import sys import os import pandas as pd import pdfplumber import json import gradio as gr from typing import List, Dict, Optional, Generator from concurrent.futures import ThreadPoolExecutor, as_completed import hashlib import shutil import re import psutil import subprocess import logging import torch import gc from diskcache import Cache import time from transformers import AutoTokenizer from functools import lru_cache import numpy as np # Configure logging logging.basicConfig(level=logging.INFO) logger = logging.getLogger(__name__) # Constants MAX_TOKENS = 1800 BATCH_SIZE = 2 MAX_WORKERS = 4 CHUNK_SIZE = 10 # For PDF processing # Persistent directory setup persistent_dir = "/data/hf_cache" os.makedirs(persistent_dir, exist_ok=True) model_cache_dir = os.path.join(persistent_dir, "txagent_models") tool_cache_dir = os.path.join(persistent_dir, "tool_cache") file_cache_dir = os.path.join(persistent_dir, "cache") report_dir = os.path.join(persistent_dir, "reports") vllm_cache_dir = os.path.join(persistent_dir, "vllm_cache") for directory in [model_cache_dir, tool_cache_dir, file_cache_dir, report_dir, vllm_cache_dir]: os.makedirs(directory, exist_ok=True) os.environ.update({ "HF_HOME": model_cache_dir, "TRANSFORMERS_CACHE": model_cache_dir, "VLLM_CACHE_DIR": vllm_cache_dir, "TOKENIZERS_PARALLELISM": "false", "CUDA_LAUNCH_BLOCKING": "1" }) current_dir = os.path.dirname(os.path.abspath(__file__)) src_path = os.path.abspath(os.path.join(current_dir, "src")) sys.path.insert(0, src_path) from txagent.txagent import TxAgent # Initialize cache with 10GB limit cache = Cache(file_cache_dir, size_limit=10 * 1024**3) # Initialize tokenizer for precise chunking (with caching) @lru_cache(maxsize=1) def get_tokenizer(): return AutoTokenizer.from_pretrained("mims-harvard/TxAgent-T1-Llama-3.1-8B") def sanitize_utf8(text: str) -> str: """Optimized UTF-8 sanitization""" return text.encode("utf-8", "ignore").decode("utf-8") def file_hash(path: str) -> str: """Optimized file hashing with buffer reading""" hash_md5 = hashlib.md5() with open(path, "rb") as f: for chunk in iter(lambda: f.read(4096), b""): hash_md5.update(chunk) return hash_md5.hexdigest() def extract_pdf_page(page) -> str: """Optimized single page extraction""" try: text = page.extract_text() or "" return f"=== Page {page.page_number} ===\n{text.strip()}" except Exception as e: logger.warning(f"Error extracting page {page.page_number}: {str(e)}") return "" def extract_all_pages(file_path: str, progress_callback=None) -> str: """Optimized PDF extraction with memory management""" try: with pdfplumber.open(file_path) as pdf: total_pages = len(pdf.pages) if total_pages == 0: return "" # Process in chunks with memory cleanup results = [] for chunk_start in range(0, total_pages, CHUNK_SIZE): chunk_end = min(chunk_start + CHUNK_SIZE, total_pages) with pdfplumber.open(file_path) as pdf: with ThreadPoolExecutor(max_workers=min(CHUNK_SIZE, 4)) as executor: futures = [executor.submit(extract_pdf_page, pdf.pages[i]) for i in range(chunk_start, chunk_end)] for future in as_completed(futures): results.append(future.result()) if progress_callback: progress_callback(min(chunk_end, total_pages), total_pages) # Explicit cleanup del pdf gc.collect() return "\n\n".join(filter(None, results)) except Exception as e: logger.error(f"PDF processing error: {e}") return f"PDF processing error: {str(e)}" def excel_to_json(file_path: str) -> List[Dict]: """Optimized Excel processing with chunking""" try: # Try fastest engines first for engine in ['openpyxl', 'xlrd']: try: df = pd.read_excel( file_path, engine=engine, header=None, dtype=str, na_filter=False ) return [{ "filename": os.path.basename(file_path), "rows": df.values.tolist(), "type": "excel" }] except Exception: continue raise Exception("No suitable Excel engine found") except Exception as e: logger.error(f"Excel processing error: {e}") return [{"error": f"Excel processing error: {str(e)}"}] def csv_to_json(file_path: str) -> List[Dict]: """Optimized CSV processing with chunking""" try: chunks = [] for chunk in pd.read_csv( file_path, header=None, dtype=str, encoding_errors='replace', on_bad_lines='skip', chunksize=10000, na_filter=False ): chunks.append(chunk) df = pd.concat(chunks) if chunks else pd.DataFrame() return [{ "filename": os.path.basename(file_path), "rows": df.values.tolist(), "type": "csv" }] except Exception as e: logger.error(f"CSV processing error: {e}") return [{"error": f"CSV processing error: {str(e)}"}] @lru_cache(maxsize=100) def process_file_cached(file_path: str, file_type: str) -> List[Dict]: """Cached file processing with memory optimization""" try: if file_type == "pdf": text = extract_all_pages(file_path) return [{ "filename": os.path.basename(file_path), "content": text, "status": "initial", "type": "pdf" }] elif file_type in ["xls", "xlsx"]: return excel_to_json(file_path) elif file_type == "csv": return csv_to_json(file_path) else: return [{"error": f"Unsupported file type: {file_type}"}] except Exception as e: logger.error(f"Error processing {os.path.basename(file_path)}: {e}") return [{"error": f"Error processing {os.path.basename(file_path)}: {str(e)}"}] def tokenize_and_chunk(text: str, max_tokens: int = MAX_TOKENS) -> List[str]: """Optimized tokenization and chunking""" tokenizer = get_tokenizer() tokens = tokenizer.encode(text, add_special_tokens=False) return [ tokenizer.decode(tokens[i:i + max_tokens]) for i in range(0, len(tokens), max_tokens) ] def log_system_usage(tag=""): """Optimized system monitoring""" try: cpu = psutil.cpu_percent(interval=0.5) mem = psutil.virtual_memory() logger.info(f"[{tag}] CPU: {cpu:.1f}% | RAM: {mem.used // (1024**2)}MB / {mem.total // (1024**2)}MB") # GPU monitoring with timeout try: result = subprocess.run( ["nvidia-smi", "--query-gpu=memory.used,memory.total,utilization.gpu", "--format=csv,nounits,noheader"], capture_output=True, text=True, timeout=2 ) if result.returncode == 0: used, total, util = result.stdout.strip().split(", ") logger.info(f"[{tag}] GPU: {used}MB / {total}MB | Utilization: {util}%") except subprocess.TimeoutExpired: logger.warning(f"[{tag}] GPU monitoring timed out") except Exception as e: logger.error(f"[{tag}] Monitor failed: {e}") def clean_response(text: str) -> str: """Optimized response cleaning with regex compilation""" if not text: return "" # Pre-compiled regex patterns patterns = [ (re.compile(r"\[.*?\]|\bNone\b"), ""), (re.compile(r"To analyze the patient record excerpt.*?medications\."), ""), (re.compile(r"Since the previous attempts.*?\."), ""), (re.compile(r"I need to.*?medications\."), ""), (re.compile(r"Retrieving tools.*?\."), ""), (re.compile(r"\s+"), " "), (re.compile(r"[^\w\s\.\,\(\)\-]"), "") ] for pattern, repl in patterns: text = pattern.sub(repl, text) return text.strip() def summarize_findings(combined_response: str) -> str: """Optimized findings summarization""" if not combined_response: return "No missed diagnoses were identified in the provided records." # Pre-compiled regex patterns diagnosis_pattern = re.compile(r"-\s*(.+)$") section_pattern = re.compile(r"###\s*(Missed Diagnoses|Medication Conflicts|Incomplete Assessments|Urgent Follow-up)") no_issues_pattern = re.compile(r"No issues identified", re.IGNORECASE) diagnoses = [] current_section = None for line in combined_response.splitlines(): line = line.strip() if not line: continue # Check section headers section_match = section_pattern.match(line) if section_match: current_section = "diagnoses" if section_match.group(1) == "Missed Diagnoses" else None continue # Only process diagnosis lines in the correct section if current_section == "diagnoses": diagnosis_match = diagnosis_pattern.match(line) if diagnosis_match and not no_issues_pattern.search(line): diagnosis = diagnosis_match.group(1).strip() if diagnosis: diagnoses.append(diagnosis) if not diagnoses: return "No missed diagnoses were identified in the provided records." # Remove duplicates while preserving order seen = set() unique_diagnoses = [d for d in diagnoses if not (d in seen or seen.add(d))] if len(unique_diagnoses) == 1: return f"Missed diagnoses include {unique_diagnoses[0]}" summary = "Missed diagnoses include " + ", ".join(unique_diagnoses[:-1]) summary += f", and {unique_diagnoses[-1]}" if len(unique_diagnoses) > 1 else "" summary += ", all of which require urgent clinical review to prevent potential adverse outcomes." return summary @lru_cache(maxsize=1) def init_agent(): """Cached agent initialization with memory optimization""" logger.info("Initializing model...") log_system_usage("Before Load") # Tool setup default_tool_path = os.path.abspath("data/new_tool.json") target_tool_path = os.path.join(tool_cache_dir, "new_tool.json") if not os.path.exists(target_tool_path): shutil.copy(default_tool_path, target_tool_path) # Initialize with optimized settings agent = TxAgent( model_name="mims-harvard/TxAgent-T1-Llama-3.1-8B", rag_model_name="mims-harvard/ToolRAG-T1-GTE-Qwen2-1.5B", tool_files_dict={"new_tool": target_tool_path}, force_finish=True, enable_checker=False, step_rag_num=4, seed=100, additional_default_tools=[], ) agent.init_model() log_system_usage("After Load") logger.info("Agent Ready") return agent def create_ui(agent): """Optimized UI creation with pre-compiled templates""" PROMPT_TEMPLATE = """ Analyze the patient record excerpt for missed diagnoses only. Provide a concise, evidence-based summary as a single paragraph without headings or bullet points. Include specific clinical findings (e.g., 'elevated blood pressure (160/95) on page 10'), their potential implications (e.g., 'may indicate untreated hypertension'), and a recommendation for urgent review. Do not include other oversight categories like medication conflicts. If no missed diagnoses are found, state 'No missed diagnoses identified' in a single sentence. Patient Record Excerpt (Chunk {0} of {1}): {chunk} """ with gr.Blocks(theme=gr.themes.Soft()) as demo: gr.Markdown("

🩺 Clinical Oversight Assistant

") with gr.Row(): with gr.Column(scale=3): chatbot = gr.Chatbot(label="Detailed Analysis", height=600, type="messages") msg_input = gr.Textbox(placeholder="Ask about potential oversights...", show_label=False) send_btn = gr.Button("Analyze", variant="primary") file_upload = gr.File(file_types=[".pdf", ".csv", ".xls", ".xlsx"], file_count="multiple") with gr.Column(scale=1): final_summary = gr.Markdown(label="Summary of Missed Diagnoses") download_output = gr.File(label="Download Full Report") progress_bar = gr.Progress() def analyze(message: str, history: List[dict], files: List, progress=gr.Progress()): """Optimized analysis pipeline with memory management""" history.append({"role": "user", "content": message}) yield history, None, "" # Process files with caching extracted = [] file_hash_value = "" if files: # Use cached results when possible for f in files: file_type = f.name.split(".")[-1].lower() cache_key = f"{file_hash(f.name)}_{file_type}" if cache_key in cache: extracted.extend(cache[cache_key]) else: result = process_file_cached(f.name, file_type) cache[cache_key] = result extracted.extend(result) file_hash_value = file_hash(files[0].name) if files else "" history.append({"role": "assistant", "content": "✅ File processing complete"}) yield history, None, "" # Convert to text with memory efficiency text_content = "\n".join(json.dumps(item, ensure_ascii=False) for item in extracted) del extracted gc.collect() # Tokenize and chunk chunks = tokenize_and_chunk(text_content) del text_content gc.collect() combined_response = "" report_path = None try: # Process in optimized batches for batch_idx in range(0, len(chunks), BATCH_SIZE): batch_chunks = chunks[batch_idx:batch_idx + BATCH_SIZE] # Prepare prompts batch_prompts = [ PROMPT_TEMPLATE.format( batch_idx + i + 1, len(chunks), chunk=chunk[:1800] # Conservative size ) for i, chunk in enumerate(batch_chunks) ] progress(batch_idx / len(chunks), desc=f"Analyzing batch {(batch_idx // BATCH_SIZE) + 1}/{(len(chunks) + BATCH_SIZE - 1) // BATCH_SIZE}") # Process batch with ThreadPoolExecutor(max_workers=min(BATCH_SIZE, MAX_WORKERS)) as executor: futures = { executor.submit( agent.run_gradio_chat, prompt, [], 0.2, 512, 2048, False, [] ): idx for idx, prompt in enumerate(batch_prompts) } for future in as_completed(futures): chunk_idx = futures[future] chunk_response = "" try: for chunk_output in future.result(): if isinstance(chunk_output, (list, str)): content = "" if isinstance(chunk_output, list): content = " ".join( clean_response(m.content) for m in chunk_output if hasattr(m, 'content') and m.content ) elif isinstance(chunk_output, str): content = clean_response(chunk_output) if content: chunk_response += content + " " if chunk_response: combined_response += f"--- Analysis for Chunk {batch_idx + chunk_idx + 1} ---\n{chunk_response.strip()}\n" history[-1] = {"role": "assistant", "content": combined_response.strip()} yield history, None, "" finally: # Ensure cleanup del future torch.cuda.empty_cache() gc.collect() # Generate final outputs summary = summarize_findings(combined_response) if file_hash_value: report_path = os.path.join(report_dir, f"{file_hash_value}_report.txt") try: with open(report_path, "w", encoding="utf-8") as f: f.write(combined_response + "\n\n" + summary) except Exception as e: logger.error(f"Report save failed: {e}") report_path = None yield history, report_path, summary except Exception as e: logger.error(f"Analysis error: {e}") history.append({"role": "assistant", "content": f"❌ Error occurred: {str(e)}"}) yield history, None, f"Error occurred during analysis: {str(e)}" finally: # Final cleanup torch.cuda.empty_cache() gc.collect() # Event handlers send_btn.click( analyze, inputs=[msg_input, gr.State([]), file_upload], outputs=[chatbot, download_output, final_summary] ) msg_input.submit( analyze, inputs=[msg_input, gr.State([]), file_upload], outputs=[chatbot, download_output, final_summary] ) return demo if __name__ == "__main__": try: logger.info("Launching optimized app...") agent = init_agent() demo = create_ui(agent) demo.queue( api_open=False, max_size=20 ).launch( server_name="0.0.0.0", server_port=7860, show_error=True, allowed_paths=[report_dir], share=False ) except Exception as e: logger.error(f"Fatal error: {e}") raise finally: if torch.distributed.is_initialized(): torch.distributed.destroy_process_group()