DxFormer: A Decoupled Automatic Diagnostic System Based on Decoder-Encoder Transformer with Dense Symptom Representations

Diagnosis-oriented dialogue system queries the patient's health condition and makes predictions about possible diseases through continuous interaction with the patient. A few studies use reinforcement learning (RL) to learn the optimal policy from the joint action space of symptoms and diseases. However, existing RL (or Non-RL) methods cannot achieve sufficiently good prediction accuracy, still far from its upper limit. To address the problem, we propose a decoupled automatic diagnostic framework DxFormer, which divides the diagnosis process into two steps: symptom inquiry and disease diagnosis, where the transition from symptom inquiry to disease diagnosis is explicitly determined by the stopping criteria. In DxFormer, we treat each symptom as a token, and formalize the symptom inquiry and disease diagnosis to a language generation model and a sequence classification model respectively. We use the inverted version of Transformer, i.e., the decoder-encoder structure, to learn the representation of symptoms by jointly optimizing the reinforce reward and cross entropy loss. Extensive experiments on three public real-world datasets prove that our proposed model can effectively learn doctors' clinical experience and achieve the state-of-the-art results in terms of symptom recall and diagnostic accuracy.Comment: 7 pages, 4 figures, 3 table

A γ\gamma-ray Quasi-Periodic modulation in the Blazar PKS 0301−-243?

We report a nominally high-confidence $\gamma$-ray quasi-periodic modulation in the blazar PKS 0301$-$243. For this target, we analyze its \emph{Fermi}-LAT Pass 8 data covering from 2008 August to 2017 May. Two techniques, i.e., the maximum likelihood optimization and the exposure-weighted aperture photometry, are used to build the $\gamma$-ray light curves. Then both the Lomb-Scargle Periodogram and the Weighted Wavelet Z-transform are applied to the light curves to search for period signals. A quasi-periodicity with a period of $2.1\pm0.3$ yr appears at the significance level of $\sim5\sigma$, although it should be noted that this putative quasi-period variability is seen in a data set barely four times longer. We speculate that this $\gamma$-ray quasi-periodic modulation might be evidence of a binary supermassive black hole.Comment: 9 pages, 8 figures; Accepted for publication in Ap