Ellie Pavlick
Famous AuthorPublications
Source-Modality Monitoring in Vision-Language Models
We define and investigate source-modality monitoring -- the ability of multimodal models to track and communicate the input source from which pieces of information originate. We consider source-modality monitoring as an instance of the more general binding problem, and evaluate the extent to which models exploit syntactic vs. semantic signals in order to bind words like image in a user-provided prompt to specific components of their input and context (i.e., actual images). Across experiments spanning 11 vision-language models (VLMs) performing target-modality information retrieval tasks, we find that both syntactic and semantic signals play an important role, but that the latter tend to outweigh the former in cases when modalities are highly distinct distributionally. We discuss the implications of these findings for model robustness, and in the context of increasingly multimodal agentic systems.
Handling and Interpreting Missing Modalities in Patient Clinical Trajectories via Autoregressive Sequence Modeling
An active challenge in developing multimodal machine learning (ML) models for healthcare is handling missing modalities during training and deployment. As clinical datasets are inherently temporal and sparse in terms of modality presence, capturing the underlying predictive signal via diagnostic multimodal ML models while retaining model explainability remains an ongoing challenge. In this work, we address this by re-framing clinical diagnosis as an autoregressive sequence modeling task, utilizing causal decoders from large language models (LLMs) to model a patient's multimodal trajectory. We first introduce a missingness-aware contrastive pre-training objective that integrates multiple modalities in datasets with missingness in a shared latent space. We then show that autoregressive sequence modeling with transformer-based architectures outperforms baselines on the MIMIC-IV and eICU fine-tuning benchmarks. Finally, we use interpretability techniques to move beyond performance boosts and find that across various patient stays, removing modalities leads to divergent behavior that our contrastive pre-training mitigates. By abstracting clinical diagnosis as sequence modeling and interpreting patient stay trajectories, we develop a framework to profile and handle missing modalities while addressing the canonical desideratum of safe, transparent clinical AI.