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Joumana Ghosn

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5 papers

2 author rows

NeurIPS Conference 2022 Conference Paper

DDXPlus: A New Dataset For Automatic Medical Diagnosis

Arsene Fansi Tchango
Rishab Goel
Zhi Wen
Julien Martel
Joumana Ghosn

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.

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NeurIPS Conference 2022 Conference Paper

Towards Trustworthy Automatic Diagnosis Systems by Emulating Doctors' Reasoning with Deep Reinforcement Learning

Arsene Fansi Tchango
Rishab Goel
Julien Martel
Zhi Wen
Gaetan Marceau Caron
Joumana Ghosn

The automation of the medical evidence acquisition and diagnosis process has recently attracted increasing attention in order to reduce the workload of doctors and democratize access to medical care. However, most works proposed in the machine learning literature focus solely on improving the prediction accuracy of a patient's pathology. We argue that this objective is insufficient to ensure doctors' acceptability of such systems. In their initial interaction with patients, doctors do not only focus on identifying the pathology a patient is suffering from; they instead generate a differential diagnosis (in the form of a short list of plausible diseases) because the medical evidence collected from patients is often insufficient to establish a final diagnosis. Moreover, doctors explicitly explore severe pathologies before potentially ruling them out from the differential, especially in acute care settings. Finally, for doctors to trust a system's recommendations, they need to understand how the gathered evidences led to the predicted diseases. In particular, interactions between a system and a patient need to emulate the reasoning of doctors. We therefore propose to model the evidence acquisition and automatic diagnosis tasks using a deep reinforcement learning framework that considers three essential aspects of a doctor's reasoning, namely generating a differential diagnosis using an exploration-confirmation approach while prioritizing severe pathologies. We propose metrics for evaluating interaction quality based on these three aspects. We show that our approach performs better than existing models while maintaining competitive pathology prediction accuracy.

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ICLR Conference 2021 Conference Paper

Predicting Infectiousness for Proactive Contact Tracing

Yoshua Bengio
Prateek Gupta
Tegan Maharaj
Nasim Rahaman
Martin Weiss
Tristan Deleu
Eilif Benjamin Müller
Meng Qu

The COVID-19 pandemic has spread rapidly worldwide, overwhelming manual contact tracing in many countries and resulting in widespread lockdowns for emergency containment. Large-scale digital contact tracing (DCT) has emerged as a potential solution to resume economic and social activity while minimizing spread of the virus. Various DCT methods have been proposed, each making trade-offs be-tween privacy, mobility restrictions, and public health. The most common approach, binary contact tracing (BCT), models infection as a binary event, informed only by an individual’s test results, with corresponding binary recommendations that either all or none of the individual’s contacts quarantine. BCT ignores the inherent uncertainty in contacts and the infection process, which could be used to tailor messaging to high-risk individuals, and prompt proactive testing or earlier warnings. It also does not make use of observations such as symptoms or pre-existing medical conditions, which could be used to make more accurate infectiousness predictions. In this paper, we use a recently-proposed COVID-19 epidemiological simulator to develop and test methods that can be deployed to a smartphone to locally and proactively predict an individual’s infectiousness (risk of infecting others) based on their contact history and other information, while respecting strong privacy constraints. Predictions are used to provide personalized recommendations to the individual via an app, as well as to send anonymized messages to the individual’s contacts, who use this information to better predict their own infectiousness, an approach we call proactive contact tracing (PCT). Similarly to other works, we find that compared to no tracing, all DCT methods tested are able to reduce spread of the disease and thus save lives, even at low adoption rates, strongly supporting a role for DCT methods in managing the pandemic. Further, we find a deep-learning based PCT method which improves over BCT for equivalent average mobility, suggesting PCT could help in safe re-opening and second-wave prevention.

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NeurIPS Conference 2001 Conference Paper

Estimating Car Insurance Premia: a Case Study in High-Dimensional Data Inference

Nicolas Chapados
Yoshua Bengio
Pascal Vincent
Joumana Ghosn
Charles Dugas
Ichiro Takeuchi
Linyan Meng

Estimating insurance premia from data is a difficult regression problem for several reasons: the large number of variables, many of which are. discrete, and the very peculiar shape of the noise distri(cid: 173) bution, asymmetric with fat tails, with a large majority zeros and a few unreliable and very large values. We compare several machine learning methods for estimating insurance premia, and test them on a large data base of car insurance policies. We find that func(cid: 173) tion approximation methods that do not optimize a squared loss, like Support Vector Machines regression, do not work well in this context. Compared methods include decision trees and generalized linear models. The best results are obtained with a mixture of experts, which better identifies the least and most risky contracts, and allows to reduce the median premium by charging more to the most risky customers.

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NeurIPS Conference 1996 Conference Paper

Multi-Task Learning for Stock Selection

Joumana Ghosn
Yoshua Bengio

Artificial Neural Networks can be used to predict future returns of stocks in order to take financial decisions. Should one build a separate network for each stock or share the same network for all the stocks? In this paper we also explore other alternatives, in which some layers are shared and others are not shared. When the prediction of future returns for different stocks are viewed as different tasks, sharing some parameters across stocks is a form of multi-task learning. In a series of experiments with Canadian stocks, we obtain yearly returns that are more than 14% above various benchmarks. 1

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