IT

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preprint2026arXiv

ECG-WM: A Physiology-Informed ECG World Model for Clinical Intervention Simulation

Electrocardiogram (ECG)-based models have achieved strong performance in diagnostic tasks, yet they remain limited in modeling how cardiac dynamics evolve under external interventions. In particular, existing approaches focus primarily on static prediction and lack mechanisms to capture ECG variations under different pharmacological conditions. In this work, we propose an ECG World Model for action-conditioned predictive simulation of cardiac electrophysiology. Moving beyond disjoint pipelines, our framework features a principled integration of physiological ordinary differential equation (ODE) priors into latent diffusion dynamics via energy regularization. This structural constraint enables the synthesis of physiologically plausible post-intervention ECG trajectories while effectively mitigating generative hallucinations. Building on this simulation process, we introduce an uncertainty-aware evaluation strategy that leverages the stochasticity of diffusion sampling to characterize both the expected clinical risk and its variability, allowing a more reliable comparative assessment of candidate interventions. We evaluate our method across diverse settings, including controlled drug-response scenarios and real-world clinical records. Beyond standard waveform metrics, experimental results demonstrate improved risk calibration and strong alignment with expert-informed treatment preferences. These results establish our approach as a robust foundation for safe and intervention-aware clinical decision support.

preprint2026arXiv

From Token to Token Pair: Efficient Prompt Compression for Large Language Models in Clinical Prediction

By processing electronic health records (EHRs) as natural language sequences, large language models (LLMs) have shown potential in clinical prediction tasks such as mortality prediction and phenotyping. However, longitudinal or highly frequent EHRs often yield excessively long token sequences that result in high computational costs and even reduced performance. Existing solutions either add modules for compression or remove less important tokens, which introduce additional inference latency or risk losing clinical information. To achieve lossless compression of token sequences without additional cost or loss of performance, we propose Medical Token-Pair Encoding (MedTPE), a layered method that extends standard tokenisation for EHR sequences. MedTPE merges frequently co-occurring medical token pairs into composite tokens, providing lossless compression while preserving the computational complexity through a dependency-aware replacement strategy. Only the embeddings of the newly introduced tokens of merely 0.5-1.0% of the LLM's parameters are fine-tuned via self-supervised learning. Experiments on real-world datasets for two clinical scenarios demonstrate that MedTPE reduces input token length by up to 31% and inference latency by 34-63%, while maintaining or even improving both predictive performance and output format compliance across multiple LLMs and four clinical prediction tasks. Furthermore, MedTPE demonstrates robustness across different input context lengths and generalisability to scientific and financial domains and different languages.

preprint2026arXiv

Towards Generation-Efficient Uncertainty Estimation in Large Language Models

Uncertainty estimation is important for deploying LLMs in high-stakes applications such as healthcare and finance, where hallucinations can appear fluent and plausible while being factually incorrect, making it difficult for users to judge whether an output should be trusted. Existing methods require one or more full autoregressive generations to estimate uncertainty, which introduces substantial inference cost and often delays uncertainty assessment. In this paper, we investigate whether effective uncertainty estimation can be achieved with partial generation or even input-only information. Specifically, we first develop a unified framework that formulates uncertainty estimation as an early estimation problem over the autoregressive generation process of LLMs. This framework organises existing and proposed estimators by the information they observe, ranging from multi-generation to input-only prediction, and clarifies the performance-cost trade-off underlying different uncertainty estimation methods. Building on this view, we study two largely underexplored low-cost settings: estimating uncertainty with part of the generation, and predicting uncertainty from the input prompt. We propose Logit Magnitude, which uses top-M logit evidence to estimate uncertainty from an early-stopped generation prefix, and MetaUE, which distils generation-based uncertainty into a lightweight input-only estimator trained with uncertainty scores. Extensive experiments on general and domain-specific benchmarks show that Logit Magnitude achieves strong performance, and partial generations of LLMs are often sufficient for effective uncertainty estimation. MetaUE further provides a competitive input-only approximation in several settings. These findings suggest that effective uncertainty estimation requires less generation than commonly assumed, enabling unreliable responses to be identified earlier.

preprint2024arXiv

Medical records condensation: a roadmap towards healthcare data democratisation

The prevalence of artificial intelligence (AI) has envisioned an era of healthcare democratisation that promises every stakeholder a new and better way of life. However, the advancement of clinical AI research is significantly hurdled by the dearth of data democratisation in healthcare. To truly democratise data for AI studies, challenges are two-fold: 1. the sensitive information in clinical data should be anonymised appropriately, and 2. AI-oriented clinical knowledge should flow freely across organisations. This paper considers a recent deep-learning advent, dataset condensation (DC), as a stone that kills two birds in democratising healthcare data. The condensed data after DC, which can be viewed as statistical metadata, abstracts original clinical records and irreversibly conceals sensitive information at individual levels; nevertheless, it still preserves adequate knowledge for learning deep neural networks (DNNs). More favourably, the compressed volumes and the accelerated model learnings of condensed data portray a more efficient clinical knowledge sharing and flowing system, as necessitated by data democratisation. We underline DC's prospects for democratising clinical data, specifically electrical healthcare records (EHRs), for AI research through experimental results and analysis across three healthcare datasets of varying data types.

preprint2022arXiv

SoQal: Selective Oracle Questioning for Consistency Based Active Learning of Cardiac Signals

Clinical settings are often characterized by abundant unlabelled data and limited labelled data. This is typically driven by the high burden placed on oracles (e.g., physicians) to provide annotations. One way to mitigate this burden is via active learning (AL) which involves the (a) acquisition and (b) annotation of informative unlabelled instances. Whereas previous work addresses either one of these elements independently, we propose an AL framework that addresses both. For acquisition, we propose Bayesian Active Learning by Consistency (BALC), a sub-framework which perturbs both instances and network parameters and quantifies changes in the network output probability distribution. For annotation, we propose SoQal, a sub-framework that dynamically determines whether, for each acquired unlabelled instance, to request a label from an oracle or to pseudo-label it instead. We show that BALC can outperform start-of-the-art acquisition functions such as BALD, and SoQal outperforms baseline methods even in the presence of a noisy oracle.

preprint2022arXiv

Transmission of Bernoulli Sources Using Convolutional LDGM Codes

We propose in this paper to exploit convolutional low density generator matrix (LDGM) codes for transmission of Bernoulli sources over binary-input output-symmetric (BIOS) channels. To this end, we present a new framework to prove the coding theorems for linear codes, which unifies the channel coding theorem, the source coding theorem and the joint source-channel coding (JSCC) theorem. In the presented framework, the systematic bits and the corresponding parity-check bits play different roles. Precisely, the noisy systematic bits are used to limit the list size of typical codewords, while the noisy parity-check bits are used to select from the list the maximum likelihood codeword. This new framework for linear codes allows that the systematic bits and the parity-check bits are transmitted in different ways and over different channels. With this framework, we prove that the Bernoulli generator matrix codes (BGMCs) are capacity-achieving over BIOS channels, entropy-achieving for Bernoulli sources, and also system-capacity-achieving for JSCC applications. A lower bound on the bit-error rate (BER) is derived for linear codes, which can be used to predict the error floors and hence serves as a simple tool to design the JSCC system. Numerical results show that the convolutional LDGM codes perform well in the waterfall region and match well with the derived error floors, which can be lowered down if required by simply increasing the encoding memory.

preprint2020arXiv

SoQal: Selective Oracle Questioning in Active Learning

Large sets of unlabelled data within the healthcare domain remain underutilized. Active learning offers a way to exploit these datasets by iteratively requesting an oracle (e.g. medical professional) to label instances. This process, which can be costly and time-consuming is overly-dependent upon an oracle. To alleviate this burden, we propose SoQal, a questioning strategy that dynamically determines when a label should be requested from an oracle. We perform experiments on five publically-available datasets and illustrate SoQal's superiority relative to baseline approaches, including its ability to reduce oracle label requests by up to 35%. SoQal also performs competitively in the presence of label noise: a scenario that simulates clinicians' uncertain diagnoses when faced with difficult classification tasks.

preprint2020arXiv

Student-Teacher Curriculum Learning via Reinforcement Learning: Predicting Hospital Inpatient Admission Location

Accurate and reliable prediction of hospital admission location is important due to resource-constraints and space availability in a clinical setting, particularly when dealing with patients who come from the emergency department. In this work we propose a student-teacher network via reinforcement learning to deal with this specific problem. A representation of the weights of the student network is treated as the state and is fed as an input to the teacher network. The teacher network's action is to select the most appropriate batch of data to train the student network on from a training set sorted according to entropy. By validating on three datasets, not only do we show that our approach outperforms state-of-the-art methods on tabular data and performs competitively on image recognition, but also that novel curricula are learned by the teacher network. We demonstrate experimentally that the teacher network can actively learn about the student network and guide it to achieve better performance than if trained alone.

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